RESUMO
BACKGROUND: Isolated rapid eye movement (REM) sleep behavior disorder (iRBD) is characterized by loss of the normal atonia of REM sleep accompanied by repetitive motor and behavior phenomena of dream content. OBJECTIVE: To evaluate the reliability and validity of the Turkish version of the original form of the Innsbruck Rapid Eye Movement Sleep Behavior Disorder Diagnostic Inventory (IRBD-9) scale (IRBD-9-TR) and ensure that this screening test can be easily used in the Turkish language. METHODS: The present is a multicenter and prospective study involving 184 patients: 51 with iRBD and 133 healthy controls. The iRBD patients were not diagnosed before submitted to video polysomnography (vPSG) and filling out the IRBD-9-TR. RESULTS: The optimal cut-off value for the IRBD-9-TR symptom score was of 0.28, with a sensitivity of 0.941 and a specificity of 0.947, and 94.4% of the patients were correctly diagnosed. The rotated factor loadings for the diagnostic accuracy of each individual question showed that the short version of the IRBD-9-TR (questions 1, 2, 3, 6, and 8) presented higher specificity and excellent discrimination of iRBD patients from healthy controls. The Cronbach's α coefficient for the symptom section of the IRBD-9-TR was of 0.857, and the Kappa coefficient, of 0.885. CONCLUSION: The short version of the IRBD-9-TR presents good validity and reliability to be used as a screening test to assess iRBD patients. It is convenient and potentially useful in both outpatient clinical and epidemiologic research settings.
Assuntos
Polissonografia , Transtorno do Comportamento do Sono REM , Sensibilidade e Especificidade , Humanos , Reprodutibilidade dos Testes , Feminino , Masculino , Pessoa de Meia-Idade , Estudos Prospectivos , Transtorno do Comportamento do Sono REM/diagnóstico , Turquia , Estudos de Casos e Controles , Idoso , Inquéritos e Questionários , Traduções , Adulto , Valores de Referência , Idioma , PsicometriaRESUMO
OBJECTIVE: The present study examines the relationship between social media addiction and cyberbullying among adolescents. METHOD: This descriptive study was conducted with the participation of 1,058 adolescents aged 14 to 17, between September 1, 2018, and January 1, 2019, in the Central Anatolian region of Türkiye. Data were collected using the Adolescent Data Collection Form, the Revised Cyber Bullying Inventory II, and the Social Media Disorder Scale for Adolescents - Short Form. Data were evaluated with a Pearson's Chi-square Test, Spearman's Correlation, and Logistic Regression analysis. RESULTS: Of the adolescents in the study group, 23.3% were addicted to social media. Female sex and spending more time on social media increased the risk of the development of a social media addiction. Spending more time on social media increased the risk of becoming a victim of cyberbullying and cyber victimization. A strong and positive relationship was identified between social media addiction among adolescents on the one hand, and cyberbullying and victimization on the other. CONCLUSION: The more time spent on social media, the greater the risk of development of social media addiction, cyberbullying, and victimization.
Assuntos
Vítimas de Crime , Cyberbullying , Mídias Sociais , Humanos , Adolescente , Feminino , Masculino , Cyberbullying/psicologia , Cyberbullying/estatística & dados numéricos , Mídias Sociais/estatística & dados numéricos , Vítimas de Crime/psicologia , Vítimas de Crime/estatística & dados numéricos , Transtorno de Adição à Internet/psicologia , Transtorno de Adição à Internet/epidemiologia , Turquia/epidemiologia , Comportamento Aditivo/psicologia , Comportamento Aditivo/epidemiologia , Fatores Sexuais , Fatores de Tempo , Fatores de RiscoRESUMO
OBJECTIVE: The present study examines the relationship between social media addiction and cyberbullying among adolescents. METHOD: This descriptive study was conducted with the participation of 1,058 adolescents aged 14 to 17, between September 1, 2018, and January 1, 2019, in the Central Anatolian region of Türkiye. Data were collected using the Adolescent Data Collection Form, the Revised Cyber Bullying Inventory II, and the Social Media Disorder Scale for Adolescents - Short Form. Data were evaluated with a Pearson's Chi-square Test, Spearman's Correlation, and Logistic Regression analysis. RESULTS: Of the adolescents in the study group, 23.3% were addicted to social media. Female sex and spending more time on social media increased the risk of the development of a social media addiction. Spending more time on social media increased the risk of becoming a victim of cyberbullying and cyber victimization. A strong and positive relationship was identified between social media addiction among adolescents on the one hand, and cyberbullying and victimization on the other. CONCLUSION: The more time spent on social media, the greater the risk of development of social media addiction, cyberbullying, and victimization.
Assuntos
Vítimas de Crime , Cyberbullying , Mídias Sociais , Humanos , Adolescente , Feminino , Masculino , Cyberbullying/psicologia , Cyberbullying/estatística & dados numéricos , Mídias Sociais/estatística & dados numéricos , Vítimas de Crime/psicologia , Vítimas de Crime/estatística & dados numéricos , Transtorno de Adição à Internet/psicologia , Transtorno de Adição à Internet/epidemiologia , Turquia/epidemiologia , Comportamento Aditivo/psicologia , Comportamento Aditivo/epidemiologia , Fatores Sexuais , Fatores de Tempo , Fatores de RiscoRESUMO
This study was to understand, evaluated and analyzed various issues related to durum wheat production. The population of the study consisted of durum wheat producers working in Ergani, Yenisehir, Bismil and Çinar districts of Diyarbakir province. The sample of the study was determined by using simple random sampling method among durum wheat producers operating in Ergani, Yenisehir, Bismil and Çinar districts of Diyarbakir province. In the study, the "sales kg" criterion was reported to be more important than the others. The "Eyyübi" variety was have the highest performance compared to other alternatives. It was also found that producers' priorities in variety selection were resistance/tolerance of the variety to diseases and pests, market selling price and seed price. Türkiye stands out as an important durum wheat producing country. Secondly, the best performing product in Türkiye on the cost-benefit axis is Eyyübi This study was carried out with the financial support of TAGEM. It is declared that there is no conflict of interest.
O objetivo deste estudo foi compreender, avaliar e analisar diversas questões relacionadas à produção de trigo duro. A população do estudo consistia em produtores de trigo duro que trabalhavam nos distritos de Ergani, Yenisehir, Bismil e Çinar, na província de Diyarbakir. A amostra do estudo foi determinada usando o método de amostragem aleatória simples entre produtores de trigo duro que operam nos distritos de Ergani, Yenisehir, Bismil e Çinar, na província de Diyarbakir. No estudo, o critério "quilo vendas" mostrou-se mais importante que os demais. A variedade "Eyyübi" apresentou o melhor desempenho em comparação com outras alternativas. Verificou-se também que as prioridades dos produtores na seleção das variedades eram a resistência/tolerância da variedade a doenças e pragas, o preço de venda no mercado e o preço da semente. A Turquia se destaca como um importante país produtor de trigo duro. Em segundo lugar, o produto com melhor desempenho na Turquia no eixo custo-benefício é o Eyyübi.
Assuntos
Triticum/crescimento & desenvolvimento , Desenvolvimento Vegetal , Produção Agrícola , TurquiaRESUMO
BACKGROUND: Childhood and adolescence are the most active periods for nevi development, which provide insights into nevogenesis. OBJECTIVES: To evaluate the clinical and dermoscopic characteristics of acquired melanocytic nevi in Turkish children (aged ≤ 10-years) and adolescents (aged > 10-years) regarding demographic, constitutional, and environmental factors. METHODS: A cross-sectional study on participants aged < 18-years examined for acquired melanocytic nevi between January and June 2023. RESULTS: One hundred participants (female: male ratio = 1:1; median age: 10) were assessed. The median nevi number was significantly higher in adolescents than in children (6 vs. 4; p < 0.05). The upper extremities (n = 68) and trunk (n = 67) were the most commonly involved anatomical regions. Females had a significantly higher nevi rate on the upper extremities than males (80% vs. 56%; p < 0.05). The trunk was involved slightly more frequently in males (76% vs. 58%; p = 0.06). The globular pattern rate was higher in children than in adolescents (70.6% vs. 42.9%; p < 0.05), whereas a striking increase was observed in the reticular pattern from childhood (2%) to adolescence (14.3%) (p < 0.05). The globular pattern was the major dermoscopic pattern in all anatomical locations except lower extremities where the homogeneous pattern prevailed. Sunscreen use had no impact on the nevi number or dermoscopic pattern. STUDY LIMITATIONS: Limited number of participants. CONCLUSIONS: The age and anatomical site were the most relevant factors influencing the number and dermoscopic patterns of nevi. The gender-related distribution pattern of nevi, without any effect of sunscreen use on either nevus count or dermoscopic pattern, suggests a genetic predisposition.
Assuntos
Dermoscopia , Nevo Pigmentado , Neoplasias Cutâneas , Humanos , Criança , Masculino , Estudos Transversais , Feminino , Nevo Pigmentado/patologia , Nevo Pigmentado/diagnóstico por imagem , Turquia/epidemiologia , Adolescente , Neoplasias Cutâneas/patologia , Neoplasias Cutâneas/diagnóstico por imagem , Pré-Escolar , Fatores Sexuais , Fatores Etários , Distribuição por Sexo , Extremidade Superior/patologiaRESUMO
OBJECTIVE: Controlling Nutritional Status score was previously described and has been used in predicting short- and long-term outcomes in different patient populations. The aim of this study was to test the relationship between Controlling Nutritional Status score and in-hospital mortality in coronary care unit patients (MORCOR-TURK population). METHODS: In this multicenter and national study, all patients with an available Controlling Nutritional Status score were included in the analysis. The Controlling Nutritional Status score was calculated according to previously described criteria. To be able to understand the significance of the Controlling Nutritional Status score, we constructed two models. Model 1 included age, heart failure, chronic kidney disease, hypertension, diabetes mellitus, and coronary artery disease history. Model 2 included the Controlling Nutritional Status score and Model 1. We then statistically compared the performances of the two models. RESULTS: A total of 1,018 patients with known Controlling Nutritional Status scores were included in the analysis. Demographic characteristics are shown. In Model 1, the -2 log-likelihood ratio was 395.995, Nagelkerke R2 was 0.133, and area under the curve was 0.739 (95%CI 0.67-0.81). In the second model to which the Controlling Nutritional Status score is added (Model 2), the -2 log-likelihood ratio was 373.743, Nagelkerke R2 was 0.191, and area under the curve was 0.787 (95%CI 0.72-0.85). The area under the curve value of Model 2 was statistically higher than Model 1 (DeLong p-value: 0.01). A statistically significant correlation was found between death and Controlling Nutritional Status score in Model 2 [OR 1.347 (1.193-1.521), p<0.001]. CONCLUSIONS: Our study showed that the Controlling Nutritional Status score may be a significant predictor of in-hospital mortality in coronary care unit patients.
Assuntos
Unidades de Cuidados Coronarianos , Mortalidade Hospitalar , Estado Nutricional , Humanos , Estado Nutricional/fisiologia , Masculino , Feminino , Unidades de Cuidados Coronarianos/estatística & dados numéricos , Pessoa de Meia-Idade , Idoso , Avaliação Nutricional , Fatores de Risco , Valor Preditivo dos Testes , Turquia/epidemiologia , Medição de Risco/métodosRESUMO
OBJECTIVE: The aim of this research was to determine the effect of music on nonstress testing and pregnant women's satisfaction. METHODS: The research, which was designed as a randomized controlled experimental study, was conducted between September 2021 and September 2022 at a training and research university hospital in the north of Turkey. The population of the research consisted of pregnant women who were requested to take a nonstress test, and the sample consisted of 111 pregnant women (music group: 56 and control group: 55). The pregnant women in the music group listened to classical music during the nonstress test, while no intervention was applied to those in the control group. Data were collected with a Descriptive Information Form, a Nonstress Test Form, and the Visual Analog Scale to evaluate satisfaction. Mann-Whitney U and chi-square test statistics were used for the statistical analysis of the data. RESULTS: The mean basal fetal heart rate and count of fetal movements, the presence of acceleration, and the nonstress test results of the pregnant women in the music group were statistically significantly higher than those of the control group (p<0.05). Besides, a statistically significant difference was found between the groups in terms of mean satisfaction scores (p<0.05). CONCLUSION: Listening to music during nonstress tests increases pregnant women's reactive nonstress test rates and satisfaction.
Assuntos
Satisfação do Paciente , Humanos , Feminino , Gravidez , Adulto , Adulto Jovem , Música/psicologia , Musicoterapia/métodos , Turquia , Estatísticas não Paramétricas , Movimento Fetal/fisiologia , Frequência Cardíaca Fetal/fisiologiaRESUMO
OBJECTIVE: This study aimed to evaluate the use of menstrual hygiene products and genital hygiene practices among female university students. METHOD: A cross-sectional study design was employed. Data were collected using the Descriptive Information Form and the Genital Hygiene Behaviors Scale (GHBS). The Independent Samples t-test, ANOVA, and Post-hoc Tukey tests were used for data analysis. RESULTS: Significant associations were found between GHBS scores and variables such as year in school, marital status, perceived income status, attending a health-related department, willingness to receive training in menstruation and genital hygiene (p < 0.05). CONCLUSION: It is recommended that regular educational programs, inter-institutional collaborations, and awareness-raising activities be implemented to promote students' reproductive health behaviors. Health policies should also aim to improve young people's access to menstrual products.
Assuntos
Higiene , Produtos de Higiene Menstrual , Menstruação , Estudantes , Humanos , Feminino , Estudos Transversais , Turquia , Estudantes/psicologia , Adulto Jovem , Universidades , Higiene/normas , Adolescente , Conhecimentos, Atitudes e Prática em Saúde , Adulto , Comportamentos Relacionados com a SaúdeRESUMO
OBJECTIVE: The aim of this study was to determine the effects of interpersonal psychotherapy on anxiety and alexithymia in mothers in the postpartum period. METHODS: This randomized controlled experimental study with a pre-test and post-test design was conducted to determine the effects of interpersonal psychotherapy on anxiety and alexithymia in mothers during the postpartum period. Data were collected from postpartum mothers who presented to the pediatric outpatient clinic in a private hospital in Istanbul at the pre- and post-tests between August 2022 and January 2023. The study was conducted between June 10, 2022, and June 23, 2023. In the study, data were obtained with the "Personal Information Form," "Beck Anxiety Inventory," and "Toronto Alexithymia Scale." This randomized controlled experimental study with the pre- and post-test designs was conducted in a private hospital in Istanbul, a province located on both sides of the Bosporus Strait in northwest Turkey, with 14 postpartum mothers. Of them, seven were assigned to the experimental group and seven to the control group. The participants in the experimental group underwent interpersonal psychotherapy. The participants in the control group underwent no intervention. In the analysis of the data, while repeated measures analysis of variance was used to compare the scale scores, Fisher's least significant difference test was used for multiple comparisons of the group*time interaction. RESULTS: The mean scores obtained from the "Beck Anxiety Inventory" and "Toronto Alexithymia Scale" by the participants in the experimental group before the interpersonal psychotherapy were 19.71±4.11 and 55.43±9.05, respectively, and 8.86±3.02 and 41.00±7.44, respectively, after the intervention, indicating that they decreased statistically significantly (p<0.05). CONCLUSION: The results of the study indicated that interpersonal psychotherapy reduced anxiety and alexithymia levels in mothers in the postpartum period. Based on this result, it is recommended that interpersonal psychotherapy be utilized in clinical practice.
Assuntos
Sintomas Afetivos , Ansiedade , Mães , Período Pós-Parto , Humanos , Feminino , Adulto , Sintomas Afetivos/terapia , Sintomas Afetivos/psicologia , Período Pós-Parto/psicologia , Mães/psicologia , Turquia , Ansiedade/terapia , Ansiedade/psicologia , Psicoterapia Interpessoal/métodos , Resultado do Tratamento , Adulto Jovem , Escalas de Graduação PsiquiátricaRESUMO
BACKGROUND: The use of urban green spaces differs by social characteristics, including gender, ethnicity, and socioeconomic position. We examined motives, means and prerequisites to visit green space of marginalised populations with high cardiometabolic risk in the Netherlands, namely women with a Turkish or South Asian Surinamese background residing in disadvantaged neighbourhoods. METHODS: We conducted six focus group discussions in two Dutch cities. The study was performed in collaboration with social workers from the local communities with similar ethnic backgrounds as the participants. A thematic analysis was carried out. RESULTS: Sixteen Turkish women and 30 South Asian Surinamese women participated. Motives, means and prerequisites that emerged covered four themes: social, personal, environmental characteristics and undertaking activities. Socializing was an important motive to visit green space. Personal motives mainly consisted of positive effects on mental and physical well-being. Activities undertaken in green space were often a means to socialize or improve well-being. Many environmental factors, including safety, aesthetics, and (sanitary) facilities, influenced motivation to visit green space. Except for environmental characteristics, motives, means and prerequisites largely overlapped between ethnic groups. There were notable interactions between the themes. CONCLUSION: Motives, means and prerequisites to visit green space of women with a Turkish or South Asian Surinamese background who live in disadvantaged neighborhoods span multiple interacting themes. Future studies examining the relationship between green space and health should consider interactions between motives, means, prerequisites and ethnicity. The possibility of expanding the multifunctionality of green spaces to provide marginalized populations with more equitable access and activities should be further explored.
Assuntos
Grupos Focais , Motivação , Características de Residência , Humanos , Feminino , Países Baixos , Suriname/etnologia , Adulto , Turquia/etnologia , Pessoa de Meia-Idade , Populações Vulneráveis/psicologia , Fatores de Risco CardiometabólicoRESUMO
OBJECTIVE: Coronary artery disease is the leading cause of death worldwide. Vascular endothelial growth factor is known to induce endothelial cell migration and proliferation, increase vascular permeability, and modulate thrombogenicity. The aim of this study is to investigate the relationship between the VEGF insertion/deletion (I/D) variant (rs35569394) and coronary artery disease susceptibility in the Turkish population. METHODS: A total of 206 subjects, including 106 coronary artery disease patients and 100 controls, were included in this study. The VEGF I/D variant was genotyped using the polymerase chain reaction method. RESULTS: The frequency of the I/I, I/D, and D/D genotypes was 35.84 versus 37%, 33.97 versus 36%, and 30.19 versus 27% in patients and the control group, respectively. VEGF I/D genotype and allele distribution were not statistically significant between coronary artery disease patients and controls (p>0.05). There was no significant difference between VEGF I/D genotype distribution and patient characteristics including age, gender, disease duration, high-density lipoprotein cholesterol, low-density lipoprotein cholesterol, triglyceride, history of hypertension, history of diabetes mellitus, and smoking (p>0.05). CONCLUSION: This study suggests that the VEGF I/D variant is not a predisposing factor to coronary artery disease disease in a Turkish sample.
Assuntos
Doença da Artéria Coronariana , Predisposição Genética para Doença , Genótipo , Fator A de Crescimento do Endotélio Vascular , Humanos , Masculino , Feminino , Turquia/epidemiologia , Doença da Artéria Coronariana/genética , Fator A de Crescimento do Endotélio Vascular/genética , Pessoa de Meia-Idade , Estudos de Casos e Controles , Predisposição Genética para Doença/genética , Idoso , Frequência do Gene , Fatores de Risco , Mutação INDEL/genética , Adulto , Reação em Cadeia da PolimeraseRESUMO
OBJECTIVE: February 2023 saw major earthquakes in Pazarcik and Elbistan, causing significant devastation in Turkey. Patients were transferred to hospitals in neighboring provinces, with multiple traumas-especially fractures and organ injuries-forming the main reasons for hospital admissions. This study aimed to examine earthquake-related injuries in pediatric and adult populations to understand differences. METHODS: This study analyzed 1,220 adults and 590 pediatric patients with radiological imaging out of 8,704 earthquake trauma cases. Radiological images were assessed independently by two radiologists. Statistical analysis using SPSS examined relationships between variables such as age group and injury type. RESULTS: Results showed 40% of adults and 64% of children had normal radiological findings. Cerebral and extremity traumas were most common in pediatrics, while adults showed more extremity, thoracic, and spinal traumas. Significant differences between adult and pediatric groups were observed in cranial fractures, thoracic and lumbar vertebral fractures, hemopneumothorax, lung contusions, rib fractures, femur and talocalcaneal fractures, and compartment syndrome (p<0.001). CONCLUSION: Earthquake-related injuries may vary between children and adults. Due to children's more flexible anatomical structure, it is believed that earthquake-related injuries occur less frequently in children. In this study, head traumas were more common in children compared to adults. The rate of cranial fractures was significantly higher in children, with a higher incidence of epidural hematoma compared to adults. Spinal traumas were more frequent in adults than in children, attributed to children's greater flexibility reducing the risk of entrapment under rubble. Pediatric thoracic compliance being significantly higher than in adults often resulted in milder chest traumas. However, compartment syndrome was more common in children, with a lower rate of accompanying bone fractures compared to adults. No significant difference was observed between children and adults in maxillofacial, abdominal, and pelvic traumas. These findings provide insights for future disaster healthcare planning and management.
Assuntos
Terremotos , Humanos , Criança , Adulto , Masculino , Feminino , Adolescente , Pré-Escolar , Pessoa de Meia-Idade , Turquia/epidemiologia , Adulto Jovem , Idoso , Lactente , Radiografia , Fraturas Ósseas/diagnóstico por imagem , Fraturas Ósseas/epidemiologia , Fatores Etários , Idoso de 80 Anos ou mais , Traumatismo Múltiplo/diagnóstico por imagem , Distribuição por Idade , Estudos RetrospectivosRESUMO
BACKGROUND: Dual antiplatelet therapy (DAPT) is the treatment of choice for patients with acute and chronic coronary syndromes as it reduces mortality and prevents recurrent thrombotic complications. The assessment of both ischaemic burden and bleeding risk is crucial in deciding which DAPT to choose and how long it should be continued. OBJECTIVES: The aim of our study was to perform prospective clinical follow-up of patients receiving fixed-dose combination therapy (ASA 75 mg + clopidogrel 75 mg). Our study is a multicentric, cross-sectional, observational, cohort study. METHODS: A total of 1500 patients who were started on fixed-dose combination DAPT for acute or chronic coronary syndrome were included in the study. Primary endpoints were hospitalization for any reason, hospitalization for cardiovascular cause, acute myocardial infarction, stent thrombosis, target vessel revascularization and bleeding; the secondary endpoints were death for any reason or cardiovascular cause and stroke. The significance level adopted in the statistical analysis was 5%. RESULTS: Median age was 63 years; 78.5% of the patients were receiving DAPT treatment for acute coronary syndrome. The rates of hospitalization for cardiovascular reasons, acute myocardial infartion, stent thrombosis and target-vessel revascularization were 7.9%, 2.3%, 1.3% and 4.2%, respectively. While the rate of BARC type 1 bleeding was 3.3%, the rate of BARC type 5, 3, or 2 bleeding was 0.6%. The secondary endpoints which were death from any cause, cardiovascular death and stroke were 0.5%, 0.3% and 0.3%, respectively. Conclusion: Our study shows that fixed-dose combination therapy is effective and safe in appropriately selected patients with acute or chronic coronary syndromes.
Assuntos
Síndrome Coronariana Aguda , Aspirina , Clopidogrel , Doença da Artéria Coronariana , Inibidores da Agregação Plaquetária , Humanos , Feminino , Masculino , Pessoa de Meia-Idade , Clopidogrel/administração & dosagem , Clopidogrel/uso terapêutico , Inibidores da Agregação Plaquetária/administração & dosagem , Idoso , Estudos Transversais , Estudos Prospectivos , Turquia , Aspirina/administração & dosagem , Aspirina/uso terapêutico , Síndrome Coronariana Aguda/tratamento farmacológico , Terapia Antiplaquetária Dupla/métodos , Resultado do Tratamento , Hemorragia/induzido quimicamente , Hospitalização/estatística & dados numéricos , Quimioterapia Combinada , Fatores de Risco , Combinação de MedicamentosRESUMO
Background: YouTube is one of the most used social media platforms for accessing health information. Objective: To evaluate the quality and reliability of YouTube videos about chronic prostatitis. Methods: YouTube search using the keywords "kronik prostatit" for Turkish videos and 'chronic prostatitis' for English videos were done. The videos were evaluated through modified-Quality Criteria for Consumer Health Information (DISCERN), the Journal of the American Medical Association (JAMA), the Global Quality Scale (GQS), and Video Power Index (VPI) scoring systems. The characters of the videos were also recorded and analyzed. Results: Of the 65 Turkish videos, videos of health professions (HPv) were uploaded 58 and seven videos of non-professional in health (NPv). There were no significant differences between the views, like counts, VPI, or the content quality and reliability of HPv and NPv. Of the 62 English videos, videos of HP were uploaded 40 and 22 videos of non-professional in health. Although HPv were found to have greater DISCERN and JAMA values, Lv had more views, view ratio, and Video Power Index than HPv. When all 127 videos were evaluated regardless of the language, NPv were found to have more total views and ratings, but there were no significant differences between like ratio, VPI, DISCERN, JAMA, and GQS values between the two groups. Conclusion: Most YouTube videos about chronic prostatitis did not have enough quality and reliable information. Health associations should be more attentive to posting more content videos of sufficient quality and reliability on social media platforms.
Antecedentes: YouTube es una de las plataformas de medios sociales más utilizadas para acceder a información sobre salud. Objetivo: Evaluar la calidad y fiabilidad de los vídeos de YouTube sobre prostatitis crónica. Métodos: Se realizaron búsquedas en YouTube utilizando las palabras clave "kronik prostatit" para los vídeos en turco y 'prostatitis crónica' para los vídeos en inglés. Los vídeos se evaluaron mediante los sistemas de puntuación: Criterios de calidad modificados para la información en salud consultada por publico en general (DISCERN), el Journal of the American Medical Association (JAMA), the Global Quality Scale (GQS) y el Video Power Index (VPI). También se analizaron los vídeos. Resultados: De los 65 vídeos turcos, se analizaron 58 vídeos de profesionales en salud (HPv) y siete vídeos de no profesionales (NPv). No hubo diferencias significativas entre los videos vistos, los recuentos, el VPI o la calidad y fiabilidad del contenido de HPv y NPv. De los 62 vídeos en inglés, se analizaron 40 vídeos de HPv y 22 vídeos de no profesionales en salud. Aunque se observó que los HPv tenían mayores valores DISCERN y JAMA, los NPv tenían más visionados, ratio de visionados e Índice de Poder de Vídeo que los HPv. Cuando se evaluaron los 127 vídeos independientemente del idioma, se observó que los NPv tenían más visualizaciones y valoraciones totales, pero no hubo diferencias significativas entre los valores de like ratio, VPI, DISCERN, JAMA y GQS entre los dos grupos. Conclusiones: La mayoría de los vídeos de YouTube sobre prostatitis crónica no tenían suficiente calidad e información fiable. Las asociaciones de salud deberían estar más comprometidas para la publicación de vídeos con contenido mas fiable y con mayor calidad, en las plataformas de las redes sociales.
Assuntos
Informação de Saúde ao Consumidor , Prostatite , Mídias Sociais , Gravação em Vídeo , Humanos , Prostatite/diagnóstico , Masculino , Mídias Sociais/normas , Reprodutibilidade dos Testes , Doença Crônica , Informação de Saúde ao Consumidor/normas , TurquiaRESUMO
OBJECTIVE: The aim of our study was to determine the role of serum glucose-potassium ratio in predicting inhospital mortality in coronary care unit patients. METHODS: This study used data from the MORtality in CORonary Care Units in Turkey study, a national, observational, multicenter study that included all patients admitted to coronary care units between September 1, 2022, and September 30, 2022. Statistical analyses assessed the independent predictors of mortality. Two models were created. Model 1 included age, history of heart failure, chronic kidney disease, hypertension, diabetes mellitus, and coronary artery disease. Model 2 included glucose-potassium ratio in addition to these variables. Multivariate regression and receiver operating characteristic analysis were performed to compare Model 1 and Model 2 to identify if the glucose-potassium ratio is an independent predictor of inhospital mortality. RESULTS: In a study of 3,157 patients, the mortality rate was 4.3% (n=137). Age (p=0.002), female gender (p=0.004), mean blood pressure (p<0.001), serum creatinine (p<0.001), C-reactive protein (p=0.002), white blood cell (p=0.002), and glucose-potassium ratio (p<0.001) were identified as independent predictors of mortality through multivariate regression analysis. The receiver operating characteristic analysis indicated that Model 2 had a statistically higher area under the curve than Model 1 (area under the curve 0.842 vs area under the curve 0.835; p<0.001). A statistically significant correlation was found between the inhospital mortality and glucose-potassium ratio (OR 1.015, 95%CI 1.006-1.024, p<0.001). CONCLUSION: Our study showed that the glucose-potassium ratio may be a significant predictor of inhospital mortality in coronary care unit patients.
Assuntos
Glicemia , Unidades de Cuidados Coronarianos , Mortalidade Hospitalar , Potássio , Humanos , Feminino , Masculino , Potássio/sangue , Pessoa de Meia-Idade , Unidades de Cuidados Coronarianos/estatística & dados numéricos , Idoso , Glicemia/análise , Fatores de Risco , Curva ROC , Turquia/epidemiologia , Valor Preditivo dos Testes , Valores de ReferênciaRESUMO
Objective: Subcentimeter papillary thyroid carcinoma (sPTC), also known as papillary thyroid microcarcinoma, is associated with a good prognosis and low mortality risk. However, some sPTCs exhibit biologically aggressive characteristics. The aim of this study was to identify factors affecting the prognosis and aggressiveness of sPTC by considering the demographic characteristics of patients with sPTC and the pathologic characteristics of the tumors. Subjects and methods: The study included 255 patients aged ≥ 18 years who were operated on at Ondokuz Mayis University, Faculty of Medicine (Samsun, Turkey) between June 2008 and December 2021. All patients had histopathologic confirmation of sPTC (≤10 mm) and underwent regular follow-up for at least 36 months. Results: The tumors had a mean size of 5 mm (0.1-10 mm) and were multifocal in 53.7% of patients. Capsular invasion was observed in 9% of patients. Vascular invasion, lymphatic invasion, and extrathyroidal invasion were present in 2%, 5.5%, and 0.8% of patients, respectively. Metastatic cervical lymph nodes were observed in 9.4% of patients. On multivariate logistic regression analysis, tumor size (odds ratio [OR] 1.380, 95% confidence interval [CI] 1.106-1.722, p = 0.004) and sex (OR 4.233, 95% CI 1.355-13.226, p = 0.013) were the main predictive factors influencing lymph node metastasis. Tumors > 5 mm, compared with tumors ≤ 5 mm, had higher rates of multifocality (p = 0.009), parenchymal invasion (p = 0.008), calcifications (p = 0.001), microscopic lymphatic invasion (p = 0.002), and presence of metastatic lymph nodes (p < 0.001). Conclusion: The findings of this study highlight important factors to consider in making decisions about prophylactic central compartment neck dissection in patients with sPTCs, particularly those with clinically node-negative tumors.
Assuntos
Metástase Linfática , Invasividade Neoplásica , Câncer Papilífero da Tireoide , Neoplasias da Glândula Tireoide , Humanos , Feminino , Masculino , Neoplasias da Glândula Tireoide/patologia , Neoplasias da Glândula Tireoide/cirurgia , Metástase Linfática/patologia , Pessoa de Meia-Idade , Adulto , Prognóstico , Câncer Papilífero da Tireoide/patologia , Câncer Papilífero da Tireoide/cirurgia , Carga Tumoral , Idoso , Linfonodos/patologia , Carcinoma Papilar/patologia , Carcinoma Papilar/cirurgia , Adulto Jovem , Estudos Retrospectivos , Turquia , Tireoidectomia , SeguimentosRESUMO
OBJECTIVE: The objective of this study was to evaluate the fear, anxiety, and knowledge level in women who underwent gynecological surgical procedures during the COVID-19 pandemic. METHODS: This cross-sectional study was conducted on 188 women who underwent a gynecologic surgical operation in Mugla, Turkey. Data were collected by using demographics and obstetric detail form, questionnaire on knowledge, attitudes, and practice toward COVID-19, and State-Trait Anxiety Inventory-I (STAI-I). RESULTS: Most of the women perceived their surgical process as very urgent. Women felt fear mostly for being infected with the virus, and they were afraid of transmitting COVID-19 to another one. The COVID-19 knowledge scores of women who had undergone cancer surgery were statistically significantly higher than others (p=0.017). The STAI-I scores of women increased as their COVID-19 knowledge scores increased (p<0.05). CONCLUSION: This study demonstrated that women were afraid of COVID-19 infection during gynecological operation and due to hospitalization, sociodemographic characteristics affected the knowledge levels about COVID-19 infection, and the anxiety levels of the women. Planning appropriate interventions to decrease the fear and anxiety of women who undergo gynecological surgery during the pandemic is important to ensure that women adhere to their treatment and follow-up in the postoperative period.
Assuntos
Ansiedade , COVID-19 , Medo , Procedimentos Cirúrgicos em Ginecologia , Conhecimentos, Atitudes e Prática em Saúde , Pandemias , Humanos , Feminino , COVID-19/psicologia , Estudos Transversais , Ansiedade/psicologia , Procedimentos Cirúrgicos em Ginecologia/psicologia , Adulto , Medo/psicologia , Turquia , Pessoa de Meia-Idade , Inquéritos e Questionários , Adulto Jovem , SARS-CoV-2 , Idoso , Fatores SocioeconômicosRESUMO
OBJECTIVE: The aim of this study was to determine the relationship between internet addiction and violence tendency in adolescent students and the factors affecting violence tendency. METHODS: The research was conducted on 2,648 middle school students in Turkey. A socio-demographic form, the Young Internet Addiction Scale, and the Violence Tendency Scale were used to collect data. The data were analyzed using descriptive statistics and multiple regression analysis. RESULTS: It was determined that there was a significant positive relationship between the Young Internet Addiction Scale and the Violence Tendency Scale. Age has a positive effect on violence tendency levels. CONCLUSION: These findings suggest that the variables of age and internet addiction contribute to the occurrence of violence tendency. Psychiatric nurses should plan trainings and evaluate its effectiveness to raise awareness.
Assuntos
Transtorno de Adição à Internet , Violência , Humanos , Adolescente , Masculino , Feminino , Turquia/epidemiologia , Transtorno de Adição à Internet/epidemiologia , Transtorno de Adição à Internet/psicologia , Violência/estatística & dados numéricos , Violência/psicologia , Inquéritos e Questionários , Comportamento do Adolescente/psicologia , Estudantes/estatística & dados numéricos , Estudantes/psicologia , Fatores Etários , Fatores de Risco , Internet/estatística & dados numéricos , Fatores Socioeconômicos , Comportamento Aditivo/psicologia , Comportamento Aditivo/epidemiologia , CriançaRESUMO
OBJECTIVE: The aim of the study was to determine the factors affecting poor sleep quality in the last trimester pregnant women. METHODS: A cross-sectional study was conducted at a tertiary care maternity hospital in Ankara, Turkey. The research was conducted between May and September 2019 with 570 pregnant women in the last trimester. The data were collected through the Personal Information Form, Pittsburgh Sleep Quality Index, International Physical Activity Questionnaire Short Form, Restless Legs Syndrome Form, Brief Fatigue Inventory, and Perceived Stress Scale. RESULTS: The mean Pittsburgh Sleep Quality Index score of the pregnant women was 5.98±3.31, and 48.9% of them were found to have over five Pittsburgh Sleep Quality Index scores. Hemoglobin levels, income perceptions, smoking habits, attending pregnant schools, experiencing leg pains or cramping, experiencing back, waist, or neck pains, Restless Legs Syndrome, fatigue levels, and perceived stress levels of the pregnant women were found to be important determinants of sleep quality (p<0.05). CONCLUSION: According to the findings, increasing hemogram levels, attending antenatal education programs, and improving the ability of pregnant women to manage stress are opportunities to improve sleep quality during pregnancy. Careful evaluation of pregnant women in terms of insomnia and affecting factors can be suggested during antenatal follow-up.
Assuntos
Complicações na Gravidez , Terceiro Trimestre da Gravidez , Qualidade do Sono , Humanos , Feminino , Estudos Transversais , Gravidez , Turquia/epidemiologia , Adulto , Inquéritos e Questionários , Adulto Jovem , Fatores de Risco , Distúrbios do Início e da Manutenção do Sono , Transtornos do Sono-Vigília/epidemiologia , Fatores SocioeconômicosRESUMO
Uterus transplantation is the surgical treatment for absolute uterine factor infertility (AUFI), a congenital or acquired condition characterized by the absence of a uterus. More than 80 transplants have been performed worldwide, resulting in more than 30 live births, originating both from living and deceased donors. The collection of published articles on deceased donor uterus transplantations was performed in PubMed and SCOPUS by searching for the terms "Uterus transplantation" AND "deceased donor"; from the 107 articles obtained, only case reports and systematic reviews of deceased donor uterus transplantations and the resulting live births were considered for the present manuscript. The extracted data included the date of surgery (year), country, recipient (age and cause of AUFI) and donor (age and parity) details, outcome of recipient surgery (hysterectomy), and live births (date and gestational age). The search of peer-reviewed publications showed 24 deceased donor uterus transplantations and 12 live births (a birth rate of 66%) with a 25% occurrence of graft loss during follow-up (6 of 24). Among this series, twelve transplants were performed in the USA (seven births), five in the Czech Republic (one birth), three in Italy (one birth), two in Turkey (two births), and two in Brazil (one birth). The median recipient age was 29.8 years (range 21-36), while the median donor age was 36.1 years (range 20-57). Of 24 recipients, 100% were affected by MRKH (Mayer-Rokitanski-Kuster-Hauser) syndrome. Two live births were reported from nulliparous donors. Deceased donor uterus transplantation birth rates are very similar to the living donor rates reported in the literature, but ethical implications could be less important in the first group. It is necessary to register every case in the International Registry for Uterus Transplantation in order to perform a systematic review and comparison with living donor rates.