Abstract Background Perinatal mental health is a major public health concern. In Turkey, public hospitals operate pregnancy schools which provides an opportunity to integrate an evidence-based Thinking Healthy Programme (THP) for perinatal depression. The aim of this study is to adapt the THP for universal use in the group setting and to understand its acceptability and feasibility for integration into the existing antenatal care programme for both face-to-face and online delivery. Methods Following an expert-led adaptation process using the Bernal Framework, field testing was conducted on a group of women and facilitators followed by in-depth interviews (n:8) and group discussions (n = 13). Data were analysed using Thematic Framework Analysis. Results Minor but significant adaptations were made to the individually delivered THP for use in the universal group pregnancy schools. Initial findings indicate that the THP-group version was acceptable to its target population and could be integrated into the antenatal care plan for delivery during face-to-face and online group classes. Conclusion THP is transferable to the Turkish cultural and healthcare context. The THP–group version has the potential to add value to Turkey’s existing perinatal healthcare programme.
GIRIS VE AMAC: kavrami ulkemizde son zamanlarda one cikmaya baslayan bir kavramdir ve engelli ogrencilerin hayatlarini kolaylastiracak, egitime ve calisma hayatina katilmalarini destekleyecektir. Marmara Universitesi Tip Fakultesi’nde birinci, ikinci ve ucuncu sinif ogrencilerinin engelsiz kampus konusunda duyarliliklarini degerlendirmek, Engelsiz Kampus ile ilgili farkindalik yaratmak ve bu konuda yapilacak calismalara zemin hazirlamak amaclandi. GEREC VE YONTEM: Tanimlayici tipteki calisma Mart - Haziran 2019’da Marmara Universitesi Tip Fakultesi Kampusu’nde gerceklestirildi. Evreni 1., 2. ve 3. siniflardan 610 ogrenci olusturmaktaydi. Gelisiguzel ornekleme yoluyla katilmayi kabul eden 362 ogrenci ile tamamlandi. Engelsiz kampus konusunda duyarliliklarini degerlendirecek bir anket, literatur isiginda hazirlanmis ve uygulanmistir. Anketin ilk bolumunde demografik ozellikler sorgulanmis; anketin ikinci bolumunde Likert tipi 2 grup soru bulunmaktadir. Birinci grup sorularla, 13 soru ile engelli bireyler icin bir kampuste olmasi gereken duzenlemeler sorulmus olup birden uce kadar; 1.Katilmiyorum, 2.Fikrim Yok ve 3.Katiliyorum seklinde cevap secenekleri konulmustur. Bir kisinin bu sorulardan alacagi puan 13-39 arasinda degismekte olup alinan toplam puan arttikca engelsiz kampus konusunda duyarliliklarinin artacagina iliskin bir olcum gerceklestirilmistir. Ikinci grup sorular ile yine birinci gruptaki sorular yonlendirilip ‘sizin okulunuzda mevcut mu?’ seklinde sorulmus olup 1.Hayir, 2.Bilmiyorum 3.Kismen, 4.Oldukca, 5.Cok secenekleri konulmustur.Veriler analizinde Ki kare, Mann-Whitney U, Kruskal Wallis testleri kullanilmistir.Etik Kurul onayi ve Kurum izni alinmistir. BULGULAR: Katilimcilarin %3.3’unun (n=12) kendisinde herhangi bir engelilik durumu, %18.2’sinin (n=66) ise ailesinde engelli birey mevcuttu. Arastirmaya katilanlarin %72.1’inin (n=262) bugune kadar herhangi bir engel turunde arkadasi olmus; ancak %28.2’ si (n=102) engelli bir bireye yardimci yardimci oldugunu ve %8.8’i (n=32) engelli bireyler ile ilgili bir etkinlige katildigini belirtmistir. Katilimcilarin cinsiyet, sinif, engelli bireyler ile ilgili bir etkinlige katilma durumlari ve kampuslerini engelli bireyler icin uygun bulup bulmama durumlarina gore engelsiz kampus duyarlilik puanlarinin arasinda istatistiksel olarak anlamli fark gozlenmistir (p<0.05). Katilimcilarin bugune kadar engelli arkadasinin olmasi ile engelli bir bireye yardimci olma durumu arasinda istatistiksel olarak anlamli iliski bulunmustur (p<0.05). Sinif ile engelli bireylerle ilgili bir etkinlige katilma durumu arasinda da anlamli iliski gozlenmistir (p<0.05). Katilimcilarin kendi kampuslerinde fark ettikleri eksiklikler sirasiyla Fikir belirtmemis % 50, Asansor %37.8, Ulasim %32.0, Amfiler % 3.8, Fiziki sartlar % 2.6, Rampa yok %2.3, Ders materyalleri %1.9 ve Yemekler % 1.3 olarak saptanmistir. SONUC VE ONERILER: Universite ogrencilerinin Engelsiz Kampus konusunda duyarliliklarini degerlendiren soz konusu anketin, gecerliligi ve guvenilirligi yuksek olan bir olcek haline getirilmesi onerilebilir. Anahtar Sozcukler: Engelsiz Kampus, engellik, kampus
Aim: It was aimed to evaluate the frequency of restless legs syndrome (RLS) in children with a diagnosis of allergic rhinitis (AR).
Material and Method: The study is case-control type. Age, gender, height, weight, Body Mass Index (BMI), allergic rhinitis symptom score, allergic rhinitis severity, allergy tests, total IgE, eosinophil values of the case group were examined. Gender, age, height, weight and BMI were also calculated in the control group. Patients in both groups were questioned using the International Restless Legs Syndrome Study Group's (IRLSSG) questionnaire containing the latest diagnostic criteria and severity scoring revised for the pediatric age group. Neurological examination, questionnaire and RLS severity scoring results of the patients were performed by a pediatric neurologist.
Results: In the study, the data of a total of 230 children, 115 AR cases and 115 control groups, were evaluated. The frequency of restless legs syndrome in children with allergic rhinitis was significantly higher than in the control group (15.7% and 5.2%, respectively; p=0.010). The clinical severity of RLS patients was mostly moderate in both the case and control groups [44.4% (n=8) and 50% (n=3), respectively].
Conclusion: According to the results of our study; restless legs syndrome was observed more frequently in patients with allergic rhinitis compared to the control group.
In this study, we examined breastfeeding self-efficacy levels, well-being and sociodemographic factors in pregnant women. The population of this descriptive study consisted of women with a pregnancy of 27 weeks or more in the Sultanbeyli district of Istanbul, Türkiye. A questionnaire was administered via telephone calls to pregnant women aged 18 years and older. The first part of the questionnaire included questions regarding breastfeeding history and sociodemographic information. The second part included the Prenatal Breastfeeding Self-Efficacy Scale, and the last part included the Personal Well-Being Scale. Higher scale scores indicate higher levels of self-efficacy and well-being. In total, 385 women participated in the study. The median age of the pregnant women was 28.0 years (18.0-43.0). The median gestational week was 33.0 (27.0-42.0). Among women who had received breastfeeding counseling, those with a higher level of knowledge about breastfeeding had higher breastfeeding self-efficacy (p < 0.05). Women with better economic status also had higher well-being scores (p < 0.05). There was a positive correlation between well-being and breastfeeding self-efficacy approaching the statistical significance level (p = 0.052). It is important to consider factors that may be associated with women's well-being and self-efficacy.
Objective: The aim of our study was to evaluate the chronic disease management of family physicians and family health workers and to examine their views on the Disease Management Platform (DMP) and the usability of this platform.
Material and Methods: This study is a descriptive cross-sectional type of study. The universe of the study consisted of family physicians and family health workers working in family health centers (FHC) in our country. Sociodemographic data, chronic disease management practices, questions about DMP, System Usability Scale (SUS) were asked.
Results: Of the participants 19.0% can make using the DMP system a part of their routine work. The percentage of those who thought that the biggest obstacle to the use of the DMP was the waste of time was 79.4%. The SUS scores of the participants who knew the number of obese, diabetic and hypertensive patients registered in their unit were also significantly higher (p
Purpose: E-health illiteracy has disadvantages including misevaluation of medical information displayed on the internet. Both effective self care management and e-health literacy are important terms in order to control of the chronic diseases. The aim of this study is to determine the relationship between e-health literacy and the self-care management of patients with Type-2 diabetes. Materials and Methods: The type of the study is descriptive. A questionnaire was applied to individuals who have been diagnosed with Type-2 diabetes in the endocrine policlinic of the internal medicine clinic of a tertiary state hospital in Istanbul, Turkey. The sample size was calculated as 384 by accepting the adequate e-health literacy rate among Type-2 diabetes patients as 50%, the margin of error 5%, and the confidence level as 95%. In addition to sociodemographical questions; our questionnaire contains two scales: Self-Care Management Protection scale and the E-health Literacy Scale. Number (n) and percentage (%) values were used in the expression of descriptive data. Mean, standard deviation, median and minimum, maximum values were given. For data comparison; Mann-Whitney U test was used for non-normally distributed variables. The Spearman correlation used to measure the linear relation between two numeric variables. Significance level has been accepted as p<0.05. Results: Totally 330 patients were included our study by a participation rate of 85.9 %. The mean age of the participants was 57.74±13.83 and 52.4% were female. A positive correlation was observed between scores of e-health literacy scale and self-care management scale (r=0.235, p<0.001) and self- protection subscale of self-care management scale (r= 0.345, p<0.001). A negative correlation exists between age and e-health literacy (r= -0.419, p<0.001). Conclusions: The results support the claim that individuals with a higher e-health literacy can better able to control their disease through self- management.
Background We hypothesize that Lung Clearance Index (LCI) would be superior to spirometry in diagnosing early-stage respiratory diseases earlier and, more precisely, in patients who received medical or surgical treatment for empyema. Methods Children over five diagnosed with empyema at least six months ago were recruited. In addition, a control group was created from healthy individuals between the ages of 5 to 18 years. Spirometry and LCI were performed in both groups. Results The spirometric values of the patients were compared with the spirometric values of the controls; there was no significant difference between the patient and control groups FEV1, FVC, and FEV1/FVC z scores results when compared. (p: 0.610, p: 0.342, p: 0.298; respectively). In addition, when the LCI 2.5% values of the patients were compared with the LCI 2.5% values of the controls and reference values, the LCI 2.5% was found to be significantly abnormal (p: 0.003 and p:0.005, respectively). Conclusion In the long-term follow-up of patients who received inpatient treatment for empyema, airway disease that could not be detected by spirometry was obtained using the LCI method.
Aim: The aim of this study was to examine the effect of administrative meetings with family health center staff on cancer and autism screenings in a district of Istanbul.
Material and Method: The study was designed as an intervention research conducted in a district of Istanbul. The population of the study consisted of employees working in family health centers (24 family health centers) in Sultanbeyli district. The meetings were held at the end of February 2022 at the District Health Directorate building. During the meetings, the aspects that need to be improved, especially regarding cancer and autism screenings, were conveyed. Following these meetings for field staff, the changes in preventive health services (number of screenings) at the district level were analyzed. All data were analyzed retrospectively from district health directorate records.
Results: For cervical cancer screening, the total number of screenings in Sultanbeyli district in January-February and March-April were 144 and 235, respectively. For colon cancer, the total number of screenings in January-February and March-April were 54 and 277, respectively. The total number of autism screenings in January-February and March-April were 565 and 1388, respectively. Cervical cancer screenings, colon cancer screenings and autism screenings showed statistically significant increases after the meetings (p=0.002, p
Background: It was aimed to investigate the relationship between neutrophil-lymphocyte ratio (NLR), platelet-lymphocyte ratio (PLR), eosinophil-lymphocyte ratio (ELR), serum total immunoglobulin E (IgE) values and allergy test positivity in patients with allergic rhinitis (AR).
Methods: The study is a descriptive study with a retrospective design. Data on patients aged 0-18 years with a diagnosis of AR were investigated retrospectively. Age, gender, hemogram parameters (leukocyte, eosinophil, lymphocyte, thrombocyte), total IgE values, allergy history and allergy test positivity were evaluated. A p value of less than 0.05 was considered as a statistically significant result.
Results: In the study, the data of 230 pediatric patients with AR were analyzed. The median age of the children was 13 years (10-18). Of the patients 57.4% (n=132) were male, 42.6% (n=98) were female. All laboratory values, except PLR, of the patients with positive allergy test were higher than the patients with negative allergy test. This elevation in WBC, neutrophil, absolute eosinophil, eosinophil percentage, total IgE and ELR values was statistically significant (p
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