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Occupational balance is a crucial concept in occupational therapy, accepted as a key component of health and well-being. The Occupational Balance-Questionnaire (OB-Quest) is designed as a standardized instrument to assess occupational balance. This study investigated the validity and reliability of the OB-Quest Turkish, which consisted of translation, cross-cultural adaptation, and analysis psychometric properties phases. The factor structure of the OB-Quest indicated a good model fit. The criterion-related validity showed a positive correlation with Beck Depression Inventory and a negative correlation with the 12-item Short Form Survey. The OB-Quest-Turkish showed questionable internal consistency and an excellent correlation between test-retest. Supplemental data for this article is available online at https://doi.org/10.1080/07380577.2021.2010160. [ABSTRACT FROM AUTHOR]

Aims and Objective: To investigate the incidence, characteristics and risk factors of delirium in the ICU. Background: Identifying the risk factors of delirium is important for early detection and to prevent adverse consequences. Design: An observational cohort study conducted according to STROBE Guidelines. Method: The study was conducted with patients who stayed in ICU ≥24 h and were older than 18 years. Patients were assessed twice daily using the RASS and CAM‐ICU until either discharge or death. Cumulative incidence was calculated. Demographic/clinical characteristics, length of stay and mortality were compared between patients with and without delirium. A logistic regression model was used to investigate risk factors. Results: The incidence of delirium was 31.8% and hypoactive type was the most frequent (41.5%). The median onset of delirium was 3 days (IQR = 2) with a mean duration of 5.27 ± 2.32 days. Patients with delirium were significantly older, had higher APACHE‐II, SOFA and CPOT scores, higher blood urea levels, higher requirements for mechanical ventilation, sedation and physical restraints, longer stays in the ICU and higher mortality than those without delirium. The logistic regression analysis results revealed that a CPOT score ≥3 points (OR = 4.70, 95% CI: 1.05–20.93; p =.042), physical restraint (OR = 10.40, 95% CI: 2.75–39.27; p =.001) and ICU stay ≥7 days (OR = 7.26, 95% CI: 1.60–32.84; p =.010) were independent risk factors of delirium. Conclusions: In this study, the incidence of delirium was high and associated with several factors. It is critical that delirium is considered by all members of the healthcare team, especially nurses, and that protocols are established for improvements. Relevance to the clinical practice: Based on the results of this study, delirium could be decreased by preventing the presence of pain, prudent use of physical restraints and shortening the ICU stay. [ABSTRACT FROM AUTHOR]

Background: Concerns about the safety and adverse reactions of rapidly‐developed vaccines against COVID‐19 contributed to parents' vaccine hesitancy and this situation created an opportunity for anti‐vaccine campaigners. The aim of this study was to examine the changes in parents' attitudes towards childhood vaccines during COVID‐19 pandemic. Methods: In this cross‐sectional study, parents of children who applied to the outpatient clinic of pediatric department of Trakya University Hospital, Edirne, Türkiye, between August 2020 and February 2021 were recruited into two study groups according to COVID‐19 peak time in Türkiye. Group 1 included parents of children who applied after first peak of the COVID‐19 pandemic and Group 2 included parents of children who applied after second peak. The World Health Organization 10‐item Vaccine Hesitancy Scale (WHO‐VHS) was applied to each group. Results: A total of 610 parents agreed to participate in the study. Group 1 and 2 consisted of 160 and 450 parents, respectively. While the number of parents who were hesitant about childhood vaccines was 17 (10.6%) in Group 1, it was 90 (20%) in Group 2. A statistically significant difference was found between the two groups (p = 0.008). The (WHO‐VHS) mean ± SD score was found to be higher in Group 2 (23.7 ± 6.9) than Group 1 (21.3 ± 7.3) (p < 0.001). The WHO‐VHS‐ mean ± SD scores of parents who experienced COVID‐19 infection themselves or their family or acquaintances were significantly lower than those who did not (20.0 ± 6.5 vs. 24.7 ± 6.9) (p < 0.001). Conclusions: The hesitant attitudes towards childhood and COVID‐19 vaccines were low in parents who directly or indirectly experienced COVID‐19 or were worried about the devastating effects of this disease. However, it was shown that as the COVID‐19 pandemic progressed, parents' hesitations towards childhood vaccines increased. [ABSTRACT FROM AUTHOR]

Background: Cancer is a significant health problem for refugees and host countries. Breast cancer is the most common cancer among refugees. The subject of our study is to examine the clinical and pathological features of Syrian refugees with breast cancer and compare them with Turkish patients with breast cancer. Methods: Data of patients with breast cancer between January 2018 and December 2020 were retrospectively reviewed. The clinical and histological features, treatment modalities and overall survival were collected and analyzed. Results: A total number of 338 women with breast cancer were included in this study. Ninety-nine of the 338 (29.3%) patients were Syrian refugees and 239 patients (70.7%) were Turkish. The median follow-up time was significantly lower in Syrian patients (P < 0.001). Median OS was 146 months in Turkish and 116 months in Syrian group (P = 0.022). Independent risk factors associated with long survival were receiving adjuvant chemotherapy (HR 0.465; 95% CI 0.234-0.926; P = 0.029), adjuvant radiotherapy (HR 0.372 95% CI 0.182-0.758; P = 0.007), and adjuvant hormonotherapy (HR 0.367; 95% CI 0.201-0.669; P = 0.001). The rates of receiving adjuvant chemotherapy, adjuvant radiotherapy, and adjuvant hormonal therapy were significantly lower in the Syrian group (P = 0.023, P = 0.005, P = 0.002, respectively). Conclusion: Syrian refugees with breast cancer are more likely to receive suboptimal treatments. They have inferior survival compared to local patients. Our findings highlight the need for the provision of cancer therapy in such vulnerable populations. We suggest that more attention should be paid to breast cancer, as it is the most common cancer among refugees. [ABSTRACT FROM AUTHOR]

Background and Purpose: Fear of falling is the worry that appears with the fall, and it is quite commonly seen in older adults. The aim of the study was to detect the fear of falling and related factors in older persons who are receiving home care services provided by Bornova Municipality. Methods: This cross-sectional study was conducted with the participation of 386 individuals older than 60 years. The data were collected via face-to-face interviews by a questionnaire form, May-October, 2018. The fear of falling was measured by The Falls of Efficacy Scale-International. In addition, a questionnaire to collect sociodemographic data, retrospective history of falls, Instrumental Activities of Daily Living, EuroQol-5D, and Home Security Control List was used. Results: The mean age of the sample was 77.66 ± 7.59 years and females constituted 74.6% of them. Of the participants, 74.1% were detected to have fear of falling. The logistic regression analysis showed a significant association between the fear of falling and fall history, quality of life, and health status visual analog scale scores. Conclusion: It can be argued that the fear of falling is higher in the individuals who have a past experience of falling and the individuals who have a low quality of life. The older adults who have falls history should be determined as a risk group and protective measures should be applied to enhance their life quality. [ABSTRACT FROM AUTHOR]

Introduction: The aim of this study is to compare the results of plication and resection techniques in patients who underwent horizontal strabismus surgery. Methods: The records of patients who were operated due to horizontal strabismus in the Department of Ophthalmology of Health Sciences University Haydarpaşa Numune Training and Research Hospital between 2011 and 2017, were reviewed retrospectively. Those who underwent resection and those who underwent plication were divided into two groups. The amount of deviation at postoperative 1st day, 1st month and at the last control visit, were compared. Postoperative = 8 PD deviation was considered successful. Results: Twenty-two patients underwent horizontal rectus plication combined with antagonist muscle recession surgery. Eight of the patients were operated for esotropia and 14 for exotropia, and their mean age was 14.59±10.27 years. Twenty-four patients underwent horizontal rectus resection combined with antagonist muscle recession surgery. Nine of the patients were operated for esotropia and 15 for exotropia, and their mean age was 19.67±13.38 years. The mean amount of preoperative deviation was 30.79±7.29 PD in the plication group, and 39.89 ±10.72 PD in the resection group. Mean followup time was 12.82±7.47 months in the plication group and 9.75±8.63 months in the resection group. There was no statistically significant difference between the success rates of the two groups according to their final control follow-up (p>0.05). Discussion and Conclusion: Plication surgery, which is a fast, easy-to-apply and safe muscle strengthening technique, is as effective as resection surgery in the treatment of horizontal strabismus. [ABSTRACT FROM AUTHOR]

Background/Aim: Multiple studies have investigated the effects of drugs that alter ACE2 expression, such as renin-angiotensin system inhibitors, non-steroidal anti-inflammatory drugs, and thiazolidinediones, on the clinical course of coronavirus disease-2019 (COVID-19). But a consensus has not yet been reached, and it has been stated that they do not have any effect. There are publications in which metformin is associated with low mortality and insulin with high mortality. Data from different parts of the world are important given that the rate of spread of COVID-19 may be related to the expression status of ACE2 or TMPRSS2 receptors or some other unknown genetic factors. This study aims to examine the effects of medications used chronically in the last 6 months before contracting COVID-19 on the clinical course of COVID-19 in a sample of Istanbul, Turkey. Methods: In this retrospective cohort study, which included 525 patients diagnosed with COVID-19 between March and November 2020 from four family health centers in Istanbul, the records of the patients were retrospectively analyzed. In addition to demographic information, all medications chronically used by the patients in the last 6 months before the diagnosis of COVID-19 were noted. The effects of demographic data and medications on the three main endpoints of the study, which were hospitalization, intensive care unit (ICU) admission, and mortality, were analyzed using logistic regression models. Results: Of the 525 COVID-19 patients included in the study, 109 (20.8%) were hospitalized, 18 (3.4%) were treated in ICU, and 11 (2.1%) patients died. Increasing age is associated with hospitalization, ICU admission and mortality. Also, the presence of COVID-19 thoracic computed tomography (CT) findings and polypharmacy was associated with increased hospitalization. Living alone and the presence of COVID-19 thoracic CT findings was associated with increased ICU admission. When adjusted for age and comorbidity, logistic regression models revealed that medications for diabetes mellitus (DM) increased the probability of hospitalization (OR: 3.9, 95% CI 1.2-13.0), and calcium channel blockers (CCBs) increased the probability of ICU admission (OR: 15.8, 95% CI 2.1-120.2) and mortality (OR: 295.1, 95% CI 4.6-18946.6). Conclusion: Previous use of DM medications and CCBs may negatively affect the clinical course of COVID-19. [ABSTRACT FROM AUTHOR]

Background/Aim: Health literacy is individuals' wishes and capacities to develop their own opinions and make decisions regarding health services, their ability to maintain and promote their health, access health-related information, and interpret those messages and information correctly. Although health literacy began being discussed in the 1980s, its importance has become more apparent in recent years. However, greater research with regional and local data is still needed in this field. The purpose of this study was to determine levels of health literacy among adults in central districts of the Erzurum province, Turkey, and to examine the factors affecting these. Methods: This cross-sectional study was performed with 864 individuals from the 15-65 age group living in Erzurum. The questionnaire employed in the research consisted of two parts: a personal information form and the Turkish Health Literacy Scale-32. The questionnaire was applied following receipt of participant consent. SPSS v 24 was used to enter and analyze the data. Descriptive statistics were expressed as percentage, mean, standard deviation, minimum, and maximum values. The chi-square test, Spearman's correlation analysis, and regression analysis were applied. Statistical significance was set at P<0.05. Results: The mean age of the participants was 35.6 (13.0) years, and 55.8% were women. Additionally, 23.6% (n=204) of participants were educated to a primary school level or were uneducated, and 56.0% were not working in income-generating employment. Health literacy levels were inadequate in 24.1% of participants, problematic in 31.6%, adequate in 27.7%, and perfect in 16.6%. Health literacy levels varied significantly depending on participants' age groups (P<0.001), sex (P=0.007), education levels (P<0.001), possession of health insurance (P<0.001), presence of chronic disease in themselves or first-degree relatives (P=0.002 and P<0.001, respectively), and history of hospitalization exceeding 15 days (P=0.026). Conclusion: The incidence of inadequate/problematic health literacy was 55.7%. Although it is not an expected rate for health literacy, this rate shows that only half of the population has a sufficient level and a significant inadequacy in health literacy. This shows that insufficient health literacy is widespread in Erzurum and that interventions aimed at health literacy are required in the province as in the country as a whole. Understanding the factors affecting health literacy is important in terms of improving health, health services planning, and intervention in these spheres. [ABSTRACT FROM AUTHOR]

Background: Dental caries is a chronic, infectious and preventable disease that is very common around the world. It has been observed that dental caries affect not only the majority of adults but also 60% to 90% of children. Permanent first molars (PFM) are the most commonly decayed teeth observed in children. Aim: The aim of this study is to evaluate the decayed, missing filled teeth (DMFT) scores of PFMs in the early post-eruptive stage, within the scope of the United Nations Agenda for 2030 Sustainable Development Goals, thereby raising awareness for the prevention and treatment of permanent tooth decay. Methods: This descriptive cross-sectional epidemiological study was conducted in Erzurum between the years 2015–2016 by collecting data from children aged 7–10 years (17,208). In addition to the decayed, filled and missing data of the students' 6-year-molars, their ages, genders, frequencies of both tooth brushing and dental office visits were evaluated. The relationship between the variables was analyzed with chi-square. Result: The present study analyzed the data of a total of 11,457 children, 5704 girls and 5753 boys with a mean age of 8.74 ± 1.18. There was a statistically significant difference between the PFMs 16, 26, 36 and 46 regarding the number of healthy, decayed, missing and restored teeth (p < 0.001). Conclusion: In this study, the prevalence of caries in the PFMs of children aged 7–10 years was 15.9% and the mean DMFT was 0.79 ± 1.39. This result showed that PFMs might develop carious lesions and even be lost within three years in the early post-eruptive stage. [ABSTRACT FROM AUTHOR]

Copyright of Turkiye Klinikleri Journal of Nursing Sciences is the property of Turkiye Klinikleri and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Background: For initiation and continuation of breastfeeding, it is important that women decide on the method of feeding the infant before gestation. Objective: The purpose of the study was to determine the smoking pattern of pregnant womenand its influence on infant feeding attitude. Design And Setting: Cross-sectional study was conducted with pregnant women. Method: Thiscross-sectional study was conducted with 318 pregnant women between 15 August and 31 October 2019 in Turkey. Data was collected by the "Descriptive Information Form" and the "The Iowa Infant Feeding Attitude Scale (IIFAC). Chi-square test and logistic regression analyses were used for data analysis. Results: Young ages, being housewife and not cigarette smoking increased the risk in terms of neutral or negative attitude to breastfeeding. As two thirds of women declared neutral attitude to breast feeding, interventions to increase breastfeeding decisions should target all pregnant women especially at younger ages. Conclusions: Young ages, being a housewife and not cigarette smoking have increased the risk in terms of neutral or negative attitude towards breastfeeding. In this study, although those who smoke before and during pregnancy have a more positive attitude towards breastfeeding, it is recommended that healthcare professionals take into account the smoking factor, which negatively affects the breastfeeding tendency, in their breastfeeding training during pregnancy. [ABSTRACT FROM AUTHOR]

Objective: The genetic factors responsible for the etiopathogenesis of childhood acute leukemia have been extensively investigated. Highresolution expression analysis of the whole genome, and results of gene studies including whole genome sequencing, copy number changes of DNA, loss of heterozygosity and epigenetic changes revealed the classification of acute lymphoblastic leukemia (ALL). A variable number of tandem repeats (VNTRs) can regulate many biological processes, including gene transcription, protein function, morphological development, and cancer formation. They may also play a role in many disorders in humans such as labile repeat expansions. In this paper, our aim was to compare the genotype and allele frequencies in VNTR variants of XRCC4, eNOS, and PER3 between pediatric ALL patients and healthy controls. Methods: Seventy-four high-risk pediatric ALL patients (82.4% B-ALL, 17.6% T-ALL) who were consecutively admitted to the Pediatric Hematology Units of İstanbul Medical Faculty and Yeni Yuzyıl Medical Faculty and 100 healthy volunteers were included in this case-control study. VNTRs of three genes were analyzed using the polymerase chain reaction method. Results: The frequency of the eNOS VNTR 4a/4a genotype was found to be higher in the pediatric patients with ALL compared to the healthy controls (p=0.044) and the risk factor for childhood ALL was found to be 8.382 (95% confidence interval =0.985-71.262). The frequency of eNOS 4/a allele was found to be higher in the childhood ALL group compared to the controls (p=0.013). The frequencies of the 5R/5R genotype and 5R allele of the PER3 VNTR were found to be significantly lower in the childhood ALL patients (p=0.039 and p=0.015, respectively). Conclusion: Our results show that functional variants of the eNOS and PER3 genes may have an important relationship with the etiopathogenesis of childhood ALL. Further studies including larger groups and different ethnic populations are needed to determine the effect of VNTR variants on the risk of developing childhood ALL. [ABSTRACT FROM AUTHOR]

To investigate effect of modified constraint-induced movement therapy (mCIMT) administered on consecutive or intermittent days on upper limb function in children with hemiparetic cerebral palsy (CP). Thirty-three children (age range 5–18 y) with hemiparetic CP separated into three groups: consecutive mCIMT group (n = 11), intermittent mCIMT group (n = 11), control group (n = 11). The outcome measures consist of Gross Motor Function Classification System (GMFCS), Manual Ability Classification System (MACS), Pediatric Balance Scale (PBS), Modified Tardieu Scale (MTS), Jebsen-Taylor Hand Function Test (JTHFT), Children's Hand Use Experience Questionnaire (CHEQ), Abilhand Kids Questionnaire, surface Electromyography (sEMG). The evaluations were made baseline, 10 days after, 5 weeks after the treatment. Improvements were achieved in all groups. The use of upper extremities in daily life activities (p < 0.01), speed of performing the activities (p < 0.001), grasping efficiency (p < 0.001), the amount of a decrease in the children's sense of discomfort while performing activities (p < 0.001) on the affected side in both mCIMT groups were better than the control group. The gain levels in mCIMT groups were similar (p > 0.05). Administration of mCIMT on intermittent days facilitate the adaptation of a child, it was concluded to be a more tolerable method and could be more effective. mCIMT is more effective than low-dose conventional therapeutic interventions in improving paretic upper limb functions in children with hemiparetic CP. The application of mCIMT in the child's natural environment increases the motivation to participate in the treatment. The application of mCIMT on intermittent days will be more easily tolerated in paediatric individuals and will increase participation in the treatment. [ABSTRACT FROM AUTHOR]

Copyright of Journal of Nursology is the property of Ataturk University Coordinatorship of Scientific Journals and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Spor Hekimligi Dergisi/Turkish Journal of Sports Medicine is the property of Turkish Journal of Sports Medicine / Spor Hekimleri Dernegi and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objective: Kinesio taping® (KT) is a widely used treatment method in musculoskeletal rehabilitation. Little is known about the KT treatment and hip strength in patients with anterior cruciate ligament reconstruction (ACLR). The purpose of this study was to investigate the effectiveness of the KT treatment on hip muscle weakness in early rehabilitation of ACLR and the possible determinants of the ACLR-hip strength deficit (HSD). Design: Double-blind sham-controlled study. Setting: Rehabilitation department. Patients: A total of 26 male patients who underwent unilateral ACLR using hamstring autograft or allograft 4 days before. Interventions: The patients were randomized to receive the knee KT treatment (n = 13) with lymphatic correction plus muscle (biceps/rectus femoris) facilitation or sham KT (n = 13) for 10 days. In addition, the same ACLR rehabilitation program was applied to all the patients. Main Outcome Measures: The baseline data included demographic and clinical characteristics, postoperative swelling, knee motion loss and knee pain, and bilateral strength of the knee and hip muscle groups, except for rotator. Then, percentage values of hip HSD and knee strength limb symmetry index were calculated. The hip strength measurements in ACLR-operated leg were repeated on the 5th to 10th days of KT. Results: Changes in all hip strength values over time were significant in both groups (P <.01). In intergroup analysis of 5th and 10th days, improvements in the flexor (only 10th day), extensor, and adductor hip strength on operated leg were in favor of KT group (P <.05). In addition, the postoperative thigh swelling and knee strength limb symmetry index values were correlated with the HSD outcomes in baseline data (P <.05). Conclusions: ACLR-HSD can be caused by postoperative increased swelling and reduced knee strength. The KT treatment with lymphatic correction and muscle facilitation can be used in the treatment of postoperative hip muscle weakness after ACLR. [ABSTRACT FROM AUTHOR]

Objective: Pseudoepiphyses are notches and clefts located at the non-epiphyseal ends of the metacarpal bones. There are very few studies regarding the frequency of pseudoepiphysis. Material and Methods: Subjects between the ages of 5 and 15, whose hand radiographs were obtained between 2015 and 2021 in our Radiology Department, were included in this study. A total of 1071 patients were included in the study. A single radiologist evaluated these radiographs in 3 different time periods. Pseudoepiphyses that involve one cortex of the metacarpal bone are considered as partial pseudoepiphyses, whereas those that involve both cortices are considered as complete pseudoepiphyses. Results: Of the 1071 patients included in the study, 65.9% (n = 706) were girls. The mean age was 9.5 ± 2.6 years. Pseudoepiphysis was detected in 222 (20.7%) cases. Pseudoepiphysis was more common in boys (27.4%) than girls (17.3%) (P < .001). The frequency of partial pseudoepiphysis was found to be significantly higher than that of complete pseudoepiphysis [n = 212 (19.8%) and n = 20 (1.9%), respectively, P < .001]. Partial pseudoepiphysis was most frequently detected in the second metacarpal bone, and complete pseudoepiphysis was most frequently detected in the first metacarpal bone. Of 222 cases with pseudoepiphysis, 76.6% (n = 170) had in 1 location, while 21.2% (n = 47) had in 2 locations, 1.8% (n = 4) in 3 locations, and 0.5% (n = 1) in 4 locations. Conclusion: Pseudoepiphysis is a normal variant of metacarpal ossification; it does not adversely affect the development of the bone and is frequently seen in healthy children. [ABSTRACT FROM AUTHOR]

Objective: The aim of the study was to evaluate the possible effects of impact and loading on the metacarpal cartilage and hand functions in young elite athletes. Design: In this cross-sectional study athletes with at least 3 yrs of sport background and who have been under a scheduled training program were enrolled. The second to fifth fingers' metacarpal head cartilage thicknesses were measured bilaterally by using ultrasonography. Handgrip and pinch strengths were measured. Michigan Hand Outcomes Questionnaire was also completed for every participant. Results: A total of 42 male athletes (19 weightlifters, 23 volleyball players) and 46 healthy control subjects were enrolled. Metacarpal cartilage thicknesses of the athletes were thicker than those of the healthy controls (all P < 0.001). There were no differences between the dominant and nondominant hands (all P > 0.05). In the weightlifting group, Michigan Hand Outcomes Questionnaire work performance and pain scores were worse than the other groups (both P < 0.001). Conclusions: The presence of increased cartilage thickness measurements in the athletes suggests that sports activities might affect the metacarpal articular cartilage. Highest pain scores and lowest work performance scores in the weightlifters with highest metacarpal cartilage thickness might suggest that impact and loading during their sports play could lead to cartilage edema. [ABSTRACT FROM AUTHOR]

Introduction: Even under normal circumstances, anxiety is quite common among nursing students. Therefore, this study compared nursing students' health and coronavirus anxiety in two European countries. Method: The sample of the descriptive, cross-sectional study consisted of 685 undergraduate students studying at two different nursing schools in Turkey and Portugal. The study data were collected with the Personnel Data Collection Form, Coronavirus Anxiety Scale, and Short Health Anxiety Inventory. Results: While there was no difference between the Coronavirus Anxiety Scale scores of Turkish and Portuguese nursing students (p >.05), a statistically significant difference was found between the Short Health Anxiety Inventory total scores and negative consequences scores (p <.05). Discussion: Against the pandemic that the whole world is experiencing, it is recommended to compare nursing students in a cultural context and take precautions. [ABSTRACT FROM AUTHOR]

BACKGROUND: 25-hydroxy vitamin D (25OHD) deficiency is associated with cardiovascular disease and poor physical performance. OBJECTIVE: To assign the effect of 25OHD level on cardiac rehabilitation (CR) in patients with coronary artery disease (CAD). METHODS: One-hundred-thirty-five patients with CAD who underwent a CR programme were enrolled in this retrospective study. Patients were divided into two-group according to 25OHD level (Group 1: < 20 ng/dl; Group 2: ≥ 20 ng/dl). All patients received CR for 30 sessions. Each participant performed 40 minutes of aerobic exercise with a cycloergometer followed by muscle strengthening exercises. The patients were evaluated before and after CR by a pulmonary function test (PFT) and a cardiopulmonary exercise test (CPET). RESULTS: There were 77 (57%) patients in Group 1 and 58 patients (43%) in Group 2. Demographic characteristics between the groups were similar. Pre- and post-rehabilitation CPET parameters were lower in Group 1 (p < 0.05). Both groups had significant improvement in CPET (p < 0.05). Post-rehabilitation PFT parameters (FEV1, FVC) were higher in Group 2 (p < 0.05). There was a positive correlation between the 25OHD-level and the CPET-PFT parameters (p < 0.05). CONCLUSION: 25OHD deficiency in patients with CAD reduces the response to CR. It also affects respiratory function according to the FEV1, FVC parameters. In patients scheduled for CR, 25OHD-levels should be evaluated, and any deficiency corrected. [ABSTRACT FROM AUTHOR]

Problem: Adolescence is regarded as a period in which adolescents go through a number of physical changes in appearance and a transition from childhood to adulthood. Throughout this transitional period, adolescents become more concerned with their size and weight. The aim of this study was to determine the self‐perceived weights status of adolescents 11–19 years old. Methods: A cross‐sectional study was conducted with a sample of 1459 students, aged 11–19 years, in Turkey. Anthropometric measurements of weight and height were measured with appropriate tools and adolescents' self‐perception of weight status was assessed by the Figure Rating Scale. Findings: Nearly half of the adolescents had misperceptions about their weight status (49.6%). There was a significant association between body mass index (BMI) z‐score categories and weight status misperception. Overall, the weight status misperception was more common among the girls than boys. Conclusion: Misperception of weight status in adolescent should take into account the following: development of intervention programs aimed at screening weight and weight perception, empowering young people to have accurate weight status perception, and raising awareness of the issue in school health professionals. [ABSTRACT FROM AUTHOR]

Objective To examine the immunoglobulin G-receptor-binding domain (IgG-RBD) response and changes in fibrinogen and D-dimer concentrations in individuals with a past coronavirus infection and followed by CoronaVac. Methods The study consisted of a total of 116 participants. Blood samples were drawn from subjects 21–25 days after they received first and second doses of CoronaVac as well as from individuals with a past infection. Fibrinogen, D-dimer, and IgG-RBD concentrations were measured. Results The IgG concentrations of the vaccinated subjects were significantly higher (P <.001), fibrinogen levels were lower (P <.001), and D-dimer levels increased following the second vaccination compared with the first vaccination (P =.083). No difference was obtained in IgG-RBD between vaccinated and previously infected individuals (P =.063). The differences in fibrinogen and D-dimer were statistically nonsignificant between both groups. Conclusion The CoronaVac vaccine appears to be safe and effective. It is essential for individuals to take personal protective measures, such as using masks and distancing. [ABSTRACT FROM AUTHOR]

Copyright of Namık Kemal Tıp Dergisi is the property of Galenos Yayinevi Tic. LTD. STI and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Namık Kemal Tıp Dergisi is the property of Galenos Yayinevi Tic. LTD. STI and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Namık Kemal Tıp Dergisi is the property of Galenos Yayinevi Tic. LTD. STI and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

To translate the "Physical Activity Scale for Individuals with Physical Disabilities (PASIPD)" into Turkish, to make a cultural adaptation, and to examine the psychometric properties including validity and reliability. During the translation period cross-cultural adaptation design proposed by guideline was used. Patients completed the Turkish version of the PASIPD and it was applied again a week later. To determine the reliability and internal consistency, Cronbach's alpha coefficient was calculated. Test–retest reliability was determined by using intraclass correlation coefficient (ICC) and Pearson's correlation analysis. Construct validity was examined with factor analysis. Convergent validity was examined by comparing PASIPD with Functional Independent Measurement (FIM), Nottingham Health Profile (NHP), and Craig Handicap Assessment and Reporting Technique Short (CHART-SF), and criterion validity was examined by comparing PASIPD with Manual wheelchair propulsion tests scores. Cronbach's alpha coefficient was 0.725. The ICC coefficient for the test–retest reliability was 0.851. PASIPD was explained by three factors. The ratio of explaining the total variance of these 3 factors was determined as 51.66%. FIM (r = 0.307, p = 0.040) and CHART-SF were moderately positively correlated with PASIPD total score. The correlation between the total score of PASIPD and NHP was r = −0.443 (p = 0.002). 20 Meters Propulsion (r = −0.404, p = 0.005) and Slalom Tests (r = −0.305, p = 0.037) were highly negative and 6 min Push Propulsion (r = 0.456, p = 0.001) were moderately positive with PASIPD total score. The Turkish version of the PASIPD is a valid and reliable scale in patients with spinal cord injury. The Turkish and cross-culturally adapted version of PASIPD is a useful physical activity scale to evaluate the physical activity level of SCI. The Turkish version of the PASIPD is a valid and reliable scale and can be used in Turkish patients with SCI. PASIPD can be used to compare physical activity levels between disability types and groups with and without disabilities. PASIPD can be used to evaluate the effectiveness of attempts to increase physical activity in patients with SCI. [ABSTRACT FROM AUTHOR]

This study aimed to perform the psychometric evaluation of the Turkish version of the Lymphedema and Breast Cancer Questionnaire (LBCQ). Patients with BCRL (n = 50) received a Turkish version of the following measurement tools: Lymphedema Functioning, Disability, and Health Questionnaire (Lymph-ICF), Disabilities of the Arm, Shoulder and Hand questionnaire (Quick DASH), LBCQ and Upper Extremity Functional Index (UEFI-20). Patients without BCRL (n = 50) completed only the Turkish LBCQ. Psychometric properties were analyzed with internal consistency, test–retest reliability, ROC analysis, criterion, and discriminant validity. The internal consistency of the Turkish LBCQ was strong (Cronbach's α coefficient >0.60). Test–retest reliability was also very strong (intraclass correlation coefficients from 0.79 to 1; p < 0.001). Criterion validity was supported by a moderate correlation of LBCQ with volumetric measurement, skinfold thickness, and questionnaires (Lymph-ICF, UEFI, and Quick DASH) (p < 0.05) via the ROC analysis, the cut-off point was found as "6" in distinguishing individuals with lymphedema and those without. There were significant differences in LBCQ total and subscale scores between participants with and without BCRL (p < 0.05). This study clinically confirmed the validity, reliability, and applicability of the Turkish LBCQ in the Turkish population. LBCQ will enable the early detection of lymphedema and will save the country financially with early diagnosis. The LBCQ was successfully translated, adapted, and validated into the Turkish language. Turkish version of the LBCQ was found to be reliable and valid to evaluate the signs and symptoms of lymphedema in Turkish women with breast cancer. By using LBCQ, rehabilitation professionals can detect lymphedema at an early stage, reduce the cost of lymphedema treatment and prevent the development of advanced lymphedema in their clinics. [ABSTRACT FROM AUTHOR]

Background: The aim of this study was to investigate the association between the platelet/lymphocyte ratio (PLR) and the neutrophil/lymphocyte ratio (NLR) and postoperative atrial fibrillation (POAF) after lung resection. Methods: After the implementation of the exclusion criteria, 170 patients were retrospectively analyzed. PLR and NLR were obtained from fasting complete blood counts before surgery. POAF was diagnosed using standard clinical criteria. The associations between different variables and POAF, NLR, and PLR were calculated using univariate and multivariate analyses. The receiver operating characteristics (ROC) curve was used to determine the sensitivity and specificity of PLR and NLR. Results: Of the 170 patients, 32 with POAF (mean age =71.28±7.27 y, 28 males and 4 females) and 138 patients without POAF (mean age =64.69±10.31 y, 125 males and 13 females) were identified, and the difference in the mean age was statistically significant (P=0.001). It was found that PLR (157.67±65.04 vs 127.52±56.80; P=0.005) and NLR (3.90±1.79 vs 2.04±0.88; P=0.001) were statistically significantly higher in the POAF group. In the multivariate regression analysis, age, lung resection size, chronic obstructive pulmonary disease, NLR, PLR, and pulmonary arterial pressure were independent risk factors. In the ROC analysis, PLR had a sensitivity of 100% and a specificity of 33% (AUC, 0.66; P<0.001), and NLR had a sensitivity of 71.9% and a specificity of 87.7% (AUC, 0.87; P<0.001). A comparison of AUC between PLR and NLR showed that NLR was statistically more significant (P<0.001). Conclusion: This study showed that NLR was a stronger independent risk factor than PLR for the development of POAF after lung resection. [ABSTRACT FROM AUTHOR]

Objective: This study aimed to examine the factors affecting the loss of workforce, including the time to return to work and work-related situations in patients with traumatic hand injury who were taken to a hand rehabilitation program. Materials and Methods: The patients aged between 18-65 years with a history of traumatic hand injury in the last five years were analyzed retrospectively. Demographic and clinic data were taken from the medical records, and work-related problems were obtained by telephone calls. The severity of hand injury was assessed with Modified Hand Injury Severity Score (MHISS). Results: A total of 147 patients (129 males, 18 females; mean age 39.83±10.4 years) were included. The duration of return to work was correlated with total MHISS (rho=0.262 p=0.003) while not related to age, education level, gender, or injured hand's dominance (p>0.05). Duration of return to work after hand injury and total MHISS were lower in the patients who had job modifications (p<0.001, p=0.002). Job modification rate, salary reduction, and patient-reported hand dexterity loss were higher in patients with work-related injuries (p<0.05). Conclusion: This study highlighted that the increasing severity of hand injury caused a prolonged time to return to work, or job scope changes. [ABSTRACT FROM AUTHOR]

Purpose: The study aims to determine the correlation between health literacy (HL) and mental health literacy (MHL) in Turkish society. Design and Methods: This study was a cross‐sectional survey, a form of quantitative research. Data were collected from participants with the personal information form, Turkish Health Literacy Scale, and Mental Health Literacy Scale. Findings: The study found that 48.2% of the individuals had insufficient‐limited HL and that 46.2% had a low level of MHL. A positive weak relationship was found between HL and MHL. Practice Implications: As HL and MHL are correlated concepts, community health nurses can prepare their nursing action plans accordingly. [ABSTRACT FROM AUTHOR]

Purpose: The aim of the study was to investigate the empathy level and caring behaviors perceptions of nursing students. Method: This cross‐sectional and correlational study was conducted with 276 nursing students. Results: The mean Empathic Tendency Scale score was 62.71 ± 5.10 (min. 20 to max. 100), indicating a low level of empathy. The mean of the Caring Assessment Questionnaire was 5.42 ± 0.80 (min. 1 to max. 7), showing a good perception of caring behaviors. There was a positive, low, and significant relationship between empathy and caring behaviors (r = 0.286, p < 0.001). Conclusion: This study revealed that nursing students have low‐level empathy and high‐level caring behaviors. Practice Implications: Throughout the educational process, the students' caring competencies, which include empathy and caring behaviors, developed. It is suggested that humanistic and value‐oriented pedagogical approaches be incorporated into nursing curricula. [ABSTRACT FROM AUTHOR]

Purpose: To examine the relationship between university students' attitudes toward gender roles and infertility. Design and Methods: This descriptive and correlational study was conducted with 743 university students between September and December 2020. Data were collected using a personal information form, the Gender Roles Attitude Scale, and the Attitudes Towards Infertility Scale through online forms. Findings: It was found that attitudes toward gender roles and infertility could be influenced by some sociodemographic factors, for instance, students' sex, education, and family type. There was also a moderate and positive correlation between attitudes toward gender roles and infertility. Practice Implications: The present study contributes to a better understanding of the social construction and attitudes toward gender roles and infertility. For a better future, it is recommended that nurses help and support university students in raising awareness about such an important social problem. [ABSTRACT FROM AUTHOR]

Purpose: The study was conducted to determine the effect of the communication skills psychoeducation program on the self‐esteem and communication skills of the care staff working in a rehabilitation center. Material and Method: The sample was 61 in the study, which was conducted in a quasi‐experimental way with a single group pretest, posttest and follow‐up pattern. Finding: At the end of the psychoeducation program, it was determined that the psychoeducation has a positive effect on the self‐esteem and communication skills of the care staffs. Practice Implications: Implementation of this practice, which can be applied to all care staffs in the clinics or rehabilitation centers, with repeated measurements such as 6 or 12‐month periods may contribute to the literature. [ABSTRACT FROM AUTHOR]

Aim: The aim of this study was to determine the relationships between the nurses' professional values and their empathy and patience levels, and the factors affecting them. Methods: This descriptive cross‐sectional study was conducted with 215 nurses working at a university hospital between February and April 2021. Data were collected using the "Nurse Information Form," "Nurses' Professional Values Scale," "Patience Scale," and "The Toronto Empathy Questionnaire." Findings: Results of our study revealed that nurses had high scores for the perception of professional values, empathy levels, and patience levels. Conclusions: Nurses had high scores for perceptions of professional values, empathy levels, and patience levels. Nurses' demographic characteristics influenced the scores. [ABSTRACT FROM AUTHOR]

Purpose: To determine the depression, anxiety, stress (DAS) levels, and coping styles of caregivers of patients with left ventricular assist device (LVAD). Design and Methods: The sample of the study consisted of 74 caregivers of patients with LVAD. Data were collected using Individual Data Form, DASS 21, and Coping Styles Scale. Findings: Depression was found in 67.6%, anxiety in 45.9%, and stress in 50% of the caregivers of patients with LVAD. A significant relationship was found between the sociodemographic characteristics of caregivers, some variables related to the patient and the care process, and coping styles with stress, and DAS levels of caregivers. Practice Implications: Considering the variables that may affect the DAS levels of the LVAD caregivers will improve the expected results from the LVAD. [ABSTRACT FROM AUTHOR]

Purpose: This study was aimed at comparing the conscientious intelligence levels of nursing students and determining the factors affecting their conscientious intelligence. Design and Methods: Two hundred and forty nursing students were involved in the study. Findings: There were no statistically significant differences between the first and fourth‐year students in terms of the mean scores they obtained from the compassion, responsibility toward the creator, conscious awareness, and social sensitivity sub‐dimensions. Of the students, those who chose the profession willingly, those who were women and those who did not perceive nursing as a profession just to earn money obtained higher mean scores in the Conscientious Intelligence Scale. Practice Implications: The results of the study revealed that Nurse Academics should make more attempts to improve students' conscientious intelligence. [ABSTRACT FROM AUTHOR]

Purpose: This study evaluated the effect of a nurse‐led intervention program on compassion fatigue, burnout, compassion satisfaction, and psychological distress in nurses. Design and Methods: A randomized controlled trial was conducted. A total of 48 clinical nurses were randomly allocated to intervention or control groups. The nurse‐led intervention program was based on a cognitive‐behavioral approach. The study outcomes were compassion fatigue, burnout, compassion satisfaction, and psychological distress. Findings: It was determined that the psychological distress scores of the nurses participating in the program at the first follow‐up were significantly lower than the control group. There was no significant difference between the groups in terms of compassion fatigue, burnout, and compassion satisfaction. Practical Implications: To reduce the psychological distress of nurses, cognitive behavioral approach‐based programs can be useful. [ABSTRACT FROM AUTHOR]

Purpose: The present study evaluated the efficacy of Emotional Freedom Techniques (EFT), commonly called "tapping," for premenstrual (PMS) symptoms. Design and Methods: This study was conducted with the participation of 50 nursing students who scored 111 or higher on the Premenstrual Syndrome Scale (PMSS). The students in the experimental group were instructed to apply EFT. Findings: There were statistically significant differences between the mean depressive affect, fatigue, nervousness, sleep‐related changes, and swelling subscale scores and the PMSS total scale score of the experimental group measured during the pretest and posttest (p < 0.05). Practice Implications: The results demonstrate the efficacy of EFT in reducing PMS symptoms. As a fast and efficient self‐treatment method, EFT can be easily implemented as a nonpharmacological intervention. [ABSTRACT FROM AUTHOR]

In this study the aim was to examine the mediation role of smartphone addiction in the association between mindfulness/impulsivity and psychological distress. The participants consisted of 343 (178 [54.8%] male and 147 [45.2%] female) university students from five different universities in Turkey. Cross-sectional data were gathered using self-report. The mediation role of smartphone addiction was examined with structural equation modelling, and bootstrapping procedures were used to determine indirect effects. The results showed that mindfulness negatively predicted smartphone addiction and psychological distress, with impulsivity positively predicting smartphone addiction and psychological distress. Smartphone addiction positively predicted psychological distress, partially mediating the relationship between mindfulness/impulsivity and psychological distress. [ABSTRACT FROM AUTHOR]

The study examined the effect of Solution-Focused Group Psychoeducation on self-esteem, subjective perception of recovery, and internalized stigma among patients with schizophrenia 39 patients with schizophrenia were recruited based design of the randomized control-group with pretest and posttest. The patients completed the "Rosenberg Self-Esteem Scale (RSES)", "Subjective Recovery Assessment Scale (SubRAS)", and "Internalized Stigma of Mental Illness (ISMI) Scale" in pretest and posttest. After the psychoeducation, ISMI scores decreased in the intervention group (p < 0.001) but increased in the control group (p = 0.599). The posttest RSES score was lower in the intervention group compared to the control group (p = 0.001). A statistically significant difference was found between the pretest and posttest SRAS scores of the intervention group when compared to the control group (p = 0.018). After the psychoeducation, intervention group' self-esteem and subjective perception of recovery increased, while the severity of internalized stigma decreased. [ABSTRACT FROM AUTHOR]

Copyright of ESTUDAM Public Health Journal is the property of ESTUDAM Public Health Journal and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

The aim of this study was to analyze the effect of intimate partner violence against women training program based on the theory of planned behavior on nurses' and midwives' approaches of violence. A randomized controlled trial was performed at nurses and midwives in Turkey, between December 2016 and August 2017. The participants were separated into an intervention group (n = 50) and control group (n = 49). According to the result of study, training given to the intervention group was more effective in increasing the intimate partner violence attitudes, practices, and reporting compared to the control group. These results show that this training program effectively developed the nurses' and midwives' approaches about intimate partner violence against women. [ABSTRACT FROM AUTHOR]

Background: The coronavirus disease emerged in 2019, spread in Turkey as all over the world rapidly. In this process, young people began to experience some mental problems due to the fear of contagion, as well as some changes in their lifestyles. Aims: In this study it is aimed to investigate anxiety and depression levels of medical school students and the factors associated with these mental problems. Method: The forms were sent over the internet to the officials responsible for medical education at universities in various regions of Turkey. A total of 2,778 medical faculty students were included in the study. Students were asked to fill out the sociodemographic data form, the Patient Health Questionnaire - 9 (PHQ-9), and the Generalized Anxiety Disorder-7 (GAD-7) Test. Results: Students' 67.3% were female and 31.7% were male. About 90.2% of the students in the PHQ-9 scale had depressive symptoms in the major depressive disorder (MDD) dimension, and 44.5% in the GAD-7 scale had moderate/severe anxiety symptoms. Gender, being a preclinical student, history of psychiatric treatment in the past, currently receiving psychiatric treatment, death of someone due to pandemic, economic and health situation, perception of mental health were found associated with MDD and Moderate/Severe Anxiety symptoms. Students with Anxiety and MDD reported significantly more anxiety about contamination and negative beliefs about precautions' sufficiency. Conclusions: It was determined that medical school students in our country showed anxiety and depression at a remarkable level during the pandemic. Examining the underlying causes of these high rates will be beneficial in terms of taking precautions during the long-term pandemic. In literature, there are a limited number of studies on this subject in our country, we believe that our study will be useful in future studies to determine the underlying causes of mental illnesses and what can be done to help students. [ABSTRACT FROM AUTHOR]

Objective: The aim was to investigate the relationship between idiopathic sudden sensorineural hearing loss (ISSHL) and male sexual dysfunction (SD). Methods: Nineteen ISSHL patients were included in the patient group. The control group consisted of nineteen healthy subjects. The pure tone mean (PTM) was determined by averaging the hearing thresholds (250, 500, 1,000, 2,000, 4,000, and 8,000 Hz). Male SD was assessed using the International Index of Erectile Function (IIEF)-5 survey. IIEF-5 items are grouped as the first 4 (IIEF-5Q1-Q4) and the final item (IIEF-Q5). Intratympanic steroid treatments were administered on the 1st, 3rd, 5th, 7th, 14th, and 30th days of ISSHL diagnosis. Twenty sessions of hyperbaric oxygen therapy were applied to the patients starting from the first day of diagnosis. On the 180th day of the study, patients with hearing gain of less than 15 dB and a PTM value of less than 75 dB were considered treatment failures. The questionnaires of the patients who were successful with the treatment were repeated. The obtained data were analyzed statistically. Results: Pre-treatment IIEF-5 and IIEF-5Q1-Q4 scores were significantly lower than those of the control group (p<0.05). Post-treatment IIEF-5 and IIEF-5Q1-Q4 scores were significantly higher than the pre-treatment scores (p<0.05). Erectile dysfunction (ED) suspicion in the IIEF-5 questionnaire results was significantly higher in ISSHL patients (p=0.002). For ISSHL patients, ED suspicion was significantly lower in the post-treatment period compared in the pre-treatment period (p=0.002). Conclusion: ISSHL may be accepted as a risk factor for SD. ISSHL can affect sexual life and therefore quality of life. [ABSTRACT FROM AUTHOR]

Background: To examine changes in the number of neovascular glaucoma patients aged over 65 presenting to a tertiary hospital at different stages of the COVID-19 pandemic, as well as changes in their intraocular pressure and vision levels. Materials and Methods: Patients aged over 65 years who had been diagnosed with neovascular glaucoma were divided into the three following groups: pre-lockdown (March 21--June 10, 2019), lockdown (March 21--June 10, 2020), and post-lockdown (March 21--June 10, 2021). Age, sex, the eye(s) involved, etiology, intraocular pressure, best corrected visual acuity, and the treatments administered were compared among the groups. Results: Patient numbers decreased by 51.02% in the lockdown group and 14.29% in the post-lockdown group compared with the pre-lockdown group. The number of treatments applied during the lockdown period decreased by 51.85% compared with the pre-lockdown period (p = 0.002). No statistically significant difference in mean best corrected visual acuity levels was observed between the pre-lockdown period and the lockdown and post-lockdown periods (p = 0.078); however, a significant difference was determined in mean intraocular pressure values (p < 0.001). Conclusions: Hospital presentations among patients with neovascular glaucoma aged over 65 years decreased during and after lockdown. A decrease associated with delayed treatment was observed in vision levels after lockdown, whereas intraocular pressure levels increased. A subsequent increase will inevitably be seen in the number of patients with neovascular glaucoma and in surgeries performed. [ABSTRACT FROM AUTHOR]

Background: To determine the prevalence of anxiety and depression of the mothers whose babies were admitted to neonatal intensive care unit (NICU) for any reason other than COVID-19 during the pandemic, and the effect of duration of NICU stay on mothers' anxiety and depression. Materials and Methods: The NICU mothers were divided into three groups according to duration of hospitalization of their babies. The duration of hospitalization of the babies was < 7 days for the first group of the mothers (G1), ≥ 7- <14 days for the second group (G2), and ≥ 14- < 30 days for the third group (G3). The anxiety level of the mothers was assessed with "State Trait Anxiety Inventory (STAI)", and a cut-off score above 40 was used to define probable clinical levels of anxiety. Depression was evaluated with "Edinburgh Postpartum Depression Scale (EPDS)", and a cut-off score above 12 was considered as probable risk for presence of postpartum depression. Results: Among 150 mothers (in each group n=50), the STAI-State scores of all mothers were > 40, indicating clinical levels of anxiety. Seventy three (48.7%) of the mothers had a EPDS score > 12. The STAI-State scores of the mothers in G3 were higher than the mothers in G2 (p=0.029). Depression scores did not differ between the three groups. Conclusions: All the NICU mothers were found to be anxious and nearly half of them were depressive. Mean state anxiety levels were higher in mothers of babies who stayed longer in NICU. [ABSTRACT FROM AUTHOR]

Copyright of Journal of Nursology is the property of Ataturk University Coordinatorship of Scientific Journals and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Ahi Evran Medical Journal is the property of Ahi Evran University and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Introduction: Total body irradiation (TBI) with megavolt photon energy is a treatment that can be applied before bone marrow transplantation (BMT) in many hematologic diseases. Two-dimensional TBI (2D-TBI) is one of the oldest RT techniques. We performed a retrospective study to evaluate the radiotherapy (RT)-related acute adverse events in pediatric patients with TBI. Methods: Patients who received TBI between January 1, 2021, and December 30, 2021, in the Radiation Oncology Clinic of Ankara City Hospital were evaluated retrospectively. The primary endpoint of the study was the assessment of RT-related acute adverse events (RT-AE). The Common Terminology Criteria for Adverse Events (CTCAE) version 5.0 was used for RT-AE. Results: Twenty-one pediatric patients treated with 2D-TBI between February 20, 2021, and October 10, 2021, have been retrospectively analyzed. The median follow-up period is 7 (range 1-14) months. The median age of the patients is 11 (range 2-17) years. The median time to BMT following TBI is 4 (range 3-13) days. A total of 12 Gy was applied to 15 (71.4%) patients diagnosed with acute lymphoblastic leukemia and acute myeloid leukemia. A total of 3 Gy was applied to 5 (23.8%) patients due to aplastic anemia and thalassemia major. A total of 4 Gy was applied to 1 (4.8%) patient who had anaplastic large cell lymphoma. In the first week after TBI, all 21 (100%) patients were neutropenic in grade 3 or higher. One day after TBI, there was a 23.4% increase in grade 3 or higher leukopenia [p=0.042; OR (95% CI) 0.278 (0.132-0.585)]. Discussion and Conclusion: The 2D-TBI is applied with acceptable toxicity. TBI-related pneumonia was not observed in any of the patients in our treatment technique with a dose/rate of 0.053 Gy/min. [ABSTRACT FROM AUTHOR]

Introduction: Zinc is found in metalloenzymes and is an important trace element for fetal and maternal health. Its deficiency may cause pregnancy complications. The prevalence of zinc deficiency also differs due to different food sources. Our aim in conducting this study was to evaluate the relationship between serum zinc levels and pregnancy complications in our pregnant population. Methods: This is a retrospective study conducted on 201 patients. Serum zinc levels obtained for various reasons during pregnancy were evaluated. The relationship between the pregnancy complications that occur in patients and the zinc levels was examined. In addition, the effects of zinc-containing vitamin supplementation on serum zinc levels were also checked. The primary endpoint of the study was to evaluate the relationship between serum zinc levels and pregnancy complications. The secondary endpoint was to investigate the effects of supplemental vitamins on serum zinc levels and pregnancy complications according to trimesters. Results: According to trimesters, the mean zinc values were 72 mg/dL, 66.1 mg/dL, and 63 mg/dL, respectively. It was observed that the rate of zinc deficiency increased as the gestational week progressed. Among the patients, 49.7% did not take any vitamin supplements containing zinc, and 50.3% took supplements. The zinc level was found to be higher in patients who took zinc-containing vitamin supplements than in patients who did not take any supplements. However, a statistically significant difference was observed in terms of zinc levels between patients who received and did not take supplements only in the third trimester (p=0.003). Pregnancy complications were recorded: abortion in 7 patients (3.4%), intrauterine growth retardation in 10 patients (5.1%), preterm delivery in 12 patients (6.1%), preeclampsia in 17 patients (8.7%), oligohydramnios in 17 patients (8.7%), and gestational diabetes mellitus developed in 16 (8.2%) patients. A statistically significant correlation was observed only between oligohydramnios and second trimester zinc level (p=0.035). Discussion and Conclusion: Zinc deficiency, which increases with the advancing gestational week, improves significantly with zinc supplementation, especially in the last trimester. Despite the significant relationship between the second trimester zinc level and oligohydramnios, zinc supplementation does not seem to have a significant effect on pregnancy outcomes. [ABSTRACT FROM AUTHOR]