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Öğe Analysis of Consultation Cases Referred from Pediatrics Department to Dermatology Outpatient Clinic: Retrospective Study(Marmara Univ, Inst Health Sciences, 2019) Daye, Munise; Temiz, Selami Aykut; Durduran, Yasemin; Balevi, Sukru; Dursun, Recep; Ataseven, Arzu; Ozer, IlkayObjective: There are a few studies in the literature about dermatology consultations requested from Pediatrics Department. In the present study, it was aimed to assess the clinical features, pre-diagnosis and dermatologic diagnosis of patients consulted to the Dermatology Department from Pediatrics Department, and also to detect possible different approaches between the clinics. Methods: The list of dermatology consultations requested from Pediatrics Department between 1 September 2016 and 1 September 2017 were retrospectively evaluated by means of pre-diagnosis, dermatological diagnosis and unit consultations. Results: The mean age of patients was 7.4 +/- 5.3 years. Of the 628 patients, 52.1% were males, and 85% of the consultations were requested from outpatient clinics and 15% were from the inpatient clinics. Among all consultations 28.7% general pediatrics unit and 17.5% pediatric emergency unit required consultations. The most common diagnosis reported from Dermatology Department were eczema (28.2%), viral diseases (13.2%), parasitic diseases (8.4%) and fungal diseases (5.4%). Although, the ratio of an accurate pre-diagnosis was significantly higher in consultations requested from the inpatient clinics than those from outpatient clinics(p<0.001), 42.7% of the patients were referred to Dermatology Outpatient Clinic with an incorrect pre-diagnosis. Conclusion: Almost half of the patients, who were referred to Dermatology consultation, were diagnosed with incorrect pre-diagnosis. It was seen that pediatricians were difficult to recognize dermatoses. The awareness of Pediatric Dermatology Department should be raised for both specialties.Öğe Birinci Basamak Sağlık Kuruluşlarında Çalışan Hekim Dışı Sağlık Profesyonellerinin Hizmet İçi Eğitim Gereksinimlerinin Belirlenmesi(2016) Duman, Çiğdem Savaş; Suluhan, Derya; Durduran, YaseminAmaç: Bu çalışmanın amacı, birinci basamak sağlık kuruluşlarında çalışan hekim dışı sağlık profesyonellerinin hizmet içi eğitim gereksinimleri ve ilişkili faktörlerin belirlenmesidir. Gereç ve Yöntem: Araştırma, Konya il merkezinde bulunan birinci basamak sağlık kurumlarında, Aralık 2014-Şubat 2015 tarihleri arasında yapıldı. Araştırmanın örneklemini, birinci basamakta hizmet veren 498 hekim dışı sağlık çalışanı (hemşire, ebe, sağlık memuru) oluşturdu. Veriler, araştırmacılar tarafından literatür taraması yoluyla hazırlanan, anket formu kullanılarak elde edildi. Verilerin istatistiksel olarak değerlendirilmesinde SPSS Statistics 17 paket programı kullanıldı. Verilerin özetlenmesinde yüzdelik dağılımlar, kategorik verilerin analizinde ki-kare testi kullanıldı. Tüm analizlerde p0.05 istatistiksel olarak önemli kabul edildi.Bulgular: Katılımcıların %45.4'ü (n: 195) ebe, %46.6'sı (n: 201) ön lisans mezunudur. Bireylerin %54.2'si (n: 233) Aile Sağlığı Merkezlerinde çalışmaktadır. Meslekte görev süresi %72.8'inin (n: 307) en az 11 yıldır. Katılımcıların sadece %24'ü hizmet içi eğitime gereksinimi olduğunu belirtti. Yeni gelişmeler ve kurslar talep edilen hizmet içi eğitim konuları arasında ilk sırada yer aldı. Ebelerin (%29.7), meslekte görev süresi en fazla 5 yıl olan (%34.1) ve iş kazası geçirmiş olan (39.4) katılımcıların daha fazla hizmet içi eğitime gereksinim duydukları belirlendi (sırasıyla p değerleri: 0.024; 0.039; 0.030).Sonuç: Bu sonuçlar doğrultusunda, sağlık profesyonellerine periyodik aralıklarla sınav yapılarak bilgi düzeylerinin ve hizmet içi eğitim gereksinimlerinin belirlenmesi gerekmektedir. Aynı zamanda bilgilenmek istedikleri konular dikkate alınarak eğitim programlarının düzenlenmesi önerilmektedir.Öğe A case-control study on the temperament and Psychological mood of patients with chronic Hepatitis B(Modestum Ltd, 2017) Findikli, Ebru; Ates, Selma; Kandemir, Bahar; Karaaslan, Mehmet Fatih; Camkurt, Mehmet Akif; Izci, Filiz; Durduran, YaseminObjective: To evaluate the personality and temperament traits in patients with chronic hepatitis B in comparison to healthy subjects and to determine whether there is a relation between personality trait and level of anxiety or depression. Materials/Subjects and Method: This was a case-control study in which 67 patients who had been under follow-up with diagnosis of chronic hepatitis B and 103 aged-matched healthy subjects were included. Study participants were asked to complete three self-report questionnaires-Temperament and Character Inventory (TCI) to define personality traits, Beck Depression Inventory (BDI) and Beck Anxiety Inventory (BAI) to evaluate presence and severity of depression and anxiety. Results: Total and sub-scale scores of five out of seven dimensions of TCI-reward dependence, persistence, self-directedness, cooperativeness, and self-transcencewere significantly higher in Group 1 than Group 2. Total BDI and BAI scores were significantly higher in Group 1 than Group 2. Significantly more patients had a BDI score of 17 or over in Group 1 than Group 2. There was no significant correlation between total scores of TCI dimensions and total BAI or BDI scores except weak correlations between harm avoidance or self-directedness and total BAI or BDI scores. Conclusion: In terms of personality trait, patients with chronic hepatitis B exhibit higher reward dependence, persistence, self-directedness, cooperativeness, and self-transcendence from healthy population. The personality traits of patients should be considered during the management of hepatitis B in order to optimize treatment outcome and to prevent development of new mental health problems during the course of the disease.Öğe Determination of non-physician health professionals' in-service training requirements working in primary health care agencies(Yerkure Tanitim & Yayincilik Hizmetleri A S, 2016) Duman, Cigdem Savas; Suluhan, Derya; Durduran, YaseminObjective: The purpose of this study is to determine the in-service training topics which are demanded by health professionals without doctors working in primary health care agencies and factors related in-service training topics. Material and Methods: The study was carried out between December 2014 and February 2015 in city center of Konya. The sample of the study consists of 498 non-physician health professionals (nurses, midwife, health officer) working in primary health care agencies within the city center of Konya. The data have been obtained via using a questionnaire prepared by their searchers via viewing literature. SPSS statistical package program version 17 was used for the statistical analysis of data. Data are summarized using percentage distributions; categorical data were analyzed using the chi-square test. In all analyses, p<0.05 was considered statistically significant. Results: 45.4% of participants (n: 195) are midwife, 46.6% of participants (n: 201) are graduated from two year degree. 54.2% of participants (n: 233) are working in Family Health Center and 72.8% of participants (n: 307) are whose tenure in the profession is at least 11 years. Only 24% of participants have expressed the requirement of in-service training. New developments and courses have taken first place among the demanded in-service training. As a result, midwife (29.7%) participants, participants with a history of occupational accident (39.4%) and whose tenure in the profession is fewer than 5 years (34.1%) were the ones who demanded in-service training program (respectively p values: 0.024; 0.039; 0.030). Conclusion: By examination level of knowledge of health professionals periodically and in-service training should be the identification of needs. Training programmes are also recommended in the consideration of topics they want to learn concurrently.Öğe Discussion on Provincial Evaluation Results of Maternal Mortality in Terms of Preventability: Commission Decision Differences in Konya(2018) Durduran, Yasemin; Soysal, Sema; Başaran, Mustafa; Çelik, Çetin; Acar, Ali; Doğan, Canan; Kaya, Hüsnü Murat; İzgi, Şule; Öznavruz, HasanObjective: The objective of this study was to investigate the risk factors of maternalmortality in Konya province, as well as the preventability of deaths in cases where the central andlocal commissions differed in their decisions. Material and Methods: Maternal mortality between2009 and 2014 in the Konya province was screened for the cases, where the central and local MaternalMortality Investigation Commissions gave different decisions. These differences pertain towhether the deaths were ‘preventable’ or ‘not-preventable’, differences in the first, second andthird delay models, and indirect, direct and incidental deaths. The data were evaluated electronicallyalong with a descriptive statistical analysis, differences in the decisions and compliance inthe mortality rates were evaluated. Results: The median age of the deceased mothers was 28 (21–44) years and 83.3% of the mothers had at least one mortality risk factor. While the overall maternalmortality rate was 36.7% within the first 48 h after birth, the rates were highest within thefirst 48 h after birth (26.7%) and between the 1st and 42nd day after birth (26.7%) in indifferentlyassessed cases. The cause in 30% of all deaths and 33.3% of deaths with differential assessmentswas postpartum hemorrhage, as per the results of central Maternal Mortality InvestigationCommissions. The decisions of the central and local commissions differed in terms of preventability,delay models or death classification in 50% of the deaths. Taken together, the compliancebetween central and local decisions was not precise in investigating maternal mortality. Conclusion:The first 48 h after birth and the postpartum period are particularly critical. The causes ofdeath, particularly postpartum hemorrhage, should be thoroughly investigated. We recommendperiodic re-evaluations of cases where different decisions were made, in order to lower the rate ofpreventable maternal mortality.Öğe Early surgical abortion: Safe and effective(Informa Healthcare, 2013) Kara, Fatih; Dogan, Nasuh Utku; Bati, Serap; Demir, Senay; Durduran, Yasemin; Celik, CetinObjectives To evaluate patients' characteristics and complications of surgical abortion performed at an early gestation, compared to later gestations. Methods A total of 4310 women with unintended pregnancies attending the family planning unit of a government maternity hospital in Konya, Turkey, were included retrospectively. Abortions were carried out from 6 weeks' up to 10 weeks gestation. Results The gestational age in 62% of the cases was between 6 weeks and 6 weeks + 6 days. Only 8.5% of the 4310 women had used a modern contraceptive method, and 16% had had a surgical abortion for an unplanned pregnancy previously. These women were younger, had more siblings, and a shorter time had elapsed since their last pregnancy when compared to women who never had an abortion. There were four failures (0.09%). The rate of retained products of conception (RPCs) was 1.9% in women aborted between six and six(+6) weeks' gestation, and 6.2% (p < 0.001) in those aborted later. Women who had had a surgical abortion previously more often had RPCs than those who never had (16% vs. 1%, respectively, p < 0.001). Of the 151 women with RPCs, 65 (43%) had been using an intrauterine device prior to surgical abortion. Conclusion Early surgical abortion (at six-six(+6) weeks' gestation) generates few complications. Delaying surgical abortion until a somewhat later gestation causes complication rates (particularly RPCs) to increase.Öğe The Effect of COVID-19 Pandemic on Psychosomatic Complaints and Investigation of The Mediating Role of Intolerance to Uncertainty, Biological Rhythm Changes and Perceived COVID-19 Threat in this Relationship: A Web-Based Community Survey(Aves, 2020) Gica, Sakir; Kavakli, Mehmet; Durduran, Yasemin; Ak, MehmetBackground: The aim of the present study was to determine the increase in psychosomatic complaints during the COVID-19 pandemic and to identify the factors associated with psychosomatic complaints. Methods: Five-hundred and thirty-three participants were included in the study. The participants completed the following self-reported scales: Personal Information Form, Perceived COVID-19 Threat Form, Intolerance of Uncertainty Scale, Biological Rhythms Interview of Assessment in Neuropsychiatry and Patient Health Questionnaire-15 (PHQ-15). The data were gathered online. The participants filled PHQ-15 scale twice. In the one interrogation, they were asked to fill the scale according to the current time, and in the other interrogation, they were asked to retrospectively report their status before the COVID-19 outbreak started. Results: The psychosomatic symptom levels of the participants increased (M = 9.08, SD = 5.98) after the COVID-19 outbreak compared to before. The first and second PHQ scores were both positively related to perceived COVID-19 threat, intolerance of uncertainty and biological rhythms. However, the correlation coefficients of the second PHQ scores (after the outbreak) were higher than the first. Perceived COVID-19 threat predicted intolerance of uncertainty, but did not predict biological rhythms. The relationship between perceived COVID-19 threat and the present PHQ score was partially mediated by intolerance of uncertainty. Also, the relationship between perceived COVID-19 threat and present PHQ score were partially mediated by both intolerance of uncertainty and biological rhythms. Conclusion: Psychosomatic complaints were increased during the COVID-19 outbreak period, and the changes in perceived threat and biological rhythm, especially intolerance of uncertainty, were effective in this increase. Results of our study revealed the importance of including the patient's ability to tolerate uncertainty in therapeutic approaches during COVID-19 and similar pandemics. In addition, the importance of the attempt to protect the circadian rhythm in the quarantine process has been demonstrated once again in order to reduce mental influences of the COVID-19 outbreak.Öğe Evaluation of skin problems and dermatology life quality index in health care workers who use personal protection measures duringCOVID-19 pandemic(Wiley, 2020) Daye, Munise; Cihan, Fatma Goksin; Durduran, YaseminThe aim of this study was to evaluate the skin problems and dermatological life quality of the health care workers (HCWs) due to personal protection equipment (PPE) use, who are at high risk for COVID-19 infection. A questionnaire about HCWs' PPE use, their skin symptoms, and prevention, management methods and Dermatology Life Quality Index (DLQI) was fulfilled. The median age of 440 participants was 33.5 (21.0-65.0) years old. Skin problems were found to be 90.2%, the most common were dryness, itching, cracking, burning, flaking, peeling and lichenification. The presence of skin problems (P < .001) was higher in those who did not use moisturizers. Of all, 22.3% (n = 98) stated that the use of PPE increased the severity of their previously diagnosed skin diseases and allergies (P < .01). Only 28.0% (n = 123) stated that they know the skin symptoms that may develop by using PPE. The proper hand washing rate was higher as education level increased (P < .001). Skin problems were higher in those using mask with metal nose bridge (P: .02 andP: .003, respectively). As the mask using period prolonged, acne was more common (P: .02). DLQI was significantly affected in women (P= .003), and with increased skin problems related to PPE (P < .001). It is important to organize trainings on prevention and management of possible skin symptoms due to PPE use according to guidelines.Öğe Evaluation of the Relationship of Fatigue, Anxiety and Depression Levels in Individuals with the Precautions Taken in the COVID-19 Pandemic Process(Marmara Univ, Inst Health Sciences, 2022) Kucukkendirci, Hasan; Yucel, Mehtap; Durduran, YaseminObjective: This study aims to evaluate the effects of the COVID-19 process and the measures taken on fatigue, anxiety and depression levels in individuals, and the factors that may cause this effect. Methods: The study is of cross-sectional type. A total of 281 participants who applied to the pandemic outpatient clinic were included in the study. Data collection form with 27 questions and Hospital Anxiety and Depression Scale (HADS) with 14 questions were used in the study. Relationships between data were evaluated with t-test and chi-square test in independent groups. The importance levels of the factors affecting the anxiety and depression scores were determined by the Chaid Analysis. Statistically, cases with p<.05 were considered significant.Results: A total of 281 participants, with a mean age of 40.09 +/- 12.35 years and 56.2% women, were included in the study. The mean depression score of the participants in HADS was 7.43 +/- 3.85. The mean anxiety score was 8.11 +/- 4.04. 61.6% of the participants had depression and 31.0% had anxiety. According to Chaid's analysis, the most effective factor on anxiety and depression scores was that the fear of contracting the COVID-19 infection exhausted the individual. Conclusion: As a result of the research, it was found that the frequency of depression and anxiety was high in patients who applied to the pandemic outpatient clinic. It was determined that more than half of the participants were afraid of catching an infection and this fear caused fatigue in them. Mental health should not be ignored during the pandemic period and both physical and mental health of people should be protected with holistic approaches.Öğe The Factors Related with Behaviors and Approaches of Mothers in Avoiding Children from Gastroenteritis(Georg Thieme Verlag Kg, 2019) Durduran, Yasemin; Kandemir, Bahar; Pekcan, Sevgi; Evci, ReyhanGastrointestinal infection is an important public health problem in children and is frequently seen in developing countries due to low socioeconomic status and education levels, not obeying hygiene rules, and lack of environmental sanitation. Prevention of diarrheal diseases and raising the awareness of the mothers about diarrhea/gastroenteritis is a very important subject. The aim of this study was to evaluate the knowledge and attitude of the mothers, who attended a pediatric outpatient clinic for any reason, about the management and prevention of gastroenteritis in children. This cross-sectional study was performed in Konya, Turkey. The study was carried out with mothers who attended the pediatric outpatient clinic of a faculty of medicine and who had a baby between 0 and 2 years of age. Surveys prepared according to the literature, were used for collecting data. Descriptive statistics, chi-square test, and independent t-test were used for data analysis. Ap-value of < 0.05 was considered to be significant. The mean age of mothers was 31.7 +/- 7.2 years. Of all the mothers, 97.2% had short nails, 76.3% regularly cleaned their nails once a week, and 92.2% used soap for hand washing every time. A mean score of 8.7 +/- 2.8 for a question giving 12 situations where hand washing was necessary was obtained. Of the mother's babies, 40.3% had had diarrhea at least once. In terms of giving baby water and changing feeding behavior during diarrhea/gastroenteritis, significant differences were found between mothers whose babies had diarrhea/gastroenteritis previously and those whose babies had not experienced diarrhea/gastroenteritis. 83.6% of mothers had never heard about vaccination against rotavirus. Washing hands correctly and mothers' knowledge about proper water and food hygiene are important points in protecting children against diarrheal and gastroenteritis diseases. However, there is lack of knowledge and good practice, both in protecting children from, and managing children with, diarrhea. Thus, we believe that it would be beneficial to inform and educate mothers with little children, regularly about these issues.Öğe GPER-1 in chronic hepatitis B(Elsevier, 2020) Kandemir, Bahar; Ates, Selma; Kurutas, Ergul Belge; Durduran, Yasemin; Erayman, Ibrahim; Bitirgen, MehmetEstrogen has a significant role in regulating cell proliferation, growth, migration, aging, and many disease states. Estrogen shows its effects through estrogen receptors alpha, beta, and G protein-coupled estrogen receptor 1 (GPER1). The aim of this study is to evaluate serum GPER1 levels and its relationship with fibrosis score in chronic hepatitis B patients. The cases were selected from two university hospitals and consisted of patients who had not previously been treated for hepatitis B, were over 18. Quantitative sandwich enzyme immunoassay technique was used for measuring the serum levels of GPER1. The data evaluated were analyzed by using the statistical tests. Out of the 65 cases; 26 (40%) had hepatitis B, 39 (60%) were controls. Patients underwent liver biopsy. GPER1 levels were significantly high in Hepatitis B group (p < 0.001). Out of the 26 hepatitis B patients; 21(80,8%) had low-stage fibrosis, 5(19,2%) had high-stage fibrosis. When the GPER1 level was >= 017600000 the sensitivity, specificity, positive predictive value, and negative predictive value for the hepatitis B patients were found to be 96%, 87,7%, 96%, and 92,8%, respectively. GPER levels have shown high expression in patients with chronic hepatitis B.Öğe Inhaled Dry Powder Mannitol Treatment in Pediatric Patients with Cystic Fibrosis: Evaluation of Clinical Data in a Real-World Setting(Mary Ann Liebert, Inc, 2022) Duman, Ipek; Uenal, Gokcen; Yilmaz, Asli Imran; Gueney, Ahmet Yasin; Durduran, Yasemin; Pekcan, SevgiBackground: Cystic fibrosis (CF) is a genetic disorder, in which defective clearance of airway secretions leads to progressive lung function loss. Inhaled mannitol is used to increase sputum and mucociliary clearance. There are little data from real-world studies on the effectiveness of mannitol in children. Our objective was to evaluate the spirometry and clinical results of mannitol in pediatric patients.Methods: We retrospectively reviewed the records of 30 children and adolescents with CF receiving inhaled mannitol who were already on recombinant human deoxyribonuclease (rhDNase) treatment. The change in forced expiratory volume in 1 second (FEV1) from baseline at 2-4 months was the primary outcome. Secondary measures were other spirometry results, body mass index (BMI), hospital admissions, sputum characteristics, and positive bacterial colonization.Results: Compared to baseline, we found significant improvement in percent predicted FEV1 at 2-4 months of treatment; 84.50 (58.00-99.00) vs. 96.00 (66.00-106.00) (P = 0.0007). The absolute change in FEV1 was +11.5% at 2-4 months, +6.5% at 5-7 months, and +4% at 8-12 months. Also, significant improvements in other spirometry results were observed. Adolescents had significantly lower FEV1 results, but the improvement in their lung function was sustained for a more extended period than children. Mannitol provided easier sputum removal, increased sputum volume, significant decline in hospitalizations, and significantly fewer patients with positive sputum cultures. A significant increase in BMI at 8-12 months was observed. Cough was the most frequent adverse effect.Conclusion: In a real-world setting, our results demonstrated that adding mannitol to rhDNase therapy is tolerable in pediatric patients with CF and may provide improved spirometry and clinical outcomes. In addition, our results showed that mannitol provided recovery in overall lung function at 2-4 months, which was sustained up to 12 months together with improved BMI, easier sputum removal, and a decline in bacterial colonization and hospital admissions. However, cough was the most frequent side effect.Öğe Konya-Meram’da Dumansız Hava Sahası Denetimi Yapan Ekiplerin Karşılaştıkları Sorunlar(2017) Demir, Lütfi Saltuk; Tunçez, İsmail Hakkı; Durduran, Yasemin; Uyar, Mehmet; Şahin, Tahir KemalAmaç: Ülkemizde tütünle mücadele konusunda kapsamlı olarakbirçok plan ve program yürütülmekte, aynı zamanda il tütün kontrol kurulları tarafından tütün denetimleri düzenli olarak yapılmaktadır.Ancak denetimleri yapan ekipler çeşitli sorunlarla karşılaşmaktaolup, bu durum denetimlerin etkinliğini ve sürekliliğini azaltmaktadır.Bu çalışma ile dumansız hava sahası denetimi yapan ekiplerinkarşılaştıkları sorunların belirlenmesi amaçlanmıştır.Materyal ve Metot: Kesitsel tipte olan bu çalışmaya, Konya iliMeram ilçesinde son bir yıl içerisinde dumansız hava sahası denetimiyapan ve çalışmaya katılmayı kabul eden Toplum Sağlığı Merkezi,İlçe Emniyet Müdürlüğü ve Belediye Zabıtası çalışanları dahil edildi.Katılımcılara literatür taranarak ve ilgili mevzuat incelenerek araştırmacılartarafından hazırlanan veri toplama formu uygulandı. Elde edilenverilerin analizi bilgisayarda istatistik paket programı kullanılarakgerçekleştirildi.Bulgular: Araştırmaya katılanların %40,0’ı Emniyet Müdürlüğü,%35,0’i Belediye Başkanlığı, kalan %25,0’i ise Toplum SağlığıMerkezi’nde çalışmaktaydı. Son bir yıl içinde denetim ekibininyaptığı denetim sayısı ortancası 100 (2–2000) idi. Toplum SağlığıMerkezi’nde çalışan personelin Emniyet ve Belediye ekiplerindendaha fazla denetim yaptığı tespit edildi. Denetimler esnasındaherhangi bir sorunla karşılaştığını ifade eden katılımcıların oranı%49,0’du. En çok sorunla karşılaşan grubun Toplum SağlığıMerkezi çalışanları olduğu saptandı. Tütün denetimi yapan katılımcılarınen çok karşılaştığı üç sorun sırasıyla; sözel saldırı (%44,9),tehdit edilme (%22,4) ve fiziksel saldırı (%14,3) olarak tespit edildi.Sonuç: İş yükünün büyük çoğunluğunu üstlenen ve aynı zamandadaha çok sorunla karşılaştığı düşünülen Toplum Sağlığı Merkeziekiplerine tütün denetimleri esnasında polis veya jandarma ekiplerinineşlik etmesi faydalı olacaktır.Öğe Patient Knowledge, Attitudes, and Behaviors Associated with Organ Donation(Int Scientific Information, Inc, 2019) Uyar, Mehmet; Demir, Lutfi Saltuk; Durduran, Yasemin; Evci, Reyhan; Ardic, Zehra Diker; Sahin, Tahir KemalBackground: This study compared the knowledge, attitudes, and behaviors associated with organ donation and transplantation among patients undergoing dialysis versus those visiting family health centers (FHCs). Material/Methods: This cross-sectional study included patients undergoing hemodialysis treatment at the Meram Medical Faculty and those visiting FHCs in Meram district for other reasons. Results: The study participants were 128 individuals visiting FHCs and 111 patients undergoing dialysis. Of these, 169 individuals (70.7%) correctly answered the question What is brain death? The knowledge level in the FHC group was higher than that in the dialysis group. Less than half of the individuals indicated willingness to donate an organ. Furthermore, subjects in the dialysis group were more likely than those in the FHC group to answered no to the question Would you be willing to donate an organ to someone of a different religion? Conclusions: Positive attitude towards organ transplantation and donation does not necessarily reflect positive behavior these 2 groups.Öğe Patient Knowledge, Attitudes, and Behaviors Associated with Organ Donation(Int Scientific Information, Inc, 2019) Uyar, Mehmet; Demir, Lutfi Saltuk; Durduran, Yasemin; Evci, Reyhan; Ardic, Zehra Diker; Sahin, Tahir KemalBackground: This study compared the knowledge, attitudes, and behaviors associated with organ donation and transplantation among patients undergoing dialysis versus those visiting family health centers (FHCs). Material/Methods: This cross-sectional study included patients undergoing hemodialysis treatment at the Meram Medical Faculty and those visiting FHCs in Meram district for other reasons. Results: The study participants were 128 individuals visiting FHCs and 111 patients undergoing dialysis. Of these, 169 individuals (70.7%) correctly answered the question What is brain death? The knowledge level in the FHC group was higher than that in the dialysis group. Less than half of the individuals indicated willingness to donate an organ. Furthermore, subjects in the dialysis group were more likely than those in the FHC group to answered no to the question Would you be willing to donate an organ to someone of a different religion? Conclusions: Positive attitude towards organ transplantation and donation does not necessarily reflect positive behavior these 2 groups.Öğe Relationship between acanthosis nigricans, acrochordon and metabolic syndrome in patients with lichen planus(Wiley, 2021) Daye, Munise; Temiz, Selami Aykut; Isik, Begum; Durduran, YaseminAim In the literature, there are no data examining the association with lichen planus with acanthosis nigricans and acrochordon, which are skin findings of metabolic syndrome (MS). Materials A total of 108 lichen planus (LP) patients, age and sex-matched 109 controls, 217 patients in total were prospectively included in the study. Results Metabolic Syndrome was found in 55 (50.9%) of 108 patients with lichen planus and 36.7% in the control group. The frequency of MS in the lichen planus group was found to be significantly higher than that in the control group (P = .03). The incidence of acanthosis nigricans (AN) was statistically higher in the LP group (P = .009). In addition, while 38 of 47 AN patients in the LP group had MS, 17 of 61 patients without AN had MS, and the presence of MS was found significantly higher in LP patients with AN (p<0.001). The incidence of acrochordon was statistically higher in the LP group (P = .03). In addition, while 43 of 62 patients with acrochordon in the LP group had MS, 12 of 46 patients without acrochordon had MS, and the presence of MS was found significantly higher in patients with LP with acrochordon (P < .001). Conclusion In our study, it was found that skin findings such as AN and acrochordon increased in patients with lichen planus. This increase was also observed in lichen planus patients with metabolic syndrome. Therefore, the association of acanthosis nigricans and acrochordon may be a predictive of metabolic syndrome in patients with lichen planus admitted to the dermatology outpatient clinic.Öğe A sample of paediatric residents' loneliness-anxiety-depression-burnout and job satisfaction with probable affecting factors(Pakistan Medical Assoc, 2015) Karaoglu, Nazan; Pekcan, Sevgi; Durduran, Yasemin; Mergen, Haluk; Odabasi, Dursun; Ors, RahmiObjective: To assess levels of anxiety, depression, loneliness, burnout and job satisfaction among paediatric Residents, and how they influence each other. Methods: The cross-sectional study was conducted at Necmettin Erbakan University, Meram, and Konya Meram Education and Research Hospital, Turkey from January to June 2011, and comprised paediatric Residents and their counterparts from other departments who formed the control group. While maintaining confidentiality, a questionnaire was used to collect data that had elements of the University of California, Los Angeles, Loneliness Scale, Hospital Anxiety and Depression Scale, Maslach Burnout Inventory and Minnesota Job Satisfaction Questionnaire. SPSS version 13 was used for statistical analysis. Results: Overall there were 74 Residents in the study; 43(58%) working with the paediatrics department, and 31(42%) in the control group. Overall mean age was 27.60+/-2.25 years. Residents who were not satisfied with the city they were living in, with their professional career and who would not choose the same career given a second chance were feeling more lonely and had higher loneliness scores (p<0.05). In contrast, anxiety among female Residents who were unsatisfied with their professional career and working conditions was significantly high (p<0.05). Positive correlation was detected between the burnout levels of Residents and their anxiety, depression and loneliness scores (r=0.74; r=0.65; r=0.36). In terms of intrinsic, extrinsic and total job satisfaction, there was an obvious negative correlation (r=-0.57; r=-0.54; r=-0.61). Conclusion: Working conditions and professional liability were the main factors affecting the Residents. Informed decision and career willingness may help them feel better.Öğe Social Attitude Towards COVID-19 Vaccine 1 Year After the Pandemic(Doc Design Informatics Co Ltd, 2022) Durduran, Yasemin; Aktug-Demir, Nazlim; Demir, Lutfi Saltuk; Kandemir, Bahar; Duman, Ipek; Yucel, MehtapObjective: To increase vaccine awareness, we aimed to determine individuals' knowledge and behavioral approach to the COVID-19 vaccine. Methods: The data of this cross-sectional study were obtained online between June and July 31, 2021. One thousand one hundred seventy-six people over the age of 18 were included in the study. The researchers developed a data collection form consisting of 27 questions. Mean +/- standard deviation and median (1st quarter-3rd quarter) values, numbers, and percentages were used to summarize the data. Chi-square (chi(2)) test was used to show the relationship between categorical variables. Independent predictors of participants' vaccine hesitancy/rejection were analyzed using logistic regression. Statistically, data with p<0.05 were considered significant. Results: A total of 1176 people, 55.7% of whom were women, with a mean age of 39.75 +/- 11.27 years, were included in the study. 71.6% of the participants were married, and 78.9% had a university/postgraduate degree. 9.7% of the participants stated that they were hesitant about the COVID-19 vaccine, and 7.1% refused the COVID-19 vaccine or would not be vaccinated when it was their turn. According to the logistic regression model established to examine the factors that may affect vaccine rejection; Age, the resources used to obtain information about the vaccine, the thought that it would not protect for two years, or the vaccine side effects were high, and the most effective way to get rid of the pandemic was not vaccination, were determined as the factors affecting vaccine rejection. Conclusion: As a result of the research, it was found that the participants had a positive attitude towards the COVID-19 vaccine. It was determined that 9.7% of the study group had vaccine hesitancy, and 7.1% had vaccine rejection.Öğe Traditional practices of Konya women during pregnancy, birth, the postpartum period, and newborn care(2016) Okka, Berrin; Durduran, Yasemin; Değerli Kodaz, NeslihanBackground/aim: The purpose of the present study was to identify traditional practices and the extent to which they are practiced by mothers during pregnancy, birth, the postpartum period, and newborn care. Materials and methods: This study was conducted in the city center of Konya (Turkey). Data were collected through questionnaires completed by volunteers. The research sample comprised 450 mothers, all of whom had given birth to at least one live baby. The forms were completed during face-to-face interviews. Results: Some traditional pregnancy practices were followed by 70.7% of the participants. Of the women who performed these practices, 57.4% consciously chose foods they craved, tried not to take nutrients believed to be unsuitable in pregnancy, and took nutrients believed to influence the sex of the baby; 85.6% reported breastfeeding their babies in the first 4 h after birth and 9.7% waited for the first call to prayer (azan) to start breastfeeding. Additionally, 72.2% of the mothers reported performing kırklama (making the forties), a ceremony performed to celebrate the 40th day after a babys birth. Conclusion: Most of the women who participated in the study still followed some traditional practices and rituals during pregnancy and the postpartum period. Therefore, health care professionals should provide health education that accounts for the womens cultural and social environment.Öğe Traditional Practices Performed by Nurses During Postpartum Period(Marmara Univ, Inst Health Sciences, 2021) Aygor, Hamide; Durduran, Yasemin; Ege, EmelObjective: In order to provide a quality health service, the awareness of traditional practices of healthcare providers, especially nurses, is as important as the understanding of the illnesses and health perception of those receiving care and their approaches to contemporary and traditional practices, because nurses' own cultural values and beliefs can affect their decisions and attitudes toward the patients. . Methods: This descriptive study was performed with female nurses with children and working in a university hospital. The sample was not determined by using any special method of selection. The study was completed with the participation of 316 nurses who volunteered to participate in the study. The participation rate was 82%. Data were collected from October 2018 to April 2019 by using a survey form developed by the researchers based on the literature Results: Of the nurses, 91.5% thought traditional practices were important but 8.5% thought that such practices were unimportant to prevent/ resolve health-related problems. The most common first three practices that the nurses implemented to prevent puerperal fever included fortieth-day baths (44.3%), praying (37.3%), and not staying home alone (28.2%). Conclusion: It is important for nurses to be aware of their viewpoints against traditional practices as to understanding transcultural care and providing service in this direction.