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Publication Metadata only Adaptation of the menstrual symptom questionnaire into Turkish(Gülhane Military Medical Academy, 2014) Güvenç, Gülten; N/A; N/A; Seven, Memnun; Akyüz, Aygül; Faculty Member; Faculty Member; School of Nursing; School of Nursing; 32470; 42416Aim: It is aimed to adaptation of the Menstrual Symptom Questionnaire into Turkish in this study. Methods: A total of 356 students were included in the methodological study. The demographic data questionnaire, Menstrual Symptom Questionnaire (MSQ), and Visual Anolog Scale for pain (VASP) were used as tools for data collection. The SPSS 15.0 package software was used for the evaluation of the data obtained from the study. Its validty was assesed by using content, structure, criterion related validity and, its reliability was assesed by using internal consistency and consistency over time. Results: The mean age of the participants was 21,35 ± 1.12 years (range, 18-23 years), the mean onset age of menarche was 12,99 ±1,38 years, the mean duration of menstruation was 5,31 ± 1,15 days, and the mean frequency of menstruation was 29,03 ±5,67 days. As a result of factor analysis limited with the three factors, three factors explaining %50.99 of the total variance and loading more than 1 were found. There is also, a strong and statistically meaningful relationship between VAS and MSQ total score (r= 0.603, p<0.000), MSQ Factor 1 (r=0.517, p<0.000), MSQ Factor 2 (r= 0.564, p<0.000) ve MSQ Factor 3 (r=0.429, p<0.000). Cronbach alpha value was measured as 0.92 for the total MSQ score. The correlation coefficient was found as 0.89 (p<0.001) between the test-retest assesments. Conclusion: According to the internal consistency, test-retest stability coefficient and factor analysis and criterion-related validity tests’ results, the Turkish translated version of the MSQ is a reliable, consistent and valid instrument for assessing symptoms regarding menstruation in Turkish adolescents. / AMAÇ: Bu araştırmada, Menstrüasyon Semptom Ölçeğinin Türkçeye uyarlanması amaçlanmıştır.YÖNTEM: Metodolojik tipteki bu araştırmanın örneğini 2012-2013 eğitim ve öğretim yılında Ankaradabir hemşirelik yüksekokulunda okuyan toplam 356 öğrenci oluşturmuştur. Araştırma verilerintoplanmasında, Veri Toplama Formu , Visual Analog Skalası (VAS) ve 2009 yılında, Negriff ve ark.tarafından düzeltilen Menstrüasyon Semptom Ölçeği (MSÖ) kullanılmıştır. İstatistiksel analizlerdeSPSS 15.0 (SPSS, Chicago, IL, USA) kullanılmıştır. Ölçeğin geçerliliği; dil, içerik, yapı ve ölçüt bağıntıl geçerlilik ile güvenilirliği ise iç tutarlık ve zamana göre değişmezlik için gerekli analizler yapılarakdeğerlendirilmiştir.BULGULAR: Bu çalışmada değerlendirilen katılımcıların yaş ortalamalarının 21,35 ± 1,12, ortalamamenarş yaşlarının 12,99 ±1,38, ortalama menstrüasyan sürelerinin 5,31 ± 1,15 gün ve ortalama menstrüalsiklus uzunluklarının 29,03 ±5,67 gün olduğu belirlenmiştir. MSÖnün alt boyut sayısı orijinal ölçekteolduğu gibi üç ile sınırlandırılarak gerçekleştirilen yapılan faktör analizi sonucunda toplam varyansın%50,99unu karşılayan ve özdeğeri 1den yüksek olan 3 faktör bulunmuştur. VAS ile MSÖ toplam puan(r= 0,603, p<0.000), MSÖ Faktör 1 (r=0,517, p<0.000), MSÖ Faktör 2 (r= 0,564, p<0.000) ve MSÖFaktör 3 (r=0,429, p<0.000) puan ortalamaları arasında anlamlı ve güçlü bir ilişki olduğu belirlenmiştir.Cronbach alfa değeri MSÖ toplam puanı için 0.92dir. İki uygulama arasındaki korelasyon katsayısı 0,89hesaplanmıştır.SONUÇ: İç tutarlık katsayısı, test-tekrar test kararlılık katsayısı ve açıklayıcı faktör analizi ve ölçüt- bağıntılı geçerlik analizlerinden elde edilen sonuçlar, MSÖnün Türkçede geçerlik ve güvenirlikbulgularının yeterli düzeyde olduğunu ve Türk adölesanlarında menstrüasyona ilişkin semptomlarındeğerlendirilmesinde kullanılabileceğini göstermektedir.Publication Metadata only Connectors as a risk factor for blood-associated infections (3-way stopcock and needleless connector): a randomized-experimental study(Mosby-Elsevier, 2020) Güven, Betül; Kaya, Nurten; Şengül, Tuba; Ocakçı, Ayşe Ferda; Faculty Member; Faculty Member; School of Medicine; 59230; 1729Background: Microorganisms causing catheter-related bloodstream infections colonize to intravenous catheters (IVC)-particularly to connectors mounted to catheters. The aim of this study was to examine the colonization in 3-way stopcock (TWS) connectors and needleless connectors (NCs) that integrated into central, port, and peripheral venous catheters. Methods: This random, experimental study consisted of 180 connectors that were inserted into the IVCs of patients in general surgery, reanimation intensive care, and daily chemotherapy units. Cultures of the connectors were obtained at least 48 hours after connecting to IVCs. Results: This study showed that gram-negative, gram-positive, and other pathogens reproduced, although their colonization level was not high enough to develop an infection. When the results of colonization for patients using TWS and NC were compared, the peripheral venous catheters (using a TWS) resulted in a significantly higher increase in reproduction than in patients using NC (P ≤ .01) and no significant difference in the level of colonization in other types of connectors or catheters (P ˃ .05). Conclusions: The study's results indicated no significant difference between NC and TWSs in terms of reproduction. It should also be noted that connectors integrated into IVC pose a risk in the development of catheter-related bloodstream infections.Publication Metadata only COVID-19 barriers and response strategies for refugees and undocumented migrants in Turkey(Elsevier B.V., 2020) Bahar Özvarış, Şevkat; Mardin, Deniz; Ekzayez, Abdulkarim; Meagher, Kristen; Patel, Preeti; Kayı, İlker; Sakarya, Sibel; Faculty Member; Faculty Member; School of Medicine; School of Medicine; 168599; 172028Introduction: With more than 40 million confirmed cases of COVID-19 globally, the pandemic is continuing to severely challenge health systems around the world. Countries with high numbers of refugees face an additional burden on COVID-19 preventive and curative services made available and accessible to refugees. Turkey hosts the largest number of refugees globally, with a total of 4 million in 2020. Over 98% of refugees in Turkey reside in urban areas in large, crowded cities such as Istanbul, Gaziantep, and Hatay posing severe challenges for all health responses, including COVID-19. This study provides insights and analysis on the current situation for refugees, migrants under temporary protection and undocumented migrants in Turkey by focusing on the right to health and access to health care under pandemic conditions. Its main aim is to discuss the challenges and opportunities for COVID-19 responses relating to refugees, migrants under temporary protection and undocumented migrants in Turkey. Methods: This is a non- systematic and exploratory literature review from academic and grey sources. We reviewed published documents, meeting summaries, media reports/news and policy briefs in Turkish and English on the COVID-19 response in Turkey. Results: Since the start of the COVID-19 outbreak in Turkey, the Ministry of Health (MoH) has taken various steps to provide health care for all residents. However, several challenges arise when providing health care to refugees, migrants under temporary protection and other undocumented migrants including language barrier in accessing reliable information and access to health services for existing chronic conditions. Conclusion: While refugees, migrants under temporary protection and undocumented migrants have been granted access to services for COVID-19 related health problems, social and cultural barriers remain beyond the current legislation. Solidarity and whole-of-society inclusive approaches should always be the guiding principles in the COVID-19 response.Publication Metadata only Health-related quality of life and perceived health status of Turkish population(Springer, 2019) Horasan, Gönül Dinç; Selçuk, Kevser Tarı; Sözmen, Kaan; Ergör, Gül; Yardım, Nazan; Sarıoğlu, Gülay; Soylu, Meltem; Keskinkılıç, Bekir; Buzgan, Turan; Hülür, Ünal; Ekinci, Halil; Ekinci, Banu; Ünal, Belgin; N/A; Sakarya, Sibel; Faculty Member; School of Medicine; 172028Purpose: This study was conducted to assess the health-related quality of life (HRQOL) and perceived health status of the Turkish population. Methods: The data came from a nationwide survey, which was conducted by Ministry of Health on prevalence and risk factors for chronic diseases in Turkey, with a representative random sample of 18,477 people aged >= 15 years from Turkey. Each family physician invited two individuals selected from their registered population to the Family Health Center, conducted the survey by face to face interviews using an electronic form. HRQOL was determined using EQ-5D-3L scale. Results: In Turkish population, each four women out of 10, two men out of 10 have problems in pain/discomfort and anxiety/depression dimensions of the scale; three women out of 10, one man out of 10 have some or severe problems in mobility. Proportion of people without health problems (health state 11,111) were 64,1% in men, 40,7% in women. The mean VAS score for males was 71.50.2 (95% CI 70.9-72.1), 66.4 +/- 0.2 (95% CI 65.8-66.9) for females (p < 0.05).The most important determinants of having a problem in any of the five dimensions are age, gender, education, diabetes mellitus, coronary heart disease, stroke, alzheimer, cancer, renal failure. The OR of having some or severe problems in any dimensions was 4.6 (95% CI 38-5.4) for over 65-74 and 7.5 (95% CI 5.8-9.6) for over 75 compared to 15-24 age group. Conclusions: The perceived health level and HRQOL is worse in women, in older age groups, in people from lower socioeconomical status.Publication Metadata only How group education impacts female factory workers' behavior and readiness to receive mammography and Pap smear(Ios Press, 2015) Bahar, Mine; Erdoğan, Hatice; N/A; N/A; Seven, Memnun; Akyüz, Aygül; Faculty Member; Faculty Member; School of Nursing; School of Nursing; 32470; 42416Background: The workplace has been deemed a suitable location for educating many women at once about cancer screening. Objective: To determine how group education about early diagnostic methods for breast and cervical cancer effects women's behavior and readiness to receive mammography and Pap smear. Methods: This semi-interventional study was conducted at a textile factory in Istanbul, Turkey. Female workers (n= 125) were included in the study. A participant identification form and knowledge evaluation form developed for this study, along with the transtheoretical model, were used to collect data. A 45-min interactive group education was given to the participants. Results: Upon contacting participants 3 months after group education, 15.4% (n = 11) stated that they had since received a mammogram and 9.8% (n = 7) a Pap smear. As suggested by the transtheoretical model, group education increased participants' readiness to receive cancer screening, along with their knowledge of breast and cervical cancer. Conclusions: Group education positively impacted women's knowledge of cancer and their readiness to receive mammography and Pap smear. Group education can potentially create awareness of cancer screening tests among women and improve their readiness to receive such tests.Publication Metadata only Perceived barriers to mental health and substance use treatment among us childbearing-aged women: NSDUH 2008-2014(Routledge Journals, Taylor & Francis Ltd, 2021) Hall, Lynne; Crawford, Timothy; Hall, Martin; N/A; Salameh, Taghreed Nayel Mohammad; Faculty Member; School of Nursing; 329120This study compared and contrasted perceived barriers to mental health and substance use treatment among pregnant and non-pregnant women from 2008-2010 to 2011-2014. A trend study was conducted using secondary data from the National Survey on Drug Use and Health 2008-2014 from a propensity score-matched sample of pregnant (n = 5,520) and nonpregnant women (n = 11,040) aged 18 to 44 years. The most frequently perceived barriers to mental health treatment among all women ranked similarly in 2008-2010 compared to 2011-2014: cost (45.2% vs. 50.6%), opposition to treatment (41.9% vs. 41.4%), and stigma (28.2% vs. 24.7%). The rank order of barriers to substance use treatment in 2008-2010 among all women was cost (38.7%), stigma (18.2%), and time/transportation limitations (17%), whereas in 2011-2014, stigma ranked first (35.5%), followed by cost (25.9%) and time/transportation limitations (22.2%). In 2011-2014, the women were significantly more likely than women in 2008-2010 to report not knowing where to go (8.2% vs. .9%, p = .003) and a lack of substance use treatment programs (17.7% vs. 3.0%, p = .014). Perceived barriers to mental health treatment did not change overtime; however, there was a decrease in reported availability of substance use treatment programs between 2008-2010 and 2011-2014.Publication Metadata only Post-traumatic growth and its predictors among Syrian refugees in Istanbul: a mental health population survey(Elsevier B.V., 2020) Wen, Karen; McGrath, Michael; İlkkurşun, Zeynep; Fuhr, Daniela C.; Sondorp, Egbert; Cuijpers, Pim; Sijbrandij, Marit; Roberts, Bayard; Department of Psychology; Acartürk, Ceren; Faculty Member; Department of Psychology; College of Social Sciences and Humanities; 39271Aims: The negative mental health effects of exposure to trauma are well-documented. However, some individuals are theorized to undergo post-traumatic growth (PTG) after exposure to trauma, potentially experiencing positive psychological change across five domains: appreciation for life, relationships with others, new possibilities in life, personal strength, and spiritual change. PTG is less studied in forcibly displaced populations in low- and middle-income countries. This study aimed to explore levels of PTG and associated factors among Syrian refugee adults living in Istanbul, Turkey. Methods: A cross-sectional survey was conducted with 1678 respondents. This study analyzed PTG data from 768 individuals as measured by the Post-Traumatic Growth Inventory (PTGI). Descriptive analysis and univariate and multivariate least squares linear regression modeling were used. Factor analysis and Cronbach's alpha tests assessed the psychometric properties of the PTGI. Results: The sample exhibited a moderate level of PTG at 55.94 (SD=22.91, range 0–105). Factor analysis of PTGI revealed only four factors instead of five, and the PTGI yielded high internal reliability (Cronbach's α=0.90). PTG and post-traumatic stress disorder (PTSD) had a curvilinear relationship, with the highest PTG levels experienced by those with moderate PTSD levels. Five other variables were significantly associated with PTG: older age, less education, somatic distress, and history of an overnight stay at a health facility for mental health care were associated with lower PTG, while more years of education were associated with higher PTG. Conclusions: This study identified the role of the sociodemographic and psychological determinants that influence post-traumatic growth among Syrian refugees in Istanbul. These findings could be used to inform future research and programs seeking to understand PTG in refugees.Publication Metadata only Reliability and validity of a Turkish version of the sexual quality of life - male questionnaire: a methodological study(Csiro Publishing, 2018) Kılıç, Ayşe; Taştan, Sevinç; Ayhan, Hatice; Taçtan, Birhan; N/A; Seven, Memnun; Faculty Member; School of Nursing; 32470Background: The aim of this methodological study was to assess the reliability and validity of the Sexual Quality of Life - Male (SQoL-M) questionnaire translated and adapted to measure the sexual quality of life of men in Turkey and Northern Cyprus. Methods: To assess the reliability and validity of the Turkish version of the SQoL-M questionnaire, in January and February 2017 we formed a sample of 128 men from Ankara, Turkey, and Gime, Northern Cyprus, to complete the questionnaire. Two weeks later, 65 of these men completed the questionnaire during a retest. Factor analysis was conducted to evaluate the questionnaire's factor structure, internal consistency and test retest reliability analyses were used to assess reliability and Pearson's correlation coefficient was used to measure criterion related validity. Results: Cronbach's a for the Turkish version of the SQoL-M questionnaire was 0.91, with corrected item-total score correlations ranging from 0.432 to 0.819. The test-retest correlation, calculated to compare scale scores of both groups of participants, was 0.83 (P <0.001). We also observed a statistically significant relationship between the Turkish version of the SQoL-M questionnaire and the Arizona Sexual Experience scale. Conclusions: The Turkish version of the SQoL-M questionnaire is a valid, reliable instrument for evaluating the sexual quality of life of men in Turkey and Northern Cyprus.Publication Metadata only Response to a letter to the editor regarding "connectors as a risk factor for blood-associated infections (3-way stopcock and needleless connector): a randomized-experimental study"(Mosby-Elsevier, 2020) Guven, Betul; Ocakci; Kaya, Nurten; N/A; Şengül, Tuba; Ocakçı, Ayşe Ferda; Faculty Member; Faculty Member; School of Nursing; School of Nursing; 59230; 1729In our study, “Results of this study found no significant difference between rates of colonization in NCs and TWSs,” this sentence was perceived as a contradiction. This contradiction was explained in the letter by Devrim. In our study, as indicated by Devrim, there was a difference in the rate of colonization in needleless connectors (NC) and 3-way stopcock (TWS) attached to peripheral venous catheters, but no statistically significant difference was found in the rate of colonization in central and port catheters. This is stated in the abstract section with the following sentence: “When the results of colonization for patients using TWS and NC were compared, the peripheral venous catheters (using a TWS) resulted in a significantly higher increase in reproduction than patients using NC (P ≤ .01) and no significant difference in the level of colonization in other types of connectors or catheters (P ˃ .05).” The results section is associated with the other data obtained; it has been emphasized that connectors attached to intravenous (IV) catheters are a risk factor for catheter-related bloodstream infections. In addition, it is necessary for a scientific research to reach a general conclusion by discussing the findings with other literature. Indeed, studies comparing the effect of periferal intravenous catheter- integrated NC and TWS on the causing of infection are very limited, and available studies2,3 state that there is no difference between the 2 types of connectors. In addition, the number of injections, duration of use of the device, and microbial contamination rate were not confounders in both studies. In our study, the procedure for obtaining the culture from the connectors was carried out with attention, and this was stated in the study. Standard maintenance of catheters and connectors are summarized in Table 1. This table could not be shown in the study due to the publication standards of the Journal, but the process was summarized. In addition, clinical examinations of the patients were made in terms of signs of infection and body temperature measurements, and laboratory findings (C-reactive protein and blood leukocyte levels) were evaluated.Publication Metadata only Severe toxic skin reaction caused by a common anemone and identification of the culprit organism(Wiley-Blackwell, 2015) N/A; N/A; Tezcan, Özgür Deniz; Gözer, Özgür; Doctor; Doctor; N/A; N/A; Koç University Hospital; N/A; N/AIn a marine envenomation, identification of the culprit organism can be difficult. In this case report, we present our method to identify snakelocks anemone (Anemonia viridis or formerly Anemonia sulcata) as the culprit of a severe toxic skin reaction. A. viridis is one of the most common anemones of the Mediterranean Sea and the North Atlantic Ocean. It lives at a depth of up to 10 m. It is a member of the phylum Cnidaria, which includes jellyfish, anemones, hydroids, and corals. They have toxic organelles called cnidocysts that have the capacity to inject venom with microscopic harpoon-like structures. The cnidocysts of A. viridis may cause toxic and allergic reactions, and although its venom is one of the most studied cnidarian venoms, detailed case reports are rare.