Kütahya Health Sciences University Research Information System
Not a member yet
19078 research outputs found
Sort by
External Validation and Comparison of Current Scoring Systems in Encrusted Ureteral Stent Management: a Multicenter Study
No full textPurpose: To compare the external validation of four existing scoring systems for encrusted ureteral stents (EUS) and their relationship with stent indwelling time, stone-free rates, multiple surgery sessions, multimodal procedures, and prolonged operation times exceeding 120 minutes in total. Materials and Methods: The data of 208 patients who underwent surgery for EUS reviewed. All EUSs were evaluated with 4 scoring systems: ESB (encrusted stone burden), FECal (forgotten, encrusted, calcified), KUB (kidney, ureter and bladder), V-GUES (visual grading for ureteral stone burden). Results: As the duration of stent indwelling time prolonged, a significant increase is observed in the scores of ESB, FECal, KUB and V-GUES systems (p<0.001). In multivariate logistic regression analysis, V-GUES score (p=0.025) and stent indwelling time (p=0.014) in stone-free rate, FECal grade (p<0.001) in multimodal procedure requirement, FECal (p=0.002) and V-GUES (p=0.032) scores in multiple surgery sessions, and stent indwelling time (p=0.019) and KUB score (p<0.001) in prolonged operation time were found to be predictors. When the area under receiver operating characterictic (ROC) curves (AUC) of the nomograms were examined, V-GUES score (AUC=0.685) in stone-free rate, FECal grade (AUC=0.780) in multimodal procedure requirement, FECal grade (AUC=0.845) in multiple surgery sessions, and KUB score (AUC=0.860) in prolonged operation time were found to be superior. Conclusions: The management of EUSs is often challenging for urologists. Although the current scoring systems for EUS differ somewhat, it is important to use scoring systems to guide the management of these patients
Pelvic Floor Knowledge and Urinary Incontinence in Pregnancy: Clinical Trial
No full textImportance Knowledge of pelvic floor muscle (PFM) location, function,and antepartum exercises may prevent urinary incontinence (UI) symptoms.Objectives The objectives of this study were to evaluate the awareness ofPFMs and PFM exercises, including knowledge, training, and experience,among pregnant women and to investigate the relationship between PFMawareness and UI.Study Design This cross-sectional study involved 522 pregnant womenaged 18 years and older recruited from 8 centers. A questionnaire wasused to assess PFM awareness; knowledge of PFM exercises; trainingand experience with these exercises; and the presence of UI, pelvic organprolapse (POP), and fecal incontinence (FI). PFM knowledge andawareness were compared between pregnant women with andwithout UI.Results Of the 522 participants, 134 (25.7%) reported UI, 10 (1.9%)had POP, and 5 (1%) had FI. Among those with UI, 94 (70.1%) reportedthat their symptoms began during pregnancy. A significant proportion ofwomen demonstrated limited PFM knowledge: 379 (72.6%) wereunaware of PFM location, 385(73.8%) did not know PFM function, and380 (72.8%) had not heard of PFM exercises. Pregnant women withoutUI were more likely to report performing PFM exercises than those withUI (66.7% vs 37.5%, respectively, P=0.002). Furthermore, womenwithout UI were more likely to have performed PFM exercises for 8 weeksor more compared with those with UI (71.6% vs 40.0%, respectively,P=0.019).Conclusions This study highlights a concerning lack of knowledge andawareness regarding PFMs and PFM exercises among pregnant women.Educational programs are needed to improve understanding of PFMfunction and to provide instruction on correct PFM exercise techniques.</p
Training of Speech and Language Pathologists in Neurogenic Disorders: Enhancing Expertise and Awareness in Communication and Swallowing Disorders
No full textPurpose: Previous studies conducted in Türkiye (Turkey) have revealed that the level of knowledge and awareness regarding swallowing disorders in neurogenic conditions among speech and language pathology students or graduates is relatively low. Furthermore, differences in curricula across various institutions highlight the need for standardized education in this area. This study aimed to assess changes in the knowledge and awareness levels of speech and language pathologists, as well as their opinions about the training, by organizing an educational programme focused on neurogenic communication and swallowing disorders. Method: A total of 5 days (40 h) of training was carried out over three weekends, with the participation of 40 expert academicians from 20 different institutions. The training was attended by 247 participants on the first day. Before and after the training, a 40-question questionnaire was administered to measure the knowledge and awareness. One hundred and twenty-nine participants filled out both tests. After the training was completed, a 12-question evaluation questionnaire was applied to the participants. Results: The number of correct answers given by the participants who completed both the pre-test and post-test increased statistically significantly, from 19.09 ± 3.81 to 21.43 ± 3.67 (p < 0.001). The participants stated that their knowledge and awareness levels about the topics increased after the training, with a mean self-reported score of 8.99± 1.18 out of 10. Conclusions: This training event was the first of its kind in the field of speech and language pathology in Türkiye. While a statistically significant increase in knowledge and awareness was observed following the training, participants' overall knowledge levels remained relatively low. These findings underscore the need for additional and ongoing training to address existing gaps and further enhance professional competencies in this area. WHAT THIS PAPER ADDS: What is already known on this subject Neurological diseases affect individuals of all age groups and may lead to communication, feeding and swallowing disorders. These problems negatively affect the quality of life of affected individuals and their caregivers. There is a deficiency in the knowledge, awareness and self-confidence levels of speech and language pathologists (SLPs) and SLP students regarding neurogenic communication and swallowing disorders. What this paper adds to existing knowledge There is a need for training and support in the field of neurogenic communication or swallowing disorders both in Turkey and in other countries. In order to address this need, training on neurogenic communication and swallowing disorders was provided to 4th-year students in the SLP undergraduate programme and graduated SLPs in Turkey. What are the potential or clinical implications of this work? With this training, the knowledge and awareness levels of 4th-year students in the SLP undergraduate programme and graduate SLPs regarding neurogenic communication and swallowing disorders have increased. However, at the end of the training, there are still deficiencies in the knowledge levels of the participants, and it is thought that more training may be needed to overcome these deficiencies
Analysis Of Research Methodologies And Trends In Postgraduate Endodontic Theses In Türkiye
No full textBackground: Postgraduate theses in endodontics are crucial for assessing research trends andmethodological preferences, offering insights into the field's academic developments.Aim: This study aims to classify and analyze the distribution of postgraduate theses completedin the field of endodontics between 2021 and 2025, which are publicly accessible in the NationalThesis Center of the Council of Higher Education of Türkiye. The primary objective is todetermine the preference rates for different research categories and evaluate prevailingacademic trends within endodontics.Methodology: A comprehensive search was conducted in the publicly accessible onlinedatabase of the National Thesis Center of the Council of Higher Education of Türkiye, utilizingfilters for "Postgraduate Education in Dentistry," "2021-2025," and "Department ofEndodontics." The resulting academic studies were categorized into six research types: in vitro(technological) studies, in vitro (biological) studies, clinical studies, survey studies,bibliometric analyses, and retrospective studies. To assess the distribution of thesis numbersacross these categories, the Chi-square test was applied (p<0.05).Results: A total of 377 theses were analyzed, revealing a statistically significant differenceamong research categories (p<0.001). The most prevalent research category was in vitro(technological) studies, comprising 166 theses (44%). This was followed by in vitro (biological)studies with 109 theses (28.9%), clinical studies with 40 theses (10.6%), retrospective studieswith 35 theses (9.2%), and survey studies with 25 theses (6.6%). The least represented categorywas bibliometric analysis studies, with only 2 theses (0.5%).Discussion and Conclusion: There are notable variations in research methodologies within thefield of endodontics, with laboratory-based studies dominating the postgraduate theses in thisspecialty. The relatively low representation of patient-based studies indicates an opportunityfor further exploration of clinical applications. Future research efforts may benefit from anincreased focus on clinical </p
