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Traumatic breastfeeding experience in women: Scale development, validity and reliability study
No full textBackground: Women's experiences of breastfeeding, their perspectives on breastfeeding and the meanings they attach to it can be very different. Breastfeeding, which is considered a healthy, physiological and natural process, can be differentiated and become a traumatic experience. In this context, the aim of the study was to develop the Traumatic Breastfeeding Experience Scale and to conduct a validity and reliability study. Methods: This methodological study was conducted with 480 women admitted to the Obstetrics and Gynecology Clinic of a public hospital. Data were collected face-to-face. Both content (content validity index) and construct validity (exploratory and confirmatory factor analysis) of the draft scale that the researchers created as a result of the literature review were examined. In the reliability analysis, Cronbach's alpha reliability coefficient, item discrimination, item-total score correlations and test-retest method were used. Results: As a result of the psychometric analysis, it was concluded that the Traumatic Breastfeeding Experience Scale, which was collected under 5 sub-dimensions and 28 items, is a valid and reliable measurement tool. The Cronbach's alpha value of the scale was 0.72 and the test-retest reliability was 0.99. Conclusions: The Traumatic Breastfeeding Experience Scale was found to be a valid and reliable measurement tool that can be used to assess the prevalence of experience of breastfeeding as traumatic. The scale developed in this direction is recommended to be used in future research and individual clinical evaluations
The Effect of the Injectable Platelet-rich Fibrin on Peri-Implant Soft Tissue Phenotype: Case Series
No full textTwo Leading Players In Global Health Tourism: A Comparison of Türkiye and India
No full textAbstractHealth tourism, defined as traveling to different countries for medical treatment, has seen significantgrowth in recent years. Türkiye and India are two of the leading destinations in this field. Bothcountries have established unique structures that combine high-quality healthcare services withaffordable prices. This attracts millions of international patients seeking a wide range of services, fromcosmetic surgery to advanced oncological treatments. The quality of healthcare services offered by thetarget countries is one of the key factors contributing to the growth of health tourism. Both India andTürkiye have advanced healthcare systems equipped with modern medical technology and staffed byqualified professionals. Many hospitals in these countries have received accreditation fromorganizations such as the Joint Commission International (JCI). These accreditations ensure thathospitals provide services that meet international standards in terms of quality, safety, and patient care,thereby providing reliability for medical tourists. For international patients seeking safe, high-qualityhealthcare, these certifications play a decisive role in selecting facilities.The healthcare tourism services offered by Türkiye and India were evaluated using the SWOT analysismethod developed by Albert S. Humphrey. This method enables a comprehensive examination of thecurrent situation by systematically identifying the relevant countries' strengths, weaknesses,opportunities, and threats in the field of healthcare tourism. In conclusion: This study compared thehealth tourism sectors of Türkiye and India using SWOT analysis to identify the competitiveadvantages and areas for development of both countries. Quality standards, coordination, andadherence to ethical principles are key to sustainable success. Quality standards, coordination, andadherence to ethical principles are key to sustainable success.</p
The role of peritubular capillaritis in severity of lupus nephritis
No full textBackground & Objective: Presence of lupus nephritis is associated with a shorter time to death in systemic lupus erythematosus. The aim of this study was to determine the frequency of peritubular capillaritis (ptc) and its relationship with both active and chronic lesions in lupus nephritis. Material-Methods: Specimens from 57 patients were re-evaluated. The degree of inflammation within the peritubular capillaries in each biopsy was assessed according to the Banff classification, and ptc scoring was performed. Additionally, patients were grouped based on high/low activity and chronicity index scores. Results: Forty-five (78.9%) of the patients were female, with a mean age of 27.43 years. Ptc was identified in 45 (78.9%) patients, with ptc scores of 1, 2, and 3 observed in 20 (35.08%), 20 (35.08%), and 5 (8.7%) patients, respectively. Severe ptc (scores 2 or 3) was more commonly detected in patients with elevated serum creatinine (>1.20 mg/dL) compared to those with normal creatinine levels (92.3% vs 29.5%, p < 0.001). The severity of ptc was higher in Class 4 patients than in Class 3 patients (68.2% vs 21.7%, p = 0.005). The rate of high ptc scores was greater in patients with an activity index of 6 or above compared to those with an activity index below 6 (62.5% vs 30.3%, p = 0.032). No significant correlation was found between the chronicity index and ptc. Conclusions: The findings of this study suggest that ptc is a frequently observed pathological feature in patients with lupus nephritis. Furthermore, the severity of ptc appears to be positively associated with elevated serum creatinine levels, and higher ptc scores are more commonly detected in cases with a high activity index
Hemşirelik Alanında Yaşam Doyumu ve Anksiyete Konulu Araştırmalar: Scopus Veri Tabanına Dayalı Bibliyometrik Analiz
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