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Investigation of Vocal Fatigue, Anxiety Level, and Perceived Communication Skills According To the Purpose of Mask Use During the Pandemic
No full textObjective: The use of face masks during COVID-19 causes communication difficulties. Determining the effects of face masks can provide precautions against possible voice problems. The aim of the study is to determine the difference between vocal fatigue and anxiety levels depending on the use of masks in basic and basic-professional activities. Materials and Methods: This study was conducted in a descriptive and cross-sectional design. Data were collected between March and May 2021. The study included 476 people aged 18-65 years. Participants were divided into two groups according to the purpose of mask use; “wearing masks only for essential activities” group (EA) and “wearing masks for essential-professional activities” group (EPA). Vocal Fatigue Index (VFI), Beck Anxiety Inventory (BAI), and Self-Assessment Questions were used in the study. All scales and subjective evaluation questions were transferred to Google Forms. The link was sent to participants living in Turkey with a letter of consent. Results: VFI-Factor 1, VFI-Factor 2, VFI-Factor 3, VFI Total, and BAI scores differed statistically significantly between the groups. VFI and BAI scores of the EPA group were found to be higher. There was a correlation between all factors of VFI and BAI scores. According to the results of regression analysis, it was found that the purpose of mask use and BAI score increased the VFI score. When the EPA group was masked, their results on respiratory control abilities, auditory perception, and speech intelligibility were shown to be lower. Conclusion: Regardless of the purpose of use, face masks have been found to reduce speech intelligibility, auditory feedback, and the ability to maintain breath control while speaking. The findings of our study suggest that longer mask use may increase the VFI score. © 2025 The Voice Foundatio
Evaluation of the Effectiveness of Resonant Voice Therapy in Patients with Functional Voice Disorder
No full textBengisu, Serkan/0000-0002-6580-1189Objective. This study aims to determine the effectiveness of resonant voice therapy (RVT) in patients with functional voice disorder and to examine the subjective and objective voice changes after the therapy. Study Design. This study adopted an experimental research design with a pretest-posttest control group. Method. Thirty-four women participated in the study-17 in the experimental group and 17 in the control group. Voice hygiene training and RVT were applied to the experimental group. The Turkish version of the Voice Handicap Index (VHI-10) and GRBAS (Grade, Roughness, Breathiness, Asthenia, and Strain) scale were used for subjective voice assessment. Voice recordings were subjected to acoustic analysis on the PRAAT program. After an 8-week therapy program, the same process was repeated for post-test assessment. Results. In the voice analyses performed after RVT, which was applied to patients with functional voice disorders, the results of the acoustic analysis showed statistically significant differences in jitter, PPQ5, RAP, shimmer, APQ11, and NHR parameters. Subjective voice analysis indicated a statistically significant decrease in VHI-10 scores from 20.88 +/- 5.33-9.06 +/- 3.3 in the experimental group. The GRBAS score was 4.29 +/- 1.2 before the therapy and 1.71 +/- 1.1 after the therapy, which is a statistically significant decrease. The results point out that RVT has been effective in improving the objective and subjective parameters of patients with functional voice disorders. Conclusion. RVT applied to patients with functional voice disorders provides significant improvement in acoustic and perceptual voice parameters. The RVT is an effective therapy method in the treatment of patients with functional voice disorders and should be considered as a therapeutic option
The Effect of Simulation-Based Electroconvulsive Therapy Education on Perception and Knowledge of Nursing Students: a Semiexperimental Study
No full textObjectives Despite the recognized benefits and safety of electroconvulsive therapy (ECT) for treating mental disorders, negative perceptions persist among both the public and mental health professionals. This stigma is often rooted in historical practices and media portrayals, despite modern advancements in the technique. This study aimed to assess the impact of simulation-based ECT education on nursing students' perceptions and knowledge regarding ECT before and after the procedure. Methods This study was planned to use a single-group pretest and posttest quasi-experimental design with a 3-month follow-up. Simulation-based ECT education involved 1 hour of theoretical instruction followed by hands-on learning using a high-fidelity mannequin. Final-year nursing students enrolled in a psychiatric and mental health nursing course were examined on their knowledge and perceptions of ECT before, immediately after, and 3 months following the intervention. Results Students reported statistically significant improvements in their perception and knowledge levels after participating in the simulation-based ECT education. The results were similar at the 3-month follow-up. Conclusions Simulation-based ECT education can be effectively integrated into both undergraduate and graduate nursing curricula to foster positive perceptions and enhance knowledge about ECT. Copyright © 2025 Wolters Kluwer Health, Inc. All rights reserved
Efficacy of Different Exercises in Women With Fibromyalgia Syndrome: a Randomised Controlled Trial
No full textObjective The objective of this study was to evaluate the impact of aerobic exercise, resistance exercise combined with aerobic exercise, and yoga exercises combined with aerobic exercise on pain and disease activity in patients with fibromyalgia syndrome (FM). Methods The study population comprised 60 individuals with FM who met the inclusion criteria. The participants were randomly assigned to one of three groups. The first group underwent aerobic exercise (n=20), the second group combined aerobic exercise with yoga (n=20), and the third group engaged in aerobic and resistance exercise (n=20). All exercise interventions were conducted for a total of 12 weeks. Disease activity was evaluated using the Fibromyalgia Impact Questionnaire (FIQ), while pain status was assessed with the Melzack-Melzack Pain Questionnaire (MMPQ). All assessments were conducted before and following the completion of the exercise programme. The clinical trial number of this study is NCT06006494. Results The measurements of the aerobic exercise and yoga group were significantly lower than those of the aerobic and resistance exercise group. A statistically significant difference was observed between the groups in terms of post-treatment MMPQ scores. The measurements of the aerobic exercise and yoga group were significantly lower than those of the aerobic exercise only and aerobic and resistance exercise groups. No statistically significant difference was observed between the post-treatment MMPQ scores of the aerobic and aerobic resistance exercise groups. Conclusion The combination of aerobic exercise and yoga is more efficacious in the treatment of FM than aerobic exercise alone or a combination of resistance exercises and aerobic exercise.Science Citation Index Expande
Perceived Stress and Performance of Daily Activities Among Emergency Healthcare Workers During the COVID-19 Pandemic
No full textBackground: During the COVID-19 pandemic, healthcare workers were exposed to intense stress in the emergency departments and sudden changes in their daily lives. Objective: The study aimed to investigate the impact of the pandemic on performance and participation in the activities of daily living, personal lives, and overall well-being of the healthcare workers in an emergency department. Methods: Seventy-eight people working in an emergency department of a university hospital (100% of those eligible) participated in the study during June-July 2022. A self-report survey, cross-sectional design was used to collect data. Participants completed the Perceived Stress Scale-10 (PSS) and the Canadian Occupational Performance Measure (COPM). Independent sample t-tests, Pearson correlation, and multiple regression analysis were used for statistical analysis. Results: There was a significant negative correlation between PSS and COPM Performance (r = −0.524) as well as between PSS and COPM Satisfaction (r = −0.508), indicating that higher levels of stress were associated with lower performance and satisfaction. In addition, work-related factors, including working experience, daily working hours, and time available for rest at work, were significantly associated with PSS, COPM Performance, and Satisfaction (p < 0.05). The strongest multivariate associations (p = 0.001) were found between lacking time to rest at work and PSS (direct) and COPM Performance and Satisfaction (inverse). Conclusion: The stress experienced by emergency healthcare workers during COVID-19 negatively impacted their performance, daily activities, personal lives, and well-being. A potential implication is that policy-makers addressing work-related factors and implementing regulations could improve the well-being of these workers in their professional practices. © 2025 Elsevier B.V., All rights reserved.Social Science Citation Inde
Multipl Skleroz Öz Yönetim Ölçeğinin Türk Toplumuna Uyarlanması: Geçerlik ve Güvenirlik Çalışması
Get PDFGiriş: Multipl Skleroz (MS), fiziksel ve psikolojik hasara neden olan ve oldukça değişken prognoza sahip kronik, otoimmün bir hastalıktır. Bireylerin fiziksel olarak bağımlı hale gelmesine neden olan semptom tedavisi dışında öz bakım becerilerinin geliştirilmesi oldukça önemlidir. Amaç: Araştırma Multipl Skleroz Öz Yönetim Ölçeği (MS-ÖYÖ) Türk toplumuna uyarlanması amacıyla metodolojik olarak planlandı ve uygulandı. Yöntemler: Araştırma, Temmuz 2019-Mayıs 2020 tarihleri arasında bir üniversite hastanesinin nöroloji kliniğine başvuran multipl sklerozlu bireylerle gerçekleştirilmiştir. MSSM-R’nin geçerlik ve güvenirliği 169 katılımcı ile test edilmiştir. Yapı geçerliliği doğrulayıcı faktör analizi (AMOS) ile incelenmiş, test–tekrar test güvenilirliği eşleştirilmiş örneklem t-testleri ve Pearson korelasyon analizi ile değerlendirilmiş ve iç tutarlılık Cronbach’s alpha ile belirlenmiştir. Ayrıca madde analizleri de yapılmıştır. Bulgular: MS-ÖYÖ geçerliği dil geçerliği, yapı geçerliği (DFA) ve kapsam geçerliği ile değerlendirilmiştir. Güvenirliğinde iç tutarlılık analizi (Cronbach’s Alpha) .88 oldukça yüksek bulunmuştur, madde toplam korelasyonu incelenmiş ve herhangi bir maddenin ölçekten çıkarılmamasına karar verilmiştir ve zamana karşı değişmezliğin değerlendirilmesi için test tekrar test güvenilirliği için 30 hastaya iki hafta ara ile ölçek tekrar uygulanmıştır. Sonuç: Multipl Sklerozlu bireylerin öz yönetimlerinin değerlendirmesi amacıyla Türk toplumuna uyarlanan MS-ÖYÖ geçerli ve güvenilir bir araçtır.”Türkçeye uyarlanan MSSM-R, geçerli ve güvenilir bir araç olup, multipl sklerozlu bireylerin öz-yönetim müdahalelerini desteklemek için hem klinik uygulamada hem de araştırmalarda kullanılabilir
Evaluation of Octenidine Dihydrochloride-Induced Cytotoxicity, Apoptosis, and Inflammatory Responses in Human Ocular Epithelial and Retinal Cells
No full textBackground/Objectives: Octenidine dihydrochloride (OCT-D) is a broad-spectrum antiseptic with high chemical stability, low toxicity, and no reported microbial resistance, making it a strong candidate for use on mucosal surfaces. Despite increasing interest in its potential ophthalmic applications, limited data exist regarding its cellular effects on ocular tissues. This study aimed to investigate the cytotoxic, apoptotic, inflammatory, and transcriptional responses induced by OCT-D in human conjunctival (IOBA-NHC) and retinal pigment epithelial (ARPE-19) cells. Methods: Cells were exposed to varying concentrations of OCT-D, and viability was assessed using the WST-1 assay to determine IC50 and IC50/2 values. These concentrations were subsequently used in molecular assays. Pro-inflammatory cytokines (IL-6, IL-1 beta, TNF-alpha, IFN-gamma) were quantified by ELISA. Apoptotic activation was evaluated through caspase-3/7 activity assays. Gene expression analysis of apoptotic (Bax, Bcl-2), DNA damage-related (ATM, Rad51), and inflammatory markers was performed using RT-qPCR. Results: OCT-D induced a marked, dose-dependent reduction in cell viability in both cell lines, with ARPE-19 showing greater sensitivity. Caspase-3/7 activity increased significantly at IC50 and IC50/2, confirming intrinsic apoptotic activation. OCT-D markedly suppressed the release of key inflammatory cytokines and downregulated transcription of inflammatory genes. RT-qPCR revealed upregulation of pro-apoptotic and DNA damage-associated genes, demonstrating coordinated activation of apoptotic and genomic stress pathways. Conclusion: OCT-D triggers integrated cytotoxic, apoptotic, and immunomodulatory responses in conjunctival and retinal epithelial cells. While these findings provide important mechanistic insights into OCT-D's cellular effects, further studies using primary cells, advanced 3D ocular models, and disease-relevant systems are required to support its potential translational use in ophthalmology.The Health Institutes of Turkiye [33996]This study was supported by the Health Institutes of Turkiye with Project number 33996
“Our Lives Have Gone” Experiences in and After Kahramanmaraş\Türkiye Earthquake: A Qualitative Research
No full textAIM: This study aimed to examine the experiences and emotions of individuals who experienced the Kahramanmaraş earthquake. METHODS: This study’s data, which were collected using qualitative research methods, were collected through face-to-face individual interviews between March 20 and March 21, 2023, after the earthquake in Hatay and Diyarbakır. The purposive sample method, one of the purposeful random sampling methods, was used in the research. A total of 35 individuals formed the study’s sample. Colaizzi’s phenomenological interpretation method was used in the analysis of the data. RESULTS: The data obtained from the individual interviews with the participants were gathered under three main themes: earthquake moment, emotions, and after the earthquake. In the study, it was determined that the participants stated that they were terrified by the noise and shaking at the time of the earthquake; they could not go out immediately, it was cold when they went out, and they witnessed that everywhere was dark and destroyed. It was determined that the emotions experienced by the participants were anger, helplessness, guilt, hope, and hopelessness, and they expressed their needs after the earthquake, the difficulties in getting help, and the losses they experienced. CONCLUSION: Remarkably, the study results are often parallel to acute stress, loss, and grief reactions, and the needs of individuals are the basic principles of psychological first aid. © 2025, Istanbul University-Cerrahpasa, Florence Nightingale Faculty of Nursing. All rights reserved
Ebeveynlik Tutumları ile Kişiler Arası Duygu Düzenleme Arasındaki İlişki: Sosyal Öz Yeterliğin Aracılık Rolü
No full textBu araştırmada ebeveynlik tutumları, kişiler arası duygu düzenleme ve sosyal öz yeterlik arasındaki ilişkilerin, ayrıca sosyal öz yeterliğin aracılık rolünün incelenmesi amaçlanmaktadır. Araştırma grubu 20- 35 yaşları arasındaki 589 lisans ve yüksek lisans öğrencisinden (Kız = %53.3, Erkek = %46.7) oluşmuştur. Veri; kişisel bilgi formu, Kısaltılmış Algılanan Ebeveyn Tutumları Ölçeği – Çocuk Formu, Kişiler Arası Duygu Düzenleme Ölçeği ve Sosyal Yeterlik Ölçeği kullanılarak toplanmıştır. Aracılık etkisi incelenmesinde PROCESS eklentisi kullanılmıştır. Analizler olumlu ebeveynliğin (duygusal sıcaklığın) kişiler arası duygu düzenlemeyi ve sosyal öz yeterliği pozitif, olumsuz ebeveynliğin (reddediciliğin ve aşırı koruyuculuğun) ise negatif yönde yordadığını göstermiştir. Sosyal öz yeterlik ile kişiler arası duygu düzenleme arasında pozitif yönde bir ilişki olduğu belirlenmiştir. Aracılık modellerinin anlamlı olduğu, sosyal öz yeterliğin kısmi aracılık etkisi olduğu bulunmuştur. Araştırmanın sonuçları, çocukluk dönemindeki ebeveyn tutumlarına ilişkin algıların yetişkinlikteki duygu düzenleme ile doğrudan ya da dolaylı olarak ilişkili olduğunu göstermektedir