İstanbul Sağlık ve Teknoloji Üniversitesi Kurumsal Akademik Arşivi
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Subjective well-being, mental health enhancing knowledge level, and related factors in adolescents
No full textINTRODUCTION: The aim of the study is to investigate the relationship between adolescents' subjective well-being, their level of knowledge enhancing mental health, and related factors. METHODS: This cross-sectional study was conducted with 387 students between June 2021 and December 2021. Data were collected from the Sociodemographic Characteristics Collection Form, the Adolescent Subjective Well-Being Scale (ASWS), and the Mental Health Improvement Information Scale (MHİİS). Number, percentage, mean, standard deviation, minimum and maximum values in the descriptive analysis of the data; In comparative/relational analyzes, Spearman correlation test, Mann Whitney U and Kruskal Wallis tests were used because the variables did not conform to normal distribution. RESULTS: The ages of the students participating in the study are between 14-21, 74.7% of them are girls and 68.7% of them are high school students. It was determined that there was a positive and significant relationship between the MHİİS score and the scores of ASWS and the sub-dimensions of the scale: satisfaction in family relationships, satisfaction in relationships with important people, life satisfaction and positive emotions (p<.000). It was determined that there was a significant difference between the total score of ASWS and demographic data such as gender, education status, income status, being diagnosed with a mental illness, receiving mental support, and being diagnosed with a mental illness in the family. It was determined that there was a significant difference between the total score of MHİİS and the variables of educational status, educational status of parents, being diagnosed with a mental illness, receiving mental support, and being diagnosed with a mental illness in the family. DISCUSSION AND CONCLUSION: In the study, it was determined that there was a positive and significant relationship between the mental health promoting knowledge level of adolescents and their subjective well-being
Evaluation of stress distributions in all ceramic conometric single crown restorations: 3-dimensional finite element analysis
No full textObjective: The aim of the study is to compare the effect of monolithic translucent zirconia ceramic (TZI) and monolithic lithium disilicate glass ceramic (LDS) restorative materials on stress distributions in implant components and surrounding bone tissues in implant-supported conometric single crown restorations with a conical connection system by using 3D finite element analysis. Methods: Restorations produced with two different all-ceramic materials using a conometric abutment and a conometric cap on the implant with a conical connection system were placed in the maxillary right second premolar region. 3D finite element analysis was used to examine the amount and distribution of stresses in implant components, in cortical and cancellous bone tissues surrounding the implant and in crowns under vertical and oblique loading. For the statistical analysis one-way ANOVA and independent samples t-test were used (p .05). Conclusion: von Misess and principal stresses are not very high in any location therefore conical connections are more promising in terms of future success
Prof. Sarım Hüsnü Çelebioğlu (1897-1982), A pharmacıst and lecturer on pharmacognosy in the Republıcan period
No full textProf. Dr. Ecz. Sarım Çelebioğlu, 13 Ekim 1922’de İstanbul Darülfünunu Eczacı Mektebinde Farmakognozi ve Toksikoloji asistanı olarak başladığı akademik yaşamında, 1 Eylül 1971 tarihinde emekliğe ayrılışına değin mesleğine ve ilkelerine bağlılığı ile meslektaşlarına ve öğrencilerine örnek oldu. 1932 yılında Almanya’da farmakognozi alanında ilk doktora yapmış Türk olan Prof. Çelebioğlu, özellikle bu alanda yetiştirdiği akademisyenlerle Türkiye’de eczacılık mesleğinin gelişmesine büyük katkı sağladı. Türkiye’de ilk farmakognozi ders kitabının da yazarı olan Çelebioğlu, 1942’de Türk Kimya Kodeksi hazırlama komisyonu üyeliğinde bulundu, 1944 yılında Tıp Fakültesi’ne bağlanan Eczacılık Mektebinde 1945’de kurulan Farmakognozi Enstitüsünün direktörlüğünü üstlendi, 1945 yılında profesör ünvanını aldı, Eczacılık Okulunun 15 Ocak 1962 tarihinde Tıp Fakültesinden ayrılarak bağımsız bir fakülte haline gelmesinde büyük rol oynadı. 1962-1971 yıllarında da farmakognozi kürsüsünün direktörlüğünü yaptı. Makalede akademik yaşamı boyunca sürdürdüğü eğitim faaliyetlerinin yanı sıra mesleki derneklerde, bakanlıklarda danışmanlık yapan, yurtiçi ve dışında konferanslar veren, bilimsel toplantılara katılan eczacılık eğitiminin unutulmaz isimlerinden Prof. Dr. Çelebioğlu’nun akademik yaşamından kesitlere yer verilecek, Türkiye’de eczacılığın gelişiminde olan katkısı bir kez daha vurgulanacaktır.Prof. Pharm. Sarım Çelebioğlu, who started his academic career as a pharmacognosy and toxicology assistant at the Istanbul University School of Pharmacy on October 13th, 1922, set an example for his colleagues and students with his devotion to his profession and principles until his retirement on September 1st, 1971. Prof. Çelebioğlu, a Turc who received the title of "The first PhD in the field of pharmacognosy" in Germany in 1932, made a great contribution to the development of the pharmacy profession in Turkey, especially with the Turkish pharmacist academics he trained in the field of pharmacognosy. Çelebioğlu, who is also the author of the first pharmacognosy textbook in Turkey, was a member of the Turkish Chemistry Codex preparation committee in 1942, was the director of the Pharmacognosy Institute, in 1945 at the School of Pharmacy, which was connected to the Faculty of Medicine in 1944, received the title of professor in 1945, and played a major role in its separation from the Faculty of Medicine on January 15th, 1962 and its becoming an independent faculty. From 1962 onwards, he served as the head of the Pharmacognosy Department of the Faculty until 1971. In this article, slice from academic life of Çelebioğlu, one of the unforgettable names in pharmacy education who, in addition to the educational activities he carried out throughout his academic life, served as a consultant in professional associations and ministries, gave conferences at home and abroad, and participated in scientific meetings, will be included, and his contribution to the development of pharmacy in Turkey will be emphasized once again
Narrative terapi
No full textGenel bir tanımını yapmak gerekirse narrative terapi, bireylerin kimliklerini, yaşadıkları problemleri, onları nasıl deneyimlediklerini ve onların hayatları üzerindeki etkilerini anlamanın spesifik bir yoludur (Morgan, 2000)
Evaluation of submandibular and parotid salivary glands by ultrasonography in patients with diabetes
No full textBackground: Microvascular complications of diabetes mellitus (DM) include oral manifestations and complications, including xerostomia, reduced salivary flow, susceptibility to infection, periodontal disease and salivary gland enlargement. Objective: The present study aims to evaluate B-mode ultrasonography (USG) parameters such as size, volume and echogenicity of the submandibular and parotid salivary glands on both sides, shear-wave elastography (SWE) value and colour Doppler properties in patients with DM and healthy control groups. Methods: In total, 160 right and left submandibular glands and 160 right and left parotid glands of 80 patients, 40 patients (20 type 1 DM, 20 type 2 DM) and 40 healthy control group, between the ages of 18-70 were examined by USG. Echogenicity, parenchyma internal structure, margin and dimensional measurements (antero-posterior length, supero-inferior length, medio-lateral length and volume) and colour Doppler with 'ML 6-15-D Matrix Array (4-15 MHz)' probe, shear-wave elastography '9L-D (2-8 MHz)' probe was investigated. Result: Statistically significant difference was observed in echogenicity in the right submandibular gland, echogenicity in the right parotid gland, margin characteristics, parenchymal homogeneity and colour Doppler characteristics between the type 1 DM, type 2 DM and control groups (p < .05). It was observed that the size, volume and SWE values of both submandibular and parotid glands were higher in the DM patient group than in the control group. Higher values were observed in type 2 DM compared to type 1 DM in the patient group. Conclusion: USG is an effective imaging technique in investigating the effects of diabetes on the submandibular and parotid salivary glands
Maternal health experiences on respectful and adequate care of immigrant women: A prospective multicenter study
No full textObjective: Migration of pregnant women can be challenging. Access to adequate and respectful care may not be possible. We aimed to assess the maternity care that im migrant women receive and their satisfaction with the care they experience. Methods: This multicenter prospective study was conducted in a tertiary public hos pital and a private hospital in Istanbul between April 2023 and July 2023. A face-to face questionnaire was completed in the postpartum department by obstetricians and translators. Results: In total, 267 patients participated in this study. A majority of these patients delivered at the public hospital (75%). Approximately 21% of all deliveries in both hos pitals were with foreign mothers. A majority of the patients (82%) in the public hospi tal said they easily reached midwives, nurses, and an obstetrician, while this number rose to 100% in the private hospital. Patients in the private hospital had a higher average number of obstetrician visits compared to those in the public hospital, which was statistically significant (P< 0.05). Patients in the public hospital were significantly less informed about various maternity topics than those in the private hospital group (P< 0.001 for all topics). Most patients said their ideas and thoughts were taken seri ously by the health care providers (80% and 97% in the public and private hospitals, respectively). Almost all patients recommended giving birth in the same hospital (94% vs. 96%, public and private hospitals, respectively), while around 99% recommended giving birth in Turkey. Conclusion: Immigrant women are overall satisfied with the care they receive in both public and private hospitals. They have easier access to obstetricians in private hospi tals, as well as being more informed on maternal health issues. Clinical efforts should focus on patient education in antenatal care
Estresse ocupacional entre enfermeiros de diversos serviços de saúde: um estudo transversal
No full textObjective: to investigate the levels of occupational stress among nurses working in different healthcare services in Brazil. Method: this is a cross-sectional study with data collected from 416 nurses between May 31, 2023, and January 31, 2024, through an online questionnaire covering sociodemographic variables and the Work Stress Scale. Data analysis was conducted using PSPP version 1.6.2-g78a33a. The Mann-Whitney U and Kruskal-Wallis tests were applied. Results: the majority of nurses (61.5%) presented high levels of occupational stress. The sub-dimensions “Autonomy and control” (2.92 ± 0.95), “roles and work environment” (2.77 ± 1.01) and “growth and recognition” (2.76 ± 1.11) of the Work Stress Scale showed the highest scores of stress. There was no significant relationship between the nurses’ sociodemographic variables and their occupational stress scores (p>0.05). Conclusion: structural and cultural changes are crucial for reducing the level of occupational stress among nurses. The study emphasizes the key role of healthcare administrators and nurse managers in promoting healthier and more collaborative work environments through effective management and leadership.Objetivo: investigar los niveles de estrés laboral entre enfermeros que trabajan en diferentes servicios de salud en Brasil. Método: se trata de un estudio transversal, con datos recopilados de 416 enfermeros entre el 31 de mayo de 2023 y el 31 de enero de 2024 a través de un cuestionario en línea. Se utilizó un cuestionario sociodemográfico y la Escala de Estrés Laboral. El análisis de datos se realizó utilizando PSPP versión 1.6.2- g78a33a. Se aplicaron pruebas de Mann-Whitney U y Kruskal-Wallis. Resultados: la mayoría de los enfermeros (61,5%) presentó niveles elevados de estrés ocupacional. Las subdimensiones “autonomía y control” (2.92 ± 0.95), “roles y ambiente de trabajo” (2.77 ± 1.01) y “crecimiento y reconocimiento” (2.76 ± 1.11) de la Escala de Estrés Laboral obtuvieron las puntuaciones más altas. No se encontró una relación significativa entre las variables sociodemográficas de los enfermeros y sus niveles de estrés laboral (p>0.05). Conclusión: los cambios estructurales y culturales son cruciales para reducir el nivel de estrés laboral entre los enfermeros. El estudio destaca el papel clave de los administradores sanitarios y los gestores de enfermería en promover entornos de trabajo más saludables y colaborativos mediante una gestión y liderazgo eficaces.Objetivo: investigar os níveis de estresse ocupacional entre enfermeiros que trabalham em diferentes serviços de saúde do território brasileiro. Método: trata-se de um estudo transversal, com dados coletados de 416 enfermeiros entre 31 de maio de 2023 e 31 de janeiro de 2024 por meio de um questionário online. Um questionário sociodemográfico e a Escala de Estresse no Trabalho foram utilizados. A análise dos dados foi realizada utilizando o PSPP versão 1.6.2-g78a33a. Foram aplicados os testes de Mann-Whitney U e Kruskal-Wallis. Resultados: a maioria dos enfermeiros (61,5%) apresentou níveis elevados de estresse ocupacional. As sub-dimensões “autonomia e controle” (2.92 ± 0.95), “funções e ambiente de trabalho” (2.77 ± 1.01) e “crescimento e reconhecimento” (2.76 ± 1.11) da Escala de Estresse no Trabalho obtiveram as pontuações mais altas. Não foi encontrada uma relação significativa entre as variáveis sociodemográficas dos enfermeiros e seus níveis de estresse ocupacional (p>0.05). Conclusão: mudanças estruturais e culturais são cruciais para reduzir o nível de estresse ocupacional entre os enfermeiros. O estudo destaca o papel fundamental dos administradores de saúde e gestores de enfermagem na promoção de ambientes de trabalho mais saudáveis e colaborativos através de uma gestão e liderança eficazes
Clinical implications of aberrant anatomy of the common hepatic duct in liver surgery: a systematic review and meta‑analysis
No full textIntroduction: Knowledge of anatomical variants that affect the hepatic duct (HD) are of particular clinical relevance during hepatobiliary surgical procedures. More specifically, the aberrant anatomy of the common HD is the most common anatomical variation affecting the biliary tree. Below, we describe different classifications of anatomical variants that affect this canal. According to Huang's classification, variations are determined depending on the insertion of the right posterior hepatic duct (RPHD). Materials and methods: Medline, Scopus, Web of Science, Google Scholar, CINAHL, and LILACS databases were investigated until January 2024. The methodological quality was assessed with an anatomical studies assurance tool (AQUA). Pooled prevalence was estimated using a random effects model. For the subgroup analysis, Student's T-test was used. Results: The prevalence rate of aberrant hepatic duct (AHD) was 15% (confidence interval [CI] of 7-22%). The first subgroup had cadavers and images. For the cadavers, the prevalence was 15.83% (CI: 11.22-18.3%), while the images had a prevalence of 22.06% (CI: 18.12-25.33%). This subgroup analysis showed no statistically significant difference between these groups (p = 0.127). The second subgroup comprised the continents where the included studies were from. In this subgroup, no statistically significant differences were found (p = 0.613). Finally, regarding the right or left laterality of the HD variant, there were no statistically significant differences (p = 0.089). Conclusion: A AHD corresponds to a finding that can occur in a significant percentage of our society, which could be an accidental discovery during surgeries or present asymptomatically throughout life and be a cadaveric discovery later. We believe it is important for surgeons to have prior knowledge of the possible variants of HD to prevent possible complications during and after surgery
Use of renewable energy resources in the service sector: Literature review
No full textBu literatür makalesi, yenilenebilir enerji kaynaklarının hizmet sektöründeki etkilerini kapsamlı bir şekilde incelemektedir. Makale çalışması, enerji kavramının temel ilkelerinden başlayarak, yenilenebilir enerjinin perakende ticareti ve ulaştırma hizmetlerindeki uygulamalarına odaklanmaktadır. Ayrıca, Türkiye ve Dünya genelindeki perakende sektöründe yürütülen yenilenebilir enerji projeleri analiz edilmiştir. Güneş enerjisi, rüzgâr enerjisi, biyokütle ve biyoenerji projeleri ile jeotermal enerji kullanımı gibi farklı yenilenebilir enerji türlerinin hizmet sektöründeki uygulama ve etkileri üzerinde durulmuştur. Literatür taramasında yapılan çalışmaların yıllara göre konu kapsam dağılımlarına yer verilmiştir. Enerji kavramı üzerine yapılan çalışmaların çoğunda, yenilenebilir enerjiye genel olarak değinilmiştir. Jeotermal enerji, geçmiş yıllarda daha fazla incelenirken, son dönem çalışmaların farklı enerji kaynaklarına yoğunlaştığı görülmüştür.This literature article comprehensively examines the effects of renewable energy sources in the service sector. The article study focuses on the applications of renewable energy in retail trade and transportation services, starting from the basic principles of the concept of energy. In addition, renewable energy projects carried out in the retail sector in Turkey and around the world have been analyzed. The application and effects of different types of renewable energy such as solar energy, wind energy, biomass and bioenergy projects and geothermal energy use in the service sector have been emphasized. The scope of the studies conducted in the literature review is given according to years. In most of the studies conducted on the concept of energy, renewable energy has been generally addressed. While geothermal energy has been studied more in the past years, it has been observed that recent studies have focused on different energy sources
Percutaneous treatment of hydatid cysts with the Örmeci technique
No full textBackground/Aims: The percutaneous route is accepted as the most convenient course in the management of hydatid cysts (HCs). The aim of this study is to analyze the efficacy of the Örmeci technique used in the treatment of hydatid cysts. Materials and Methods: This is a retrospective cohort study. Patients with HCs who presented to the Ankara University Faculty of Medicine, Department of Gastroenterology since 1991 were included. Patients with World Health Organization cystic echinococcosis (WHO-CE) types 1, 2, 3A-3B live cysts who were treated percutaneously at least once and followed up after a minimum of 6 months were analyzed. Results: A total of 1556 cystic lesions in 1035 patients have been presented to our department since 1991. Five hundred forty-four live HCs in 479 patients were treated with the Örmeci technique. The mean follow-up time was 59.29 months for females and 57.18 for males. The overall clinical success rate of all treated cysts with the Örmeci technique was 94.5%. After the treatment, a statistically significant decrease was found in all WHO-CE cyst types in terms of cyst sizes (P < .001 for all). Mortality, abscess and fistula formation, sclerosing cholangitis, and drug toxicities were not detected. Only 2 patients experienced reversible anaphylaxis during the treatment among 544 cysts (0.36%). Conclusion: Hydatid cysts can be treated percutaneously by the Örmeci technique with a high success rate for WHO-CE type 1, 2, and 3B. The Örmeci technique is an economic, simple, cheap, and repeatable outpatient procedure. It can be chosen as the first-line therapeutic modality in suitable patients with HCs