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Öğe Awareness of HPV and HPV vaccination in undergraduate students in the North West region of Turkey: Near future outlook(J Infection Developing Countries, 2019) Aynaci, Gulden; Gusku, ZuhalIntroduction: Cervical cancer is the second most common cancer affecting women in the world. Human papillomavirus (HPV) is the most common sexually transmitted infection worldwide. The aim of this study was to evaluate the awareness about HPV, risk perception, cervical cancer, and HPV vaccines. Methodology: The sample of this descriptive cross-sectional study consisted of 396 undergraduate university students from Turkey. Sociodemographic characteristics, reproductive health, knowledge about HPV, and HPV vaccination were questioned. Results: The percentage of university students with an active sexual life was 10.6%. The knowledge level of families about HPV, and HPV vaccination were not adequate. The awareness of the fact that ITV was a cause of cervical cancer in women and penile cancer in men tended to increase with the increase in the educational level of parents. Those who knew about HPV vaccines were predominantly females. Conclusions: The results of this study demonstrated that more active education is needed to decrease HPV infections among undergraduate students. Increasing awareness of HPV makes it easier to develop positive behaviors in fighting against it. In order to increase the contribution of young people to educational activities for the community, information about HPV and HPV vaccines should first be included in training programs at universities. To support the development of effective and high-quality public health interventions, young people should be educated so that obstacles to HPV vaccination in various cultural groups can be eliminated. Our findings suggest that awareness about HPV, cervical cancer, and HPV vaccines should be increased.Öğe EFFECTS OF CHADS2 SCORE, ECHOCARDIOGRAPHIC AND HAEMATOLOGIC PARAMETERS ON STROKE SEVERITY AND PROGNOSIS IN PATIENTS WITH STROKE DUE TO NONVALVULAR ATRIAL FIBRILLATION(Literatura Medica, 2019) Aynaci, Ozer; Tekatas, Asian; Aynaci, Gulden; Kehaya, Sezgin; Utku, UfukIntroduction - The aim of this study is to evaluate utility of CHADS2 score to estimate stroke severity and prognosis in patients with ischemic stroke due to non-valvular atrial fibrillation (AF) in addition to evaluate effects of hematologic and echocardiographic findings on stroke severity and prognosis. Methods - This prospective study included 156 ischemic stroke cases due to non-valvular AF in neurology ward of Trakya University Medical School between March 2013-March 2015. National Institute of Health Stroke (NIHS) score was used to evaluate severity of stroke at admission. Carotid and vertebral Doppler ultrasonography findings, brain computed tomography (CT) and magnetic resonance imaging (MRI) of the cases were evaluated. Left atrial diameter and ejection fraction (EF) values were measured. CHADS2 score was calculated. Modified Rankin Scale was used to rate the degree of dependence. Effects of age and sex of the patients, presence of diabetes mellitus (DM), Congestive Heart Failure (CHF), Cerebrovascular Disease (CVD) and C-reactive protein (CRP) levels on CHADS2, NIHS, and mRS were evaluated. Results - In patients with age >= 75, mean NIHS score was 3.3 points and mean mRS score was 1.02 points higher, than in patient below 75 years of age. Compared with the mild risk group, cases in the high risk group had older age, higher serum D-dimer, fibrinogen and CRP levels and lower EF. A positive relation was detected between stroke severity and Hemorrhagic Transformation (HT), previous CVD history, and presence of CHF. A significant association was found between increased stroke severity and Early Neurological Deterioration (END) development. Older age, higher serum fibrinogen, D-dimer, CRP and lower EF values were associated with poor prognosis. History of CVD and presence of CHF were associated with poor prognosis. END development was found to be associated with poor prognosis. In the high-risk group, 30.3% (n = 33) had END. Among those in the high-risk group according to the CHADS2 score, END development rate was found to be significantly higher than in the moderate risk group (p < 0.05). There was a strong positive correlation between CHADS2 and NIHS scores. mRS score increased with increasing CHADS2 score and there was a strong correlation between them. Effect of stroke severity on prognosis was assessed and a positive correlation was found between NIHS score and mRS value. Discussion - Our study demonstrated the importance of CHADS2 score, haemostatic activation and echocardiographic findings to assess stroke severity and prognosis. Knowing factors which affect stroke severity and prognosis in patients with ischemic stroke may be directive to decide primary prevention and stroke management.Öğe The effects of dietary folate and iron supplementation on restless legs and preeclampsia in pregnancy(Mattioli 1885, 2019) Aynaci, Gulden; Guksu, ZuhalIntroduction: RLS in pregnant women at the beginning of the condition increases the risk of reduced sleep quality, systemic arterial pressure increase, iron and folate deficiency anemia. The most common causes are thought to be physical changes, decreased sleep quality, or organic factors (decreasing folate and iron level). Aim: The aim of this study was to evaluate the role of RLS and its interaction with preeclampsia, anemia, folate deficiency, and low sleep quality. Methods: Our study was conducted between July 2018 and February 2019 in Trakya University Medical Faculty Hospital, Obstetrics Department. Pregnant women with symptoms related to RLS were investigated in terms of sleep quality and preeclampsia. An interview form was completed with the pregnant women during face-to-face interviews. Sociodemographic characteristics were questioned in this form. The IRLSGG criteria were used for RLS evaluations. The sleep quality of the participants was assessed using the PSQI. The iron status of pregnant women was questioned. Pregnant women were asked whether they received prophylactic iron medication. Results: Three hundred twenty-four volunteer pregnant women who presented to the obstetrics clinic of Trakya University Medical Faculty Hospital were included in the study. The mean age of the pregnant women in the study was 29.18 +/- 6.19 years. There was no statistically significant difference when we compared pregnant women with and without RLS when asked about their BMI in pre-gestational periods. The average use of iron medication of the women with RLS was 3 days or less per week. There was a significant difference between women with and without RLS regarding iron prophylaxis. The evaluation of the relationship between RLS, sleep quality, and preeclampsia in the pregnant women showed that RLS and PSQI levels had statistically significant differences according to trimesters. Discussion: Our study evaluated the frequency of RLS, the relationship between RLS and preeclampsia, and the relationship between RLS and sleep quality in pregnant women. RLS is more common in pregnant women who do not receive iron support. Low iron levels contribute to the development of RLS. Clinical and laboratory (hemoglobin) analysis revealed some differences between the groups. As the hemoglobin levels and iron supplementation decreased, the incidence of RLS symptoms was found to increase. For the treatment of RLS, non-pharmacologic treatments in pregnant women should be considered first; however, the use of iron medication is usually recommended. After the iron requirement is met, additional treatment planning should be made by investigating whether the RLS symptoms have regressed. Therefore, it was concluded that RLS was related to BMI and hemoglobin level differences. During pregnancy, the recommended dietary allowance (RDA) for folate is 600 mu g/day of dietary folate equivalent. Natural folate with foods and folate supplementation since pregnancy may help to prevent fetal morbidity. The major sources of dietary folate are citrus fruits and juices, legumes, wholewheat bread, and green leafy vegetables. To prevent fetal morbidities, women planning childbirth or pregnant should consume 400 mu g per day of synthetic folic acid from natural foods (cereals and other grains), or supplement drugs. Pregnant women may need advice from a physician or a qualified dietetics professional to follow nutritional guidelines, especially for folate and iron. Pregnant women; must be provided a wide range of nutrition quality and evaluation. We suggest that more studies are needed to assess the relationship between low quality of sleep, iron and folate supports in nutrition, RLS symptoms, and/or preeclampsia. Conclusion: Our study demonstrates the need to establish quality care and interventions for the protection of both maternal and fetal health due to poor sleep quality and RLS symptoms during pregnancy. Pregnant women should be presented with a variety of evidence-based patient care interventions. In the presence of RLS, signs of systemic arterial hypertension and iron supplementation in pregnant women should be examined carefully and if necessary, pregnancy interventions should be added.Öğe Experiencing pregnancy: Joy or pain?(Bayrakol Medical Publisher, 2022) Aynaci, GuldenAim: Pregnancy is a natural phenomenon and brings many psychological and social changes. Pregnancy is a unique life experience. The pregnancy period is expected to be a positive and satisfying time, bringing new life to the world; however, pregnant women may also experience some disorders. The aim of the study was to evaluate the quality of maternal well-being and the necessity of optimal care interventions in the follow-up of pregnant women. Material and Methods: Our study was conducted from December 2020 to November 2021 with pregnant volunteers who presented to the Trakya University Hospital. The PES-Brief was administered.Results: The study included 378 volunteers. There were positive correlations between uplifts frequency scores and motivation to breastfeed. Uplifts scores were lower among those who stated that pregnancy tired them. There was a statistically significant relationship between long-term breastfeeding plans and high hassles scores. Discussion: Our study demonstrated that the PES-Brief can be used to identify women with less planned pregnancies who are at increased risk of possibly pregnancy negativity. Its application in routine pregnancy checks and maternity care will improve the identification of women.Öğe LOOKING AT MALE NURSE DISCRIMINATION AMONG NURSING STUDENTS WITH O'CONNOR'S FINGER DEXTERITY TEST: FUTURE OF GENDER DISCRIMINATION(Codon Publications, 2019) Aynaci, Gulden; Gulmez, HediyeBackground and objective Hand dexterity and hand-eye coordination are very important in nursing profession. In nursing education, equal conditions for gaining experience should be established regardless of gender difference. The aim of this study was to evaluate the effects of gender difference on hand dexterity and hand-eye coordination. Material and methods This study included 100 undergraduate nursing students from the Trakya University, and they were evaluated using the O'Connor's finger dexterity test. Results Previous study results demonstrated that males were careful and willing to take care of their patients, but they felt that they had to be at the backstage because the occupation is a female-predominant one. They were very careful during the O'Connor's test. The average test duration for both the male and female students was similar. Students with longer hand and palm lengths had better hand dexterity. The larger wrist circumference and wrist width in male students than female students provided an advantage to the male nursing students. The O'Connor's test results demonstrated that gender discrimination in nursing profession is meaningless in terms of dexterity. Conclusion This study approaches gender discrimination in nursing with a different perspective. Male students are not less successful in hand and eye coordination and hand dexterity. It is important for males to have clinical learning without having sexual discrimination in order to provide high-quality patient care, it may help their career growth.Öğe Maternal Perspective for Support and Control in Birth(Dokuz Eylul Univ Inst Health Sciences, 2020) Aynaci, GuldenPurpose: The feeling that women have control over their bodies during birth is important. During and after birth, providing good communication with the health care team helps ensure that postpartum periods are of good quality for mothers. We evaluated the parameters affecting pregnants during the delivery process. Methods: Our study was conducted between September 2019-January 2020 with the 230 patients who gave birth in Trakya Medical Faculty Hospital. Data from 2 scales were used; 'Support and Control in Birth Scale (SCIB)' and 'Discomfort Intolerance Scale (DIS)'. Additional clinical information were recorded. Results: SCIB scores increased with an increase in the education level. Patients with higher DIS scores were more intolerant of discomfort. However, they also had high SCIB scores. Patients who had high SCIB scores didn't lose control during labor. SCIB scores were found to be lower in patients who had additional interventions such as foley catheter, experiencing a painful vaginal examination. The scores of those who had normal vaginal delivery were higher than those who had cesarean section. There was a significant relationship between DIS, SCIB and labor duration. Conclusion: The sensitivity and tolerance factors of pregnants should be examined at structural level. During and after childbirth, suitable environments for the mother should be created and adaptation to the new situation should be ensured. The higher control detected during labor results with less severe pain, more intense positive emotions and less intense negative emotions. With more supportive care services; perceived control increases in patients and they experience a more comfortable delivery process.Öğe Nutrition perspective from the view of pregnant women: their understanding of fetal well-being relative to their diet(Mattioli 1885, 2019) Aynaci, GuldenIntroduction: Nutritionally balanced nutrition assessment, mothers' nutrition motivation, and healthy nutrition information are among the factors that affect infants. Thus, it is possible to shed light on the attempts to reach information in healthy nutrition guides among pregnant women. Aim: The aim of our study was to evaluate the nutritional habits and healthy nutrition knowledge levels of pregnant women. It was aimed to evaluate whether pregnant women should be induded in high quality nutrition programs. Methods: Our study was performed with volunteer 338 pregnant women who presented to Trakya University obstetrics clinic in March 2018- April 2019. Sociodemographic characteristics were recorded. The General Knowledge Nutrition Questionnaire (GNKQ) was used in our study. Results: The differences in GKNQ scores for the pregnant women in our study were evaluated for the four sections and total scores. For the first section, dietary recommendations, the mean was score was 9.66. For the second section (sources of nutrients), the mean score was 32.92. For the third section (choosing everyday foods), the mean sore was 6.23, and for the fourth section (diet-disease relationships), the mean score was 10.24. The mean total score was 59.10. It was seen that most of the pregnant women had not received adequate nutrition education before or during pregnancy. It was observed that some of the pregnant women participated in our study because of the threat of preterm labor and / or premature membrane rupture. 3.84% were found to have preterm history. When evaluated with the GNKQ scale, those with a history of EMR were under investigation and treatment due to the threat of preterm labor. In our study, it was seen that patients who were interned in the ward because of gestational hypertension, preeclampsia, and eclampsia GNKQ scores were lower than in the other patients. This result suggests that nutrition may have an effect on the complications of pregnancy. Unfortunately, although women reported positive changes in lifestyles during pregnancy, it was shown that their dietary intake and knowledge did not meet the recommended nutrient intake for pregnancy. Discussion: Considering that diet behavior is very complex, attempts to understand this in terms of nutritional knowledge in pregnant women should start with a clear understanding of awareness. Furthermore, they had a wide range of information, but the correct information was not on a systematic basis. Pregnancy is a life event that triggers a long-term review of nutritional problems. It is important for health professionals to realize that pregnancy is one of the unique opportunities for women to be informed about nutrition. There is a need for greater emphasis on nutritional counseling and education in order to optimize the quality of nutritional habits of pregnant women. Training and forms should be put into practical use for pregnant women. Conclusion: Our findings show that evaluating pregnant women with the GNKQ and providing nutritional education will be beneficial on pregnancy outcomes. This study showed that pregnant women had limited knowledge about balanced nutrition rules. It's necessary to increase effective nutrition programs and campaigns for pregnant women. Babies should be provided with a healthy start to life and routine nutrition counseling should be promoted as part of pregnancy care.Öğe Nutritional screening and the impact of malnutrition on poor postoperative outcomes in gynecological oncology patients(Mattioli 1885, 2019) Aynaci, Gulden; Guksu, ZuhalBackground: Sufficient nutrition effects the survival and life quality of gynecologic oncology patients. The prevalence of malnutrition among gynecological cancer patients at the time of their diagnosis is estimated to be 20%. The main aim of the study is to provide the care recommendations that can be applied to any gynecologic surgery clinic to reduce the incidence of malnutrition after surgery and to investigate the effects of malnutrition on the healing process of the patient. We aimed also to improve the nutritional status of inpatients and to increase the awareness of malnutrition in hospitals. Methods: Our study was a prospective study conducted with 403 patients, 334 of whom were oncologic, at the gynecology clinic of the University of Trakya between February 2017- January 2019. Nutritional characteristics were evaluated with NRS-2002 during the preoperative period. Results: The increase in the rate of complications was observed to increase with the risk of malnutrition. It was observed that oncology patients who were hospitalized and operated in gynecology services were at risk for malnutrition. Our study draws attention to the need for nutritional support and follow-up for those at risk of malnutrition. Discussion: To identify patients at risk for malnutrition and to intervene in their nutrition program can help to make significant progress in the patient's healing process. In our study, we observed that the increase in complication rate led to an increase in the tendency of malnutrition. The rate of gynecologic oncology patients who were at nutritional risk was not to be underestimated. Nutritional support plans of patients with preoperative malnutrition were required to reduce postoperative morbidity and improve long-term patient outcomes. It is therefore important that in gynecological cancer patients the nutritional risk is determined during their hospitalization and so that, trough treatment, malnutrition can be prevented.Öğe Women with Hidden Urinary Incontinence Waiting to Be Discovered: a Snapshot from a Developing Country(Aves Press Ltd, 2020) Aynaci, GuldenPurpose: Urinary incontinence (UI), is a public health problem that has an increasing frequency and has an impact on the quality of life (QoL) of women worldwide. In this study, in which we focus on the general approach to risk factors associated with urinary incontinence, we aim to address the importance of transferring between practical healthcare services and screening programs. Methods: Our study was conducted between December 2018- August 2019 with patients who admitted to Trakya University Medical Hospital with different gynecologic symptoms. This study investigated the relationship between menopause, incontinence, type of delivery, socioeconomic status, and risk factors. A modular inquiry form-short form (ICIQ-SF) was used for the research in all aspects of urinary incontinence and its impact on the quality of life. Our aim was to increase the awareness of clinics about urinary incontinence. Results: Of the 622 participants, 176 had urinary incontinence symptoms. There was a significant relationship between menopause, age, medical treatment for uriner infection, body mass index, living in rural / urban areas, normal birth rate, education level and urinary incontinence. Conclusion: It's important to assess the effects of urinary incontinence symptoms on women's QoL appropriately in UI-related research and clinical studies. Women with urinary incontinence symptoms should ensure that their body mass index is within the ideal range. In every period, quality of women's life can be improved with the necessary cares. Building awareness about urinary incontinence can help improve treatment-seeking behaviour. Improving the quality of life of women will help to increase the desired levels of quality health and welfare in the management of public health, especially in developing countries.
