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Öğe Algılanan hizmet kalitesi ölçümünde yükseköğretim performansı (hedperf) ölçeği uygulaması(Niğde Ömer Halisdemir Üniversitesi / Sosyal Bilimler Enstitüsü, 2021) Bayraktar, Muhammet; Gürbüz, EsenYirminci yüzyılın son çeyreğinden itibaren gelişmiş ülkelerde bilgi toplumuna geçiş süreci başlamış ve bilgi ekonomisi adı verilen yeni bir küresel ekonomik yapı oluşmuştur. Bu yeni yapıda bireylerin ekonomik gücü, bilgi ve öğrenim düzeyleri ile ülkelerin rekabet gücü ise beşeri ve sosyal sermayeleri ile ölçülür hale gelmiştir. Bu süreç, bilginin üretilmesi ve paylaşılmasından birinci dereceden sorumlu olan üniversitelerden beklentileri artırmış ve hemen hemen tüm ülkelerde yükseköğretim toplumların odağı haline gelmiştir. Bilgiyi geliştiren, araştıran ve değerlendirerek uygulayan ülkelerin, kalkınma sürecini başardığı ve başaracağı tartışmasız kabul edilen bir gerçektir. Ekonominin ve toplumsal gelişmenin anahtarı bilgiyi kullanacak ve uygulayacak insan kaynakları yetiştirilmesidir. Bu anlamda yükseköğretim kurumlarının önemi her geçen gün yükselmektedir. Üniversiteler, yükseköğretimin bir parçası olarak mevzuatları da dikkate alarak yükseköğretim uygulamalarını kaliteli bir şekilde yerine getirmeye çalışmaktadır.Öğe Correlation of internal jugular vein, common carotid artery, femoral artery and femoral vein diameters with central venous pressure(Lippincott Williams & Wilkins, 2022) Bayraktar, Muhammet; Kacmaz, MustafaBackground: This study aimed to detect the correlation of central venous pressure (CVP) with the internal jugular vein (IJV), common carotid artery (CCA), femoral vein (FV), and femoral artery (FA) diameters measured with ultrasound (USG) in patients under mechanical ventilation to evaluate whether they are suitable to be used as an alternative low-cost and noninvasive method for the detection of CVP. Methods: A total of 40 patients aged from 18 to 90 who had been receiving therapy in the intensive care unit (ICU) were included in the study. Central venous catheter was placed into the patients through right IJV or subclavian vein in their first 24-hour of hospitalization and the right atrium pressure (RAP) was measured from the catheter, the tip of which was confirmed to reach right atrium. In the same session, CCA, IJV, FA, and FV diameters were measured with USG and their correlations with CVP were calculated. In addition, correlations of the measured venous and artery diameters between each other were detected as well. Results: There was a significantly high correlation between CVP and CCA diameter (R = 0.603, P < .000). There was a significantly low correlation between CVP and IJV diameter (R = 0.352, P = .026), a significantly low correlation between FA and FV diameters (R = 0.317, P = .047), a significantly low correlation between FA and CCA diameters (R = 0.330, P = .038), and a significantly low correlation between IJV and CCA diameters (R = 0.364, P = .020). Conclusion: CVP and CCA diameters exhibited a high correlation. For detection of CVP, the ultrasonographic CCA diameter measurement can be used as an alternative noninvasive method which is easy to use and minimally affected by measurement errors of individuals and which has low learning curve compared with the other measurement methods.Öğe Examination of the affecting factors for the state of causes of death statements written in death certificates: NiĞde study(Nobelmedicus, 2021) Bayraktar, Muhammet; Balcı, ElçinObjective: This study was carried out to investigate the causes of death written in death certificates with their compliance with the World Health Organization’s criteria and the factors that affect them. Material and Method: For this descriptive, cross-sectional study using the record scanning method, a sample was not determined. All the 1656 death documents constituting the universe that were filled in for people who died in Niğde Province in the year 2015 were included in the study. The causes of death in documents without International Classification of Diseases (ICD)-10 were converted to the appropriate code and calculations then were made on the data. Necessary permissions were obtained for the study. Results: In 44.7% of death documents, the causes of death were written without using ICD-10 coding. The most common main causes of death were circulatory system diseases (45.4%), respiratory system diseases (14.4%) and neoplasms (10.3%). While 18.1% of causes of death were ill defined, 62.3% of them were diagnoses of the circulatory system. Nearly half of the unacceptable diagnoses (47.6%) were in the death certificates filed by 20 physicians and they were only 9.5% of all the physicians who issued the certificates. Conclusions: It will be appropriate to make the necessary interventions to make the ICD-10 usage mandatory while registering a document to the death notification system and to explain to the physicians the importance of the correct and detailed causes of deaths written in death certificates. © 2021, Nobelmedicus. All rights reserved.Öğe EXAMINATION OF THE AFFECTING FACTORS FOR THE STATE OF CAUSES OF DEATH STATEMENTS WRITTEN IN DEATH CERTIFICATES: NIGDE STUDY(Nobel Ilac, 2021) Bayraktar, Muhammet; Balci, ElcinObjective: This study was carried out to investigate the causes of death written in death certificates with their compliance with the World Health Organization's criteria and the factors that affect them. Material and Method: For this descriptive, cross-sectional study using the record scanning method, a sample was not determined. All the 1656 death documents constituting the universe that were filled in for people who died in Nigde Province in the year 2015 were included in the study. The causes of death in documents without International Classification of Diseases (ICD)-10 were converted to the appropriate code and calculations then were made on the data. Necessary permissions were obtained for the study. Results: In 44.7% of death documents, the causes of death were written without using ICD-10 coding. The most common main causes of death were circulatory system diseases (45.4%), respiratory system diseases (14.4%) and neoplasms (10.3%). While 18.1% of causes of death were ill defined, 62.3% of them were diagnoses of the circulatory system. Nearly half of the unacceptable diagnoses (47.6%) were in the death certificates filed by 20 physicians and they were only 9.5% of all the physicians who issued the certificates. Conclusions: It will be appropriate to make the necessary interventions to make the ICD-10 usage mandatory while registering a document to the death notification system and to explain to the physicians the importance of the correct and detailed causes of deaths written in death certificates.Öğe Is the course of COVID-19 associated with tuberculin skin test diameter? A retrospective study(Wiley, 2022) Gulen, Tugba Arslan; Bayraktar, Muhammet; Yaksi, Nese; Kayabas, UnerThe pathogenesis of coronavirus disease 2019 (COVID-19) is still not fully understood. As severe acute respiratory syndrome coronavirus 2 (SARS-COV-2) has a similar pathogenetic pathway to Mycobacterium tuberculosis, it has been reported that there may be a relationship between Bacille Calmette-Guerin (BCG) vaccination rate and COVID-19 severity. This study investigated the relationship between tuberculin skin test (TST) induration diameter and the clinical course of COVID-19. Of 1963 adult patients who underwent TST, 76 patients with SARS-COV-2 infection confirmed by RT-PCR analysis of respiratory tract samples were included in the study. Relationships between COVID-19 clinical severity and TST positivity, induration size, and other clinical parameters were analyzed. Of the 76 patients, TST results were negative for 53 patients (69.7%) and positive for 23 patients (30.3%). COVID-19 severity was mild in 47 patients (61.8%), moderate in 22 patients (28.9%), and severe in seven patients (9.3%). All TST-positive patients had mild disease. Patients with mild disease had a significantly higher TST positivity rate (p < 0.001) and larger induration diameter (p < 0.001). The area under the receiver operating characteristic (ROC) curve of TST induration size for the differentiation of mild with moderate and severe disease was 0.768 (p < 0.001). The maximum Youden J index value was 0.522 at an induration diameter of 6.5 mm, which had a sensitivity of 66.0% and specificity of 86.2%. COVID-19 patients with positive TST showed a significantly higher rate of mild disease than those with negative TST. TST positivity is favorably associated with the course of COVID-19.Öğe Nomophobia, loneliness and depressive symptom levels of adults living in a district of Türkiye(Lippincott Williams & Wilkins, 2024) Guveli, Rifat; Balci, Elcin; Bayraktar, MuhammetThis study was conducted to evaluate whether smart cell phones detach people from social life, make them lonely, cause depressive symptoms and whether there is a relationship between them. This is a cross-sectional study using face-to-face survey method. The sample was determined as 376 participants, with 95% confidence interval, 50% probability depending on the probability of having a smartphone or not. Participants in the sample were determined by systematic random sampling from adults aged 20 and over in & Ccedil;iftlik district of Ni & gbreve;de province. The NMP-Q, DASS-42 and UCLA-LS were used. The median age of the 376 participants (192 male, 184 female) was 30 and the mean age was 32.0 (+/- 10.94) years. Participants that had social media accounts were 68.9% of the population. Over 70% of the participants had mild, moderate or severe nomophobia. Nomophobia status of the participants was affected by the mean duration of the first-time smartphone use (P = .017), the mean daily smartphone usage time of the participants (P < .001), the mean number of smartphone users in the participants' families (P = .003), the mean depression and stress scores of the participants (P < .001), having social media account (P = .001), and declaration of smart phone dependency (P = .005). Nomophobia status was not affected by participants' gender, mean age, educational level, employment status, economic status and marital status (P > .05). The duration of daily smartphone use, the duration of first-time smartphone use, and having multiple smartphone users in family increased nomophobia. Also, having active social media accounts and self-reported smartphone addiction found correlated to nomophobia. Smartphone addiction increases depression, anxiety, and stress scores of the participants.Öğe Öğretim elemanlarının üniversitelerin uyguladıkları akreditasyon faaliyetlerine yönelik algıları: Niğde Ömer Halisdemir Üniversitesi örneği(2023) İri, Ruhan; Bayraktar, MuhammetAraştırma, İç Anadolu Bölgesi’nde yer alan Niğde Ömer Halisdemir Üniversitesi’nin akademik birimlerinde görev yapmakta olan öğretim elemanlarının üniversitelerin uyguladıkları akreditasyon faaliyetleri konusundaki düşünce, tutum ve algılamalarını tespit etmek amacıyla gerçekleştirilmiştir. Konuya ilişkin literatürden elde edilen bilgilerin yanı sıra, Semerci (2017) tarafından geliştirilen Akreditasyon Algısı (AA) Ölçeği kullanılarak oluşturulan anket formu, 01-31 Mayıs 2022 tarihleri arasında araştırmanın örneklemi olan Niğde Ömer Halisdemir Üniversitesi’nde eğitim-öğretim faaliyetlerini yürüten toplam 381 öğretim elemanıyla gerçekleştirilmiştir. Araştırmada var olan durumun ortaya konulmasının amaçlanması sebebiyle tarama modeli kullanılmıştır. Araştırmada, kolay ulaşılabilir örneklem yöntemiyle Üniversiteye bağlı 14 fakülte, 1 Yüksekokulu ile 6 Meslek Yüksekokulu’nda görev yapan toplam 381 öğretim elemanının internet adreslerine gönderilen link uzantılı on-line olarak ulaştırılan anketlerden elde edilen veriler SPSS 25.0 paket programında analiz edilmiştir. Araştırmada hipotez ya da model kurulmamış olup, verilerin analizinde bazı tanımlayıcı istatistiklerden, tanımlayıcı özelliklere göre bakış açısı, beklenti, düşünce düzeyleri ile algıları incelenmesinde ise t testi ile tek yönlü Anova testinden yararlanılmıştır. Araştırma sonucunda, katılımcıların eğitim durumuna, yaş durumuna ve gelire göre ölçek ve alt boyutları arasında anlamlı bir farklılık çıkmamış, akademisyenlerin Akreditasyon Algısı (AA) Ölçeğinde sadece mesleki statü durumuna göre ölçek alt faktörü arasında anlamlı bir farklılık çıkmıştır. Farkın kaynağını tespit etmek amacıyla yapılan LSD testinde; mesleki statü durumuna göre profesörlerin araştırma görevlileri, öğretim görevlileri, doktor öğretim üyeleri ve doçentlerle aralarında kendi lehlerine anlamlı bir farklılık olduğu sonucuna ulaşılmıştır.Öğe ÖLÜM BELGELERİNDEKİ BİLGİLERİN DOĞRULUĞUNUN DEĞERLENDİRİLMESİ: NİĞDE SÖZEL OTOPSİ ÇALIŞMASI(2020) Bayraktar, Muhammet; Balcı, ElçinAmaç: Vital istatistikler için kaynak olan resmi kayıt sistemlerinin detaylı periyodik değerlendirmelerinin yapılması tavsiye edilmektedir. Ama Türkiye’de ölüm bildirim sistemine girilen tüm bilgilerin doğruluğunu inceleyen bir mekanizma yoktur. Duruma dikkat çekmek ve oluşturulacak kontrol mekanizmasına örnek olması için bu sözel otopsi çalışması yapılmıştır. Yöntem: Kayıt tarama ve anket yöntemlerinin kullanıldığı kesitsel, tanımlayıcı nitelikteki bu çalışma için; Niğde İli’nde 2015 yılında ölenler için ölüm bildirim sistemine kaydedilen belgeler incelenmiş ve örnekleme yöntemiyle seçilen ölüm belgelerinin düzenlendiği kişilerin yakınlarına, sözel otopsi anket formu uygulanmıştır. Çalışmanın evrenini başka yöntemle incelenmeyen 1481 ölüm, örneklemini ise rastgele belirlenen 305 ölüm oluşturmuştur. Veri toplanması ve kullanılması için gerekli izinler alınmıştır. Sonuçların değerlendirilmesinde Pearson Ki-Kare ve Kappa testleri kullanılırken, p<0,05 istatistiksel olarak anlamlı kabul edilmiştir. Bulgular: Ölüm belgesi doldurulurken bilgi verenlerin %48,5’u ölenlerin çocuklarıdır ve ölüm belgelerinin %80,4’ü aynı gün doldurulurken, %49,5’unda ölenin mesleği, %26,3’ünde öğrenim durumu bilgileri eksiktir. Sözel otopsi yapılan 305 ölüm için anketi cevaplayanların %29,2’si ölenin çocuğudur ve ölenin öğrenim bilgisi %95,7, meslek bilgisi %96,4 verilmiştir. Sözel otopsi tanılarına göre kardiyovasküler hastalıkların sıklığı ölüm belgesi tanılarından az, respiratuar hastalıklar ve kanserlerin sıklığı fazladır. Sözel otopsi tanıları ile ölüm belgesi tanıları arasındaki uyum, aynı sisteme ait tanıyı almış olma durumunun sıklığı incelenerek %59,0 olarak hesaplanırken, Kappa testi sonucu K=0,49 olarak bulunmuştur. Sonuç: Sözel otopsi yöntemiyle ölen ve ölüm olayına ilişkin, ölüm belgesine göre daha fazla bilgi edinildiği ve ölüm belgelerindeki ölüm nedenleriyle arasında ancak ekseriyetle uyuşma olduğu tespit edildiğinden; ölüm kayıtlarının hem şekil hem de içerik yönünden ek mekanizmalarla rutin olarak denetlenmesinin uygun olacağı düşünülmektedir.Öğe Otel işletmelerinde kişisel satış faaliyetlerine ilişkin bir araştırma(Niğde Üniversitesi, 2007) Bayraktar, Muhammet; Gürbüz, EsenOtel işletmeleri hizmetlerini rekabetin yoğun olduğu bir ortamda rakip otelişletmelerinden farklılaştırabilecek şekilde pazar yönlü sunabilmek için farklı iş kültürüve felsefesi içerisine girmişlerdir. Bu anlayışların özünde, hedef kitledeki potansiyelmüşterilerin otele getirilerek otelin aktivitelerinden yararlandırılması, müşterilerle iyiiletişim kurulması, müşterilerin sunulan ürün ve hizmetlerden beklentilerinin üzerindeyararlandırılarak tatmin olmalarının sağlanması gelmektedir. Otel işletmelerindehizmetlerin yüz yüze sunulması, hizmet sunum sürecine müşterilerin dahil olması,sunulan hizmetlerin üretildikleri yerlerde tüketilmeleri gibi nedenler otel işletmelerindeçalışan personelin niteliğini ve birebir ilişkinin önemini daha da çok artırarak kişiselsatış personelinin görev ve sorumluluğunu yükseltmektedir.Otel işletmeleri, hedef ve potansiyel kitledeki müşterilerin dikkatini otelişletmesinin sunduğu ürün ve hizmete çekebilmek amacıyla diğer tutundurma altkarması araçlarından yararlanmakta, fakat en son satış sürecinin her aşamasında isekişisel satış faaliyetleri önemli olmaktadır.Tutundurma alt karması araçlarından biri olan kişisel satış, otel işletmelerindepazarlama ve satış departmanında çalışan satış temsilcileri, otelin diğer departmanındaçalışan personel ve yöneticiler tarafından müşterilerle yüz yüze iletişim kurularak vemüşterilere hizmeti yüz yüze sunarak gerçekleştirilmektedir. Kişisel satışın reklam,halkla ilişkiler ve satış geliştirme gibi diğer tutundurma alt karması araçlarından ayrılanyönleri, müşterilerle samimi bir ortam oluşturulabilmesi, itirazların anında karşılanarakmüşterinin ikna edilebilmesi, müşterinin ihtiyacının doğru belirlenerek beklentilerininüzerinde hizmetlerin sunulabilmesi kısaca satışın gerçekleştirilmesi sürecinde bizzatetkili olunabilinmesidir.Otele gelen konukların beklentilerinin birbirinden farklı olması, farklı konukbeklentilerini karşılayabilecek nitelikli personelin otel işletmelerinde istihdamedilmesini zorunlu kılmaktadır. Otel işletmelerinde kişisel satış faaliyetlerinin etkinliğirekabet avantajı yaratılmasında sunulan ürün ve hizmetlere değer katılmasında önem arzetmektedir. Otel işletmelerinin kendi aralarında farklılık yaratabildikleri en önemliuygulamalardan birisi de pazar yönlülük dereceleridir. Otel işletmeleri pazar yönlülükderecelerini artırmak için personeline hizmet içi eğitimler düzenleyebilirler.Bu çalışmada, otel işletmelerinde kişisel satış faaliyetlerinin pazar yönlülüğünüdeğerlendirmek amacıyla yüz yüze anket yönteminden yararlanılarak, Kapadokyayöresinde gerçekleştirilen bir araştırmanın sonuçları açıklanmaktadır. Sonuçta; otelişletmelerinin uyguladıkları kişisel satış faaliyetlerinin pazar yönlülük derecesinin iyiolarak değerlendirilebileceği ve bu düzeyin otel işletmelerinin yıldız sayısı, hizmetsunulan dönem, müdür ve satış personeli konumundaki rol ve görev dağılımına görefarklılık oluşturduğu ankete katılan kişisel satış personelinin eğitim düzeyine göre isefarklılık oluşturmadığı en önemli bulgular olarak belirlenmiştir.Öğe Perceived Stress and Hopelessness in COVID-19 Contacts(2023) Kartal, Mert; Bayraktar, MuhammetAim: We aimed to determine the perceived stress and hopelessness levels in COVID-19 patient contacts.Materials and Methods: The study included all COVID-19 contacts who presented to a family health center in Niğde, Turkey between August and October 2020. The data were collected from contacts who were reached daily for a period of 14 days using the Beck Hopelessness Scale (BHS) and the Perceived Stress Scale (PSS). The data were analyzed using the SPSS package program, and p<0.05 was considered significant. Results: While 55.8% of the participants were female, 71% were married, and 46.9% had a chronic disease. The mean age of the participants was 53.44 years. Their mean BHS and PSS scores were 4.40±3.33 and 25.07±5.98, respectively. A statistically significant relationship was found between the participants’ places of residence and occupations and their mean BHS loss of motivation subscale scores (p<0.05). Among the participants, homemakers, those living in districts, towns, or villages, and those with chronic diseases had significantly higher PSS total scale and.stress-distress subscale mean scores than the others. A statistically significant positive correlation was found between the ages of the participants and their PSS total scale and stress-distress subscale scores (p<0.05). Conclusion: Although the hopelessness levels of the participants were found low, their stress levels were determined to be high, and most of them thought the pandemic was exaggerated. Due to the psychological consequences of the COVID-19 pandemic such as shock, denial, anxiety, worry, and stress in people, it is important to strengthen crisis and stress management efforts and increase awareness, coping and social support resources by prioritizing high-risk groups such as healthcare workers, women, the elderly, those with chronic diseases, and COVID-19 contacts.Öğe Prevalence of Hemoglobinopathies in Premarital Screening in the Province of Nigde, Turkey(Taylor & Francis Ltd, 2023) Seydel, Gonul Seyda; Ayan, Durmus; Balci, Tevfik; Bayraktar, Muhammet; Gunturk, InayetHemoglobinopathies are one of the most widespread hereditary disorders in Turkey. The present study aimed to determine the prevalence of hemoglobinopathies in the Nigde province of Turkey. This study was conducted with 2013 individuals who applied for the premarital screening, between January 2019 and December 2021. The complete blood count was measured by an automated hematology analyzer. The types of hemoglobin were determined by high-performance liquid chromatography. A total of 2013 individuals including 951 (47.2%) females and 1062 (52.8%) males, were screened within the premarital screening program, and 67 (3.3%) of them were migrants. 53 out of 2013 (2.63%) individuals were identified as beta thalassemia carriers, and five of them were migrants including two from Afghanistan, two from Iran, and one from Georgia. HbC was observed in two cases, a couple from Syria (0.1%), HbD in two cases (0.1%), HbE in one case from Thailand (0.05%), HbS-beta-thalassemia in one case (0.05%), delta-beta thalassemia in one case (0.05%), and unidentified structural variant in one case (0.05%). Moreover, 183 individuals (9.1%) were considered to have iron deficiency, alpha-thalassemia, or silent beta-thalassemia carrier. These results indicate that the province of Nigde is a relatively risky region regarding hemoglobinopathies. Geographic location and immigrant population may have slightly affected the local prevalence of hemoglobinopathies and could be taken into consideration to ensure the effective implementation of the hemoglobinopathy prevention program.Öğe The assessment of service quality effect in higher education sector on satisfaction, suggestion, and behavioral intention of university students: The case of Turkey(Univ Deusto, 2023) Gurbuz, Esen; Bayraktar, MuhammetThe number of enterprises in the service sector is increasing with the time and the market for service sector is expanding. Universities as higher education institutions were affected by these developments in the service sector and have included providing quality service to their internal and external stakeholders as their top priority. Providing quality service in a university affects the satisfaction of students, who are among the most important stakeholders, their intention to suggest university to potential students and to visit after graduation. Hedperf scale was used to measure the service quality at universities and various institutions in different countries. The construct validity of the Hedperf scale was investigated according to the student perceptions at a university in Turkey and it was found with exploratory factor analysis (EFA) that service quality dimensions were classified into four dimensions -academic, non-academic, reputation, and access. Among these dimensions, the effect of academic, reputation and access dimensions on satisfaction,suggestion, and behavioral intention for visiting after graduation was determined, while the effect of non-academic dimension was not determined. Service quality dimensions explain approximately 31% of the variability in overall satisfaction. Access affects satisfaction at the level of beta = .322, which is more than other dimensions. It was determined that the service quality dimensions explained 17% of the behavioral intention to visit the university after graduation and the effect of access (beta = .264) among these dimensions was higher than the other dimensions. University service quality dimensions explain 23% of the intention for suggest the university to potential students, and it was determined that the reputation dimension has the strongest effect (beta = .367). The research explores the link between service quality and satisfaction, suggestion, behavioral intention and determines the construct validity of the scale developed in a foreign culture.Öğe The effect of acupressure on constipation symptoms and quality of life among older people: a mixed-methods study(Springer, 2023) Aydemir, Tugba; Tasci, Sultan; Bayraktar, Muhammet; Saz, AliPurposeThis study aims to evaluate the effect of acupressure on constipation symptoms and quality of life in older people.MethodsThe study was a double-blind, randomized, sham-controlled, qualitative and quantitative mixed-method study. Individuals in the acupressure group received acupressure for 21 min per day for a total of 12 sessions. The other group received sham acupressure for the same duration. Constipation Assessment Scale (CAS), Constipation Quality of Life Scale (PAC-QOL), Visual Analogue Scale (VAS) and individual follow-up form were used to evaluate quantitative data, and semi-structured interview form was used to evaluate qualitative data.ResultsA total of 81 participants were randomized to acupressure (n = 41, mean age: 70.56 & PLUSMN; 4.76, 70.7% female) or sham acupressure (n = 40, mean age: 71.17 & PLUSMN; 5.19, 67.5% female). Repeated measurements of the participants showed that CAS scores differed significantly between acupressure applications (p < 0.001). There were also statistically significant differences between the two groups in PAC-QOL and VAS after the application, number of defecations and laxative use (p < 0.001). Compared to the placebo group, the acupressure group had significantly lower mean post-test scores in all constipation rating scales. Qualitative findings from the study also support the quantitative findings.ConclusionFor older people seeking evidence-based alternative therapy, acupressure may be a solution to reduce the constipation symptoms. Future studies with larger sample sizes are needed to confirm our study findings. Key summary pointsAimThis study aims to evaluate the effect of acupressure on constipation symptoms and quality of life in older people.FindingsIt was observed that the constipation score of the acupressure group were significantly decreased and the difference between the two groups was significant.MessageAcupressure is an effective non-pharmacological approach for the treatment of constipation.Öğe The Effects of Undergraduate Nursing Education in Diagnosing the Symptoms of Child Abuse and Neglect(2021) Karta, Mert; Bayraktar, MuhammetObjective: Health professionals are expected to properly identify all the four dimensions of child abuse that are discussed as physical, sexual, emotional abuse, and neglect. This study was conducted to measure the impact of education given in the nursing department on the knowledge level of students about child neglect and abuse and to identify areas that require intervention. Materials and Methods: The population of this study is 425 students studying in all four grades of the nursing department. A sample was not determined, those who volunteered to participate and completed the questionnaire forms of the study were included (n=313, 74%). A questionnaire form for socio-demographic information and scale by Uysal were used to collect data. Statistical Package for the Social Sciences programme was used for data analysis. Results: Of the participants 64.9% were female and 74.4% did not want to receive an education on the topic. The mean total scale score was 244.92 ± 22.96 and the mean response to the items in the scale was 3.65. Compared with male students (240.85 ± 22.90), the total score of female students (247.15 ± 22.75) was significantly higher (p = 0.020). Compared with other grades, the total score of fourth grade students was significantly higher (p < 0.001). Conclusion: In the nursing education curriculum, topics related to child abuse and neglect should be included in each year. Higher participation of male students in these trainings should be ensured. Further studies on this topic should be conducted with students.Öğe The impact of the apelinergic system in coronary collateral formation(Baycinar Medical Publ-Baycinar Tibbi Yayincilik, 2023) Ozsoyler, Ibrahim; Ucak, Haci Ali; Badak, Tolga Onur; Cakallioglu, Ahmet; Bayraktar, Muhammet; Arslan, Ahmet SuhaBackground: This study aims to examine the relationship between the development of coronary collateral circulation and serum elabela levels. Methods: Between January 2020 and December 2021, a total of 50 control individuals (29 males, 21 females; mean age: 63.2 +/- 10.0 years; range, 52 to 73 years) with no significant coronary artery disease as confirmed by angiography (Group 1) and 100 patients (55 males, 45 females; mean age: 66.6 +/- 9.6 years; range, 56 to 75 years) with coronary artery disease were included. The patients were further divided into two equal groups according to the Rentrop classification as poor (Group 2) and good coronary collateral circulation (Group 3). All groups were compared in terms of several parameters, particularly serum elabela levels. Results: Serum elabela levels were found to be statistically higher in the group with good collateral than the other groups (p<0.05). Low serum elabela levels increased the risk of developing weak collaterals by 2.43 times. Conclusion: The elabela protein is directly related to good collateral development and can be considered a potential agent for treatment.Öğe The relationship of gastrointestinal complications and ventilator related status with gastric residual volume in intensive care patients(2021) Kaçmaz, Mustafa; Kocaöz, Fazilet; Destegül, Dilek; Turhan, Zeynep Yüksel; Bayraktar, MuhammetAim: Our study aimed primarily to determine whether there was a relationship betweentotal gastric residual volume (GRV) amounts and two different GRV thresholds andthe development of gastrointestinal intolerance in patients on mechanical ventilationin the intensive care unit (ICU) and secondarily, to determine the effects of differentGRV quantities on ventilator-related conditions (VAC).Methods: Seventy patients above the age of 18 who were scheduled to be fed withenteral nutrition (EN) for at least three days, were divided into two groups including 35patients according to GRV threshold values of 250 ml and 500 ml. The total amountsof GRV of the patients who did not exceed any of the two GRV thresholds during thefollow-up period of 72 hours were recorded and calculated. For all patients, necessarydata was recorded and high gastric residual volume rates (HGRV), times to reachtarget calories, mean GRV amounts, abdominal distension, vomiting, diarrhea, VACand infection-related ventilator-related complications (IVAC) were all observed.Results: Although there were statistically significant differences between the groupsin terms of the HGRV rates and the HGRV rates exceeding the determined thresholdvalues [p <0.05], there was no significant difference between the groups in terms ofabdominal distension, vomiting, diarrhea, VAC and IVAC (p> 0.05).Conclusion: The results of this study suggest that measuring the amount of GRVin intensive care patients fed by EN via the nasogastric tube in order to decide ongastrointestinal motility function and to reduce the complication rate, is not necessary
