TR Dizin İndeksli Yayınlar Koleksiyonu / TR Dizin Indexed Publications Collection
Permanent URI for this collectionhttps://hdl.handle.net/20.500.14365/4
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Article Educational Needs During COVID-19: MOOCs Experiences Among Global Family Physicians(Galenos Publishing House, 2024-10-11) Küçükerdem, Halime Seda; Gökdemir, Özden; Bakola, Maria; Bhattacharya, Sudip; Shariff, Mohammed IdrisAmaç: Aile hekimleri (AH) dünya genelinde hastalığın dolaylı etkilerini en aza indirmek için seferber olmuştur. AH’leri her zaman ön saflarda yer almakta, “ilk giren-son çıkan” olarak hareket etmektedir ve koronavirüs hastalığı-2019 (COVID-19) salgınının akut evresinde virüs kaynaklı hastalıkla mücadelede öncülük etmiştir. Birinci basamak sağlık merkezlerinde ve COVID-19 için özel olarak kurulmuş merkezlerde hastaları muayene etme, bilgilendirme ve izleme konusunda hayati bir rol oynadılar. Ancak hızla değişen COVID-19 konusundaki yetersiz bilgi nedeniyle, AH’leri bu yeni koronavirüs hakkında pratik ve teorik bilgilerini günlük olarak güncellemek zorunda kalmıştır. Kitlesel açık çevrimiçi dersler (KAÇD), çevrimiçi bir uygulama kullanarak dünya çapında erişim sağlayan kurslardır. Bu çalışmada, AH’lerinin COVID-19 ile ilgili eğitim ihtiyaçlarını KAÇD’ler aracılığıyla karşılama konusundaki görüş ve önerilerini belirlemeyi ve çözüm önerileri geliştirmeyi amaçladık. Yöntemler: Çalışma, KAÇD eğitimini tamamlamış ve anketi doldurmuş AH’lerle gerçekleştirilmek üzere planlanmıştır. Uluslararası katılım nedeniyle anket İngilizce olarak yapılmıştır. Etik onay, İzmir Ekonomi Üniversitesi Etik Kurulu’ndan alınmıştır. Katılım tamamen gönüllülük esasına dayanmaktadır. Bulgular: Çalışmamız, AH’lerin yaşı arttıkça hastaları tedavi etme konusundaki güvenlerinin de arttığını ortaya koymuştur. AH’ler, KAÇD’lere sürekli tıp eğitimi ve grup etkinliği olarak olumlu bir yaklaşım sergilemişlerdir (p<0,005). Çalışmanın nitel kısmında üç tema öne çıkmıştır: “i) birinci basamak sağlık hizmetlerindeki değişikliklere dair endişeler hakkında görüşler, ii) bilgi ihtiyacı ve bilgiye erişim konusundaki görüşler ve tutumlar, iii) KAÇD’ler hakkında tutumlar ve inançlar”. Sonuç: Bu kursun tamamlanmasıyla birlikte AH’ler, COVID-19 yönetimi konusunda bilgilerini genişletmişlerdir. Bu, onlara dünya genelinde yeni koronavirüsle enfekte olmuş sayısız hastanın hayatını kurtarma ve iyileştirme kapasitesi sağlamıştır. COVID-19 ile ilgili deneyimlerini paylaşmak, stresle başa çıkmanın bir yolu olabilir.Article The Experience of Women Infected by the Covid-19 During Pregnancy: a Qualitative Study(Galenos Publ House, 2023-03-23) Ugurlu, Meltem; Kıratlı, Didem; Yavan, TülayObjective: To gain deeper understanding of experiences of pregnant women infected with coronavirus disease-2019 (COVID-19) during the Methods: This study, which was planned as a descriptive qualitative study, was performed out with 15 pregnant women infected with COVID-19. The data were collected between January 5th and March 15th, 2021 using a semi-structured interview form and in-depth interview method. Content analysis, one of the qualitative research method, was used to evaluate the data. The research was planned based on the Qualitative Research Reporting Consolidated Criteria checklist, which is a guide for qualitative research. Results: Four main themes were found in experiences of pregnant women infected with COVID-19: (1) psychosocial health; (2) change in daily routines on quarantine days, (3) coping and (4) perinatal period changes. Pregnant women experienced both psychological and physical difficulties. They used the expression closed box to describe the anxiety and anxious state experienced due to the uncertainty of the perinatal outcomes brought about by COVID-19 during pregnancy. Conclusion: Understanding the experiences of pregnant women infected with COVID-19 is the first step in determining treatment and care management for nurses and healthcare professionals. During the pandemic period, pregnant women need to reach prenatal care services on time, to support them physically and psychosocially, to provide information with e-health services, and to provide remote follow-up support to cope with the process.Article Change Point Detection Methods for Locating Activations in Functional Neuronal Images(2022-06-30) Candemir, Cemre; Oğuz, KayaThe most common analysis for fMRI images is activation detection, in which the purpose is to find the locations in the brain that respond to specific functions, such as visual processing or motor functions by providing related stimuli as tasks in the experiment. On the other hand, it is also important to detect the instance the activation is triggered. One of the powerful techniques that can analyze the abnormal behavior of any data is change point (CP) analysis. We suggest that CP detection algorithms also can be used to locate the activations in functional magnetic resonance imaging (fMRI) sequences, as well. Our paper presents a two-fold innovative study in that respect. First, we propose to use CP detection algorithms to locate the activations in fMRI signals as a state-of-art topic. Furthermore, we propose and compare a set of change point analysis methods, a regression-based method (RBM), a statistical method (SM), and a mean difference of double sliding windows method (MDSW)) to locate such points. Second, we apply these methods to the fMRI signals, which are acquired from the real subjects, while they were performing fMRI tasks. Proposed methods were applied to three different fMRI experiments with a motor task, a visual task, and a linguistic task. The analysis shows that the methods find activations in accordance with established methods such as statistical parametric maps (SPM). The acquired up to 94 % results also show that the proposed methods can be used effectively to locate the activation times on fMRI time series.Article Is It Possible To Have a Risk Scoring System That Provides Early Warning of the Poor Prognosis in Covid-19?(2022) Acar, Burak; Akbaş, İlker; Koçak, Abdullah Osman; Dogruyol, Sinem; Özcan, SinemObjective: In our study, we aimed to determine the factors associated with poor outcome by evaluating the data of possible/definite Coronavirus 2019 (COVID-19) cases coming to the emergency department in two centers and to establish a risk scoring system. Methods: This study has been designed as a retrospective study performed on COVID-19 cases. Patients’ sociodemographic data, complaints, vital signs, laboratory parameters, ser- vice/intensive care admission status, and the presence of death were analyzed. Results: A total of 436 patients were included in the study. We divided the cases into two groups in terms of poor outcome. The factors associated with poor outcome such as the presence of comorbid disease (p=0.001), being 50 years and older (p<0.001), symptoms of shortness of breath (p<0.001), saturation value <95% (p<0.001), neutrophil count >7×109 L–1 (p=0.006), lymphocyte count <1.1×109 L –1 (p=0.020), procalcitonin value ?0.015 ng/mL (p=0.001), D-dimer value ?500 mg/L (p=0.009) were found to be statistically significant. Conclusion: The scoring system we have created is considered to be a comprehensive, eas- ily applicable, and reliable method in determining the prognosis and the treatment strategy.Article Citation - WoS: 1Citation - Scopus: 1Healthcare-Related Hcv Genotype 4d Infections in Kayseri, Turkey(Aves, 2022-11-15) Gokahmetoglu, Selma; Polat, Ceylan; Atalay, Mustafa Altay; Sezgin, Gulten Can; Ergor, Gul; Aygen, Bilgehan; Gursoy, Sebnem; Abacıoğlu, Yusuf Hakan; Gökahmetolu, Selma; Abacolu, Yusuf Hakan; Abacioglu, HakanBackground: The frequency of genotype 4 hepatitis C virus infection is significantly higher in a city compared to other provinces in Turkey. In this study, we aimed to investigate the epidemiology and risk factors of hepatitis C virus genotype 4 infection in Kayseri province of Turkey. Methods: A case-control study was conducted with 61 hepatitis C virus genotype 4-infected patients and 71 controls. A questionnaire was administered to the patients and controls, asking for information about the risk factors of hepatitis C virus transmission. Core/E1 and NS5B regions of hepatitis C virus genome were amplified and sequenced by Sanger method. Phylogenetic analysis and molecular clock analysis were performed. The risk was determined by calculating the odds ratio and 95% CI. Logistic regression analysis was performed to determine the effect of risk factors by controlling for confounding variables. Results: Kayseri isolates were closely related to type 4d sequences but formed a separate cluster. According to the molecular clock analysis, hepatitis C virus genotype 4d entered Kayseri province probably between 1941 and 1988. Blood transfusion and surgical intervention were found to be significant risk factors for the infection. Conclusion: Epidemiological data showed that hepatitis C virus genotype 4d infections are significantly associated with unsafe medical procedures.