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    A multicenter intertrochanteric fracture study in the elderly: Hemiarthroplasty versus proximal femoral nailing
    (Turkish Joint Diseases Foundation, 2020) Ekinci, Yakup; Gurbuz, Kaan; Batin, Sabri; Kahraman, Murat; Dogar, Fatih; Erten, Zeliha Kaya
    Objectives: This study aims to compare the clinical and functional results of intertrochanteric femoral fractures treated with bipolar hemiarthroplasty (BHA) or proximal femoral nailing (PFN) in elderly patients. Patients and methods: This multicenter, prospectively followed-up, retrospectively compared cohort-type study included 308 patients (81 males, 227 females; mean age 78.4 +/- 7.2 years; range, 65 to 95 years) who were treated with BHA or PFN for intertrochanteric fractures by five orthopedic surgeons in four provinces and seven clinics between January 2014 and May 2018. Clinical follow-up was performed at third week, third and sixth months, and at the end of the first and second years. The American Society of Anesthesiologists for preoperative status, Singh index for bone quality, and Harris Hip Score (HHS) for functional outcomes were evaluated. Results: While 156 patients (38 males, 118 females; mean age 77.7 +/- 5.9) were treated with BHA, 152 patients (43 males, 109 females; mean age 79 +/- 6.1) were treated with PFN. While there was no significant difference between the two groups in terms of total HHS, a significant difference was found in the sub-parameters (p<0.001). Good and excellent results were found in 78.2% of BHA and 86.2% of PFN patients. Mortality rates were similar at the end of two years (14% and 13.6%, respectively). Conclusion: In general, clinical and functional outcomes of BHA and PFN are similar. The rates of pulmonary embolism and deep vein thrombosis are significantly higher in BHA. However, BHA is advantageous in terms of operation time and early weight bearing compared to PFN.
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    Assessment of Thyroid Function Tests in Patients with COVID-19 Infection and Their Relationship with Euthyroid Sick Syndrome
    (2022) Aslaner, Hümeyra; Benli, Ali Ramazan; Çetin, Adil; Erten, Zeliha Kaya; Mıstık, Selçuk; Şimşek, Yasin
    Aim: Thyroid functions are affected by many factors functions such as some infections and drugs. This study aimed to investigate how the thyroid function tests were affected after COVID-19 infection and their relationship with euthyroid sick syndrome.Material and Method: Our study was designed as a retrospective and case-control study. The participants consisted of two groups as the control and patient groups. Thyroid function tests (TFT), hemogram and routine biochemistry of the groups were assessed. In addition, the tests of the patient group within the last 6 months before the infection were assessed. The patients’ symptoms, presence of a chronic disease, smoking history, and clinical status during COVID-19 infection were recorded.Results: A total of 473 people were included in the study. Of the participants, 54.5% were female. The white blood count (WBC), hemoglobin (HGB), platelet (PLT), and neutrophil (NEU) counts were higher in the patient group. Lymphocyte (LY) and mean platelet volume (MPV) counts were similar. Tyroid stimulating hormone (TSH) and triiodothyronine (T3) values of the patients were higher compared with the control group. The thyroxine (T4) level was similar in the two groups.TSH, T3 and T4 levels of the patient group before COVID-19 were higher than the results just after the quarantine process after COVID-19 infection.Conclusion: Thyroid dysfunction develops in COVID-19 patients within the course of the disease. This condition can be partially explained with the euthyroid sick syndrome. It is also possible with the thyroid gland being the direct or indirect target of the virus. 
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    DETERMINING THE EFFECT OF THE PUBLIC HEALTH NURSING PRACTICES ON IMMIGRANT WOMEN'S QUALITY OF LIFE AND HEALTHY LIFESTYLE BEHAVIORS
    (İnönü Üniversitesi, 2020) Erten, Zeliha Kaya; Şahin, Funda Tuncer; Korkmaz, Zübeyde; Yılmaz, Merve
    Immigrant health has been one of the most important health problems in recent years. Therefore, immigrant health should be supported by primary health care. The objective of this study is to be able to understand the power of the nurses working in primary health care services in protection and development of immigrant women’s health. Research sample included 24 immigrant women. The practice lasted for 3 months. The research teams have visited the homes of the women once a week. Total score average of the women was found as 95.45±15.31 before performing the Healthy Lifestyle Behavior Scale (HLBS). After performing the HLBS the total score was found as 115.88±18.19. The score average after HLBS was found statistically significant and higher when compared to the before (p<0.00). Significant positive development was also observed in the mental and physical aspects, which are components of the quality of life of women. Consequently, the health training given and interventions performed by home visits affected to healthy lifestyle behavior and life quality in a positive way. 
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    Doğu ve Güneydoğu Anadolu Bölgelerinden Göçle Gelen Ergenlerde Benlik Saygısını Yükseltme Programının Etkililiğinin Araştırılması
    (2018) Erten, Zeliha Kaya; Seviğ, Ümit
    Amaç: Bu çalışma Sister Callista Roy’un uyum modelinden yola çıkılarak göçle gelen vegelmeyen ergenlerin uyumlarını artırmak için yapılan benlik saygısını yükseltme programınınbenlik saygısı düzeyine etkisini belirlemek amacıyla yarı deneysel olarak yapılmıştır.Gereç ve Yöntem: Kayseri’ye 5-8 yıl içinde göçle gelmiş ve Kayseri’de yaşayan 13-14 yaş grubuergenler çalışma kapsamına alınmıştır. Göçle gelen ve gelmemiş olan 40 ergenden oluşan2 müdahale 2 kontrol olmak üzere 4 grup oluşturulmuştur. Müdahale gruplarına ayrı ayrıbenlik saygısı yükseltme programı uygulanmıştır. Kontrol gruplarına herhangi bir programuygulanmamıştır. Sosyo-demografik özelliklerin ve benlik saygısını etkileyen faktörlerinbelirlenebilmesi için “Kişisel Bilgi Formu”; benlik saygısı düzeylerini belirlemek için “LiseÖğrencileri Özsaygı (Benlik Saygısı) Envanteri” kullanılmıştır. Bütün grupların benlik saygıdüzeyleri, ön test, son test ve izlem ölçümleri ile değerlendirilmiştir.Bulgular: Benlik saygısı yükseltme programı sonrası müdahale gruplarının benlik saygısıpuan ortalamaları, kontrol gruplarının puan ortalamalarından istatistiksel olarak anlamlışekilde daha yüksek bulunmuştur. Göçle gelen ve gelmeyen müdahale grupları arasında puanfarkları ortalamaları arasında istatistiksel olarak anlamlı bir fark bulunmamıştır.Sonuç: Çalışmada sosyo ekonomik ve kültürel ortamın bireylerin uyumunu göç kadaretkilediği düşünülürken, benlik saygısı yükseltme programının ise aynı ortamı paylaşan göçlegelen ve gelmeyen ergenlerin benlik saygılarını kontrol gruplarına göre ve kendi ön-son testpuan ortalamalarına göre olumlu ve benzer şekilde etkilediği bulunmuştur.
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    Investigation of The Physical Activity and Obesity Levels of Primary School Children: Case of Kayseri Province
    (Necmettin Erbakan Üniversitesi, 2021) Yazıcı-gülay, Meltem; Korkmaz, Zübeyde; Erten, Zeliha Kaya; Gürbüz, Kaan
    Purpose: To investigate the physical activity and obesity levels in primary school students. Method: This study was conducted on 529 students aged 8-10 years. The height and weight values of the children were measured and their body mass indexes were calculated. Physical Activity Questionnaire for Older Children (PAQ-C) levels were evaluated using the Physical Activity Questionnaire for Older Children. Statistical analysis was performed using descriptive statistics, t-test and ANOVA tests. Statistical significance level was accepted as p0.05). While there was no significant difference between physical activity levels according to obesity classification (p>0.05), it was observed that those who were obese had the lowest physical activity scores. Conclusion and Suggestions: It was determined that about a quarter of the children participating in the study were overweight/obese and had moderate physical activity. It is recommended to organize training programs on proper nutrition habits and the importance of physical activity for both parents and children to combat obesity and increase physical activity levels.
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    KUŞAKLAR ARASI AKILCI İLAÇ KULLANIMI
    (2018) Özen, Betül; Erten, Zeliha Kaya; Bülbül, Tülay
    Tüm dünyada olduğu gibi ülkemizde de yanlış ve gereksiz ilaç kullanımı halk sağlığını etkileyen ciddi bir sorundur.Tanımlayıcı tipte olan bu çalışma huzurevinde kalanyaşlılar ile üniversite öğrencilerinde akılcı ilaç kullanımını belirleyerek kuşaklar arası akılcı ilaç kullanımınıdeğerlendirmek amacıyla yapılmıştır. Evreni belli örneklem yöntemi kullanılarak 30 yaşlı ve 160 genç olmak üzere toplam 190 birey örnekleme alınmıştır.Araştırmanın yapılabilmesi için etik kurul ve kurumizni, çalışmaya katılan yaşlılar ve gençlerden sözlü veyazılı onamları alınmıştır. Verilerin istatistiksel değerlendirilmesinde Turcosa istatistik paket programı kullanılmıştır.Araştırmaya katılan bireylerin %80’i 18-24 yaş, %15.2’si 55 yaş ve üzeridir. Yine araştırmada, bireylerin%51.1’i evde yarım kalmış bir ilacı tekrar kullandığınıve %47.9’unun ilacı tekrar kullanırken herhangi birsağlık personeline danışmadığı belirlenmiştir. Araştırmada, artık ilaçların ne yapıldığı, evde kalan ilaçlarıtekrar kullanırken nelere dikkat edildiği, hasta olmadanilaç satın alma, sağlık personeli dışında tavsiye ile ilaçkullanma konusunda ve başkasına kendisine iyi gelenilacı önerme konusunda kuşaklar arası anlamlı bir farkbulunmamıştır (p>0.05). Ayrıca araştırmada; antibiyotik kullanımı dışında, evde yarım kalmış ilaç kutususayısı, kalan ilaçları kullanırken kimden bilgi aldığı veilacı kullanım şekli konusunda yaşlıların gençlere kıyasla doğru davranışlar sergilediği ve aradaki farkın istatistiksel olarak anlamlı olduğu saptanmıştır (p<0.05).
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    Post-discharge evaluation of patients with Covid-19 infection
    (2022) Çetin, Adil; Gökçek, Mebrure Beyza; Aslaner, Hümeyra; Erten, Zeliha Kaya; Benli Özçakır, Ayşenur Canan
    Introduction: This study was conducted retrospectively, cross-sectional and descriptively to evaluate the telemonitoring results of discharged patients who had been hospitalized due to Covid-19 during the pandemic.Methods: This study was composed of data which were obtained through the folders of 862 patients who had gotten their Covid-19 Polymerase Chain Reaction (PCR) tests positive, were treated in hospital and discharged between 28.08.2020 and 16.09.2020. This study was completed with folders of 760 patients whose data were overall. Descriptive statistics were given as mean, standard deviation, median, minimum and maximum. Percentages were used for categorical data. Also, the Chi-Square test was used to determine differences between the groupsin categorical variables. Kolmogorov-Smirnov test was used so as to analyze normal distribution of data.Results: In the study, the age median of patients who stated their clinical condition as good and average, was lower compared to patients whose clinical status was bad (p=0.001). 45% of patients with poor condition were rehospitalized and 35% of them were directed to emergency service (p<0.001).Conclusions: Results have demonstrated that even if those patients were discharged, their problems still continued in their homes, and they need support. Moreover, it is considered that home-monitoring and home attendant care services for elderly patients have to be improved qualitatively.
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    Sexual lives of women with diabetes mellitus (type 2) and impact of culture on solution for problems related to sexual life
    (Wiley, 2014) Erten, Zeliha Kaya; Zincir, Handan; Ozkan, Filiz; Selcuk, Alime; Elmali, Ferhan
    Aims and objectives. To examine sexual lives of women with diabetes mellitus (type 2) (DM) and impact of culture on solution for problems related to sexual life. Background. DM has long been considered a risk factor for sexual dysfunction in men and women, although the evidence in women is less clear. This study was conducted to emphasise the effect of DM and culture on sexual life. Design. A descriptive and qualitative study. Methods. Planned as descriptive and qualitative, this study was conducted with 38 women who matched with the following inclusion criterion: living in a neighbourhood with low socio-economic status in the province of Kayseri, Turkey. The Participant Information Form, Diabetes Control Form, the Arizona Sexual Experiences Scale (ASEX), Sexual Life Definition Form and Semi-Structured Interview Form for revealing problems lived in sexual life, besides the results of laboratory tests, were used for data collection. Results. Mean age of the participating women was 51.34 +/- 5.85 years. Total score of ASEX was found to be correlated with the type of DM treatment, duration of DM diagnosis, complications of DM, relation with her husband, level of HbA1c and systolic-diastolic blood pressure (p < 0.05). Of the participating women, 47.4% expressed that they had problems with sexual relation. Conclusion. Most of the women with DM were determined to have problems in sexual functions besides the disease, and the impact of culture on the solution for problems lived within sexual life was effective. Relevance to clinical practice. These findings can help guide to raise the health of Turkish women with diabetes and to plan appropriate nursing interventions.
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    THE RELATIONSHIP BETWEEN THE PREMENSTRUAL SYNDROME EXPERIENCE AND ATTITUDES TOWARDS COMPLEMENTARY AND ALTERNATIVE MEDICINE OF HEALTH SCIENCES FACULTY STUDENTS
    (Erciyes Üniversitesi, 2024) Kaya, Didem; Erten, Zeliha Kaya
    The objective of this study is to determine the relation between the premenstrual syndrome states of the Faculty of Health Sciences students and their attitudes towards holistic and complementary medicine. This descriptive and correlational study was carried out on the female students studying at the faculty of health sciences of a foundation university between the dates of 15 March–15 June 2023. The sample of the study included 470 students. Socio-demographic form, Premenstrual Syndrome Scale (PMSS) and Holistic Complementary and Alternative Medicine Questionnaire (HCAMQ) were used as the data collection tools. The score average of the students in the Premenstrual Syndrome Scale was 141.79±36.24 and in the Holistic Complementary and Alternative Medicine Questionnaire was 26.87±6.26. No significant relation was found between the score averages of Premenstrual Syndrome Scale and Holistic Complementary and Alternative Medicine Questionnaire (p>0.05). The most commonly used complementary and alternative methods by the students were sleep/rest (92.6%), having hot drinks (85.7%), having a hot shower (84.9%), and massage on the abdomen(81.7%). It was determined that the students having irregular periods, smoking, not eating healthily and consuming too much coffee had more premenstrual syndrome symptoms (p<0.05). The students should gain healthy lifestyle behaviors in order to have fewer premenstrual syndrome symptoms. They should be told how they would use complementary and alternative treatment methods in symptom control and topics related to complementary and alternative treatment methods should be added in the course contents.