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Does cultural structure affect sexuality and marital adjustment in infertil women?
(Taylor & Francis, 2025) Bayraktar, Evrim; Kaya Erten, Zeliha; Uludağ, Zeki Semih
The place of infertility and infertility in culture is an important factor affecting the sexual and marital adjustment of individuals. The study aimed to examine how cultural structure affects sexuality and marital adjustment in infertile women with mixed methods. The quantitative part of the study was completed with 178 infertile women and in-depth interviews were conducted with 6 women in the qualitative part. Quantitative data were collected with the Patient Information Form, DAS and SQOL-F, MSPSS and qualitative data were collected with the in-depth interview form. There was a significant relationship between the years of marriage and the duration of infertility and the scale scores. In addition, infertile women stated that the cultural structure and the environment they lived in had a great impact on them. Health professionals should counsel individuals in improving the quality of life based on infertility and infertility-related problems and in resolving intra-family communication and sexual problems that significantly impair marital relationships.
Health-Related Quality of Life and Metabolic Control in Children and Adolescents with Type 1 Diabetes Mellitus
(Galenos Publ House, 2016) Caferoglu, Zeynep; İnanç, Neriman; Hatipoglu, Nihal; Kurtoglu, Selim
Objective: The burdens imposed on a child and his/her parents by a diagnosis of type 1 diabetes mellitus (T1DM) adversely affect their health-related quality of life (HRQoL). HRQoL is important for prognosis and is related to metabolic control. To evaluate the HRQoL of Turkish children and adolescents with T1DM and to assess the correlation of HRQoL subscales (including physical and psychosocial health) with metabolic control, and particularly with hypo-and hyperglycaemic episodes. Methods: This cross-sectional study included 70 participants with T1DM aged between 8 and 18 years (study group) and 72 healthy controls who were matched to the study group in terms of age, gender, and sociodemographic characteristics (control group), and their parents. HRQoL was determined by the Pediatric Quality of Life Inventory. As an indicator of metabolic control, the most recent hemoglobin A1c (HbA1c) levels were obtained and the number of hypo-and hyperglycaemic episodes over the past one month were checked. Results: The study group had similar HRQoL scores for children's self-reports to the control group apart from a decreasing psychosocial health score for parents' proxy-reports in the study group. Although HbA1c level was not related to HRQoL scores, lower number of hypo-and hyperglycaemic episodes were associated with an increase in psychosocial health scores and physical health scores as well as an increase in the total score for parents' proxy-reports. Conclusion: Although there was no correlation between metabolic control and HRQoL in children's self-reports, the improving HRQoL levels in parents' proxy-reports were associated with good metabolic control.
The effect of postpartum afterpain on breastfeeding self-efficacy
(Cukurova Univ, Fac Medicine, 2019) Evcili, Funda; Kaya, Didem
Purpose: This study was carried out to identify the effect of postpartum afterpain on breastfeeding self-efficacy. Materials and Methods: This was a descriptive study. The sample consisted of 376 postnatal women who met the criteria for participation in the study. The participants were administered the Personal Information Form, The Short-Form McGill Pain Questionnaire, The Short-Form Breastfeeding Self-Efficacy Scale. Results: The mean total score received from the breastfeeding self-efficacy by the postpartum women was found to be 36.88 +/- 8.54 (min:14, max:70). The mean scores of the sensory and affective pain, total pain intensity, and visual analoque scale were found to be 33.53 +/- 4.18 (min:0, max:45), 2.60 +/- 1.39 (min:0, max:5), 6.23 +/- 1.91 (min:0, max:10), respectively. In this study, the breastfeeding self-efficacy was found to be higher in the women who were 35 years and over, found their social support adequate, planned their current pregnancy, received prenatal care, expressed their willingness to breastfeed, had no breastfeeding problem. The self-efficacy of breastfeeding is low for women who experienced postpartum abdominal pain, who described the frequency of pain as 'continuous, continuous and constant', and who stated that they needed analgesia. A statistically significant negative correlation was determined between the postpartum women's breastfeeding selfefficacy scores and their postpartum afterpain scores. The postpartum women with afterpain were found to have low levels of breastfeeding self-efficacy. Conclusion: Postpartum pain negatively affects breastfeeding self-efficacy. Controlling pain contributes to the effective implementation of the breastfeeding process.
Knowledge, Attitude, and Practices About Wet-Nursing and Human Milk Banking in Kayseri, Turkey
(Erciyes Univ Sch Medicine, 2018) Yılmaz, Müge; Aykut, Mualla; Şahin, Habibe; Ongan, Dilek; Balcı, Elçin; Gün, İskender; Öztürk, Ahmet
Objective: The aim of the present study was to determine the knowledge, attitude, and practices of mothers about wet-nursing and human milk banking in Kayseri, Turkey. Materials and Methods: This descriptive study was conducted in the family healthcare centers of four community health care centers in Kayseri Province. The questionnaire form was fulfilled with face-to-face interviews of 614 participants. Results: Of the mothers, 88.9% had heard about wet-nursing, 10.9% had a wet-nurse of her own, 5.2% had a wet-nurse of her child, and 5.0% had been a wet-nurse of another child. Wet-nurses were chosen mostly from relatives. Of the mothers, 93.6% stated that they had not heard about milk banking, whereas 97.2% did not know its purpose and services. More than half of the mothers (61.6%) thought human milk banking as a right application, whereas 75.4% of the mothers who thought that it was not right were against it because they believed marriage between foster milk siblings was religiously forbidden. Most of the mothers (79.8%) stated that they could milk for another child, and 56.2% identified that they could donate breast milk to the human milk bank. Conclusion: More than half of the mothers thought that milk banking was a correct application. Mothers who were opposed to milk banking showed religious justifications as reasons. Placing the subjects milk banks and human milk donorship during education on breast milk in hospitals is important in terms of increasing the awareness of mothers.
Does capsaicin have therapeutic benefits in human colon adenocarcinoma? Selection of the most reliable dose via AgNOR
(Tubitak Scientific & Technological Research Council Turkey, 2020) Nisari, Mustafa; Eroz, Recep
Background/aim: To determine the effect of different doses of capsaicin on AgNOR protein synthesis in human colon adenocarcinoma derivate from colon cancer (Cato-2 cell). Materials and methods: In this experimental study, after the cultured of Caco-2 cell line, the cells are divided into 4 groups as control and different capsaicin exposed doses (25u mu, 50u mu, and 75u mu). Mean AgNOR number and total AgNOR area/nuclear area (TAA/NA) were calculated. Results: A significant differences were detected between control and capsaicin (50u mu) (P = 0.001), between control and capsaicin (75u mu) (P = 0.000), between capsaicin (25u mu) and capsaicin (50u mu) (P = 0.001) and between capsaicin (25u mu) and capsaicin (75u mu) (P = 0.000) for TAA/NA. Also, there were significant differences between control and capsaicin (50u mu) (P = 0.001), between control and capsaicin (75u mu) (P = 0.000), between capsaicin (25u mu) and capsaicin (50u mu) (P = 0.000) and between capsaicin (25u mu) and capsaicin (75u mu) (P = 0.000) for mean AgNOR number. Conclusion: A certain amount of capsaicin has a protective effect against colon adenocarcinoma and the dose concentrations are important for the most reliable treatment.
Investigation of double-carbapenem efficiency in experimental sepsis of colistin-resistant Klebsiella pneumoniae
(Kare Publ, 2021) Kosar, Imran; Dinc, Gokcen; Eren, Esma; Aykemat, Yusuf; Kilic, Mesut; Kilic, Huseyin; Doganay, Mehmet
OBJECTIVE: Klebsiella pneumoniae, a Gram-negative pathogen, especially which produces carbapenemase, is seen as a major threat to public health due to rapid plasmid-mediated spread of resistance and limited therapeutic options available for treatment. Although colistin has been recognized as a last resort antimicrobial for multidrug-resistant K. pneumoniae infections, these isolates have developed resistance to colistin as a result of its intensive use. The aim of this study was to evaluate the efficacy of double-carbapenem treatment of colistin-resistant K. pneumoniae experimental sepsis in mice. METHODS: In the study, 8-10-week-old Balb-c mice were divided as control groups (positive and negative) and treatment groups (colistin, ertapenem+meropenem, and ertapenem+meropenem+colistin). Sepsis was developed in mice by an intraperitoneal injection of colistin resistant K. pneumoniae. Antibiotics were given intraperitoneally 3 h after bacterial inoculation. Mice in each subgroup were sacrificed with overdose anesthetic at the end of 24-48 h and cultures were made from the heart, lung, liver, and spleen. Furthermore, homogenates of lung and liver were used to detect the number of colony-forming units per gram. Bacterial clearance was evaluated in lung and liver at different time points. RESULTS: When the quantitative bacterial loads in the lung and liver tissues are evaluated, no statistically significant difference was observed between different antibiotic treatments (p>0.05). All three treatment options were not effective, especially in 24 h. Only the decrease in bacterial load at the 48th h of the group treated with ertapenem + meropenem + colistin was found significant (p<0.05) compared to the 24 h. CONCLUSION: In the light of these data, it was understood that double-carbapenem application was not sufficient in the treatment of experimental sepsis in mice with colistin-resistant K. pneumoniae. Furthermore, ertapenem + meropenem + colistin combined therapy was not found to be superior to colistin monotherapy or double-carbapenem therapy.
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.
Assessment of motor development using the Alberta Infant Motor Scale in full-term infants
(Turkish J Pediatrics, 2020) Kepenek-Varol, Busra; Hosbay, Zeynep; Varol, Selcuk; Torun, Emel
The Alberta Infant Motor Scale (AIMS) is a well-known, norm-referenced scale that evaluates the gross motor development of children from birth to 18 months. The aim of the study was to compare the Canadian norms with the AIMS scores of a Turkish sample of infants, and to investigate whether the current reference values of the AIMS are representative for Turkish full-term infants. The study was conducted with 411 Turkish infants of both sexes (195 girls and 216 boys), born with gestational age 38 weeks and older, weighing >= 2500 g at birth. Motor performance of all the cases at different ages were assessed with the AIMS which was used by a physiotherapist. The mean AIMS scores of Turkish infants were compared with the norm values of the original AIMS established in a Canadian sample of infants. The results showed no statistically significant differences between the AIMS scores of Turkish and Canadian infants during the first 18 months of life except at 0-<1 and 2-<3 months of age. The AIMS scores were significantly lower in Turkish infants than in Canadian infants at 0-<1 (p=0.025) and 2-<3 (p=0.042) months of age. In conclusion, the AIMS can be used in Turkish children to assess gross motor development, especially after 4 months of age. However, this paper was presented as a preliminary study to compare AIMS results between Turkish and Canadian infants, and further studies are needed to realize the Turkish validation of AIMS.
Reliability and validity of the Turkish version of king's Parkinson's disease pain scale
(Wolters Kluwer Medknow Publications, 2020) Soyuer, Ferhan; Gultekin, Murat; Cankurtaran, Feyzan; Elmali, Ferhan
Objective: Pain, a nonmotor symptom in Parkinson's disease (PD), affects approximately 40%-85% of patients and adversely affects their daily activities. Therefore, our aim was to establish the validity and reliability of the Turkish version of King's PD Pain Scale (KPDPS) and to make it available for Turkish patients with PD patients. Methods: The first phase of the study involved the translation and adaptation of the KPDPS to Turkish. For the language validity of the scale, a translation back-translation method was applied, and expert's opinion was considered for content validity. In the second stage, the developed Turkish scale was administered to 152 patients with PD. In the study, test-retest was performed in 50 patients for 1 week. Results: The internal consistency value was found as 0.856 in the KPDPS. When the test-retest was performed, the internal consistency value of the scale showed excellent reliability. The test-retest-Cronbach's alpha value for the whole scale was 0.827. According to the data analysis results, it showed that 14 items on the scale were sufficient for the evaluation of pain in patients with PD. Conclusion: The results from this study show that KPDPS items have adequate internal consistency and test-retest reliability. The Turkish KPDPS can be used as a reliable and valid instrument for assessing the pain symptoms common to patients with PD.
Prevalence of COVID-19 infection in asymptomatic school children
(Turkish J Pediatrics, 2022) Aslaner, Humeyra; Benli, Ali Ramazan; Simsek, Erhan; Korkmaz, Zubeyde
Background. With the onset of the COVID-19 pandemic, discussions regarding the prevalence of COVID-19 in children and the association of this with education have started. This study aimed to determine the prevalence of COVID-19 infection in asymptomatic school children within a limited period while face-to-face education continued. Methods. This is a descriptive and retrospective study. Screening was carried out in the schools in the three major districts of the metropolitan municipality when face-to-face education was practiced. COVID-19 RT-PCR swab samples were collected from 4,658 students from 46 schools at preschool, primary, secondary, and high school levels by using the stratified sampling method. Screening results were retrospectively analyzed by the researchers. Results. The mean age of the children included in the study was 10.6 +/- 3.2 (5-17). Only 46 students' COVID-19 RT-PCR results were positive; the positivity rate was higher in male students than in female students (p>0.05); the students living in the third region had a higher positivity rate than the other students, there was a statistical difference between them (p<0.001); there were no positive cases in 26 (56.7%) schools, and the spreader rate of the school children was 0.98%. Conclusions. We determined in the study that the prevalence of COVID-19 infection was not high in asymptomatic school children in the period when schools were open. This may play a role in directing the education and training during the pandemic.
Results of Special Neck Exercises in a Patient with Cerebellar Ataxia and Axial Myoclonus Due to ADCK3 Mutation
(Turkish Neurological Soc, 2021) Menevse, Ozlem; Bilgin, Sevil; Gultekin, Murat
Cerebellar ataxia associated with the aarF-domain-containing kinase 3 ( ADCK3) gene mutation is a hereditary type of ataxia related to autosomal recessive cerebellar ataxias. Additional symptoms, such as epileptic seizures, pyramidal signs, and myoclonus, may be seen in this progressive ataxia. This case report aimed to present the results of the physiotherapy and rehabilitation program of a 19-year-old patient with cerebellar ataxia and myoclonus, due to coenzyme Q10 deficiency, associated with the ADCK3 gene mutation. International cooperative ataxia rating scale, mini-mental state examination, observational posture analysis, unified myoclonus rating scale, Purdue-Pegboard test, timed up and go test, functional and computerized balance tests, and Nottingham health profile were used when evaluating the patient. The patient underwent special neck exercises consisting of reeducation of neutral posture and cervical stabilization exercises for three days a week, totaling nine weeks. At the end of the treatment, improvement in the patient's posture, marked decrease in myoclonus, and significant improvements in fine hand skills, balance parameters, and quality of life were obtained. It is likely that the physiotherapy approach, consisting of special neck exercises, has improved postural control by contributing to the development of the sensory processes needed to achieve postural control. Therefore, special neck exercises have the potential to be an alternative treatment option for these patients.
Nutrient Intake of Crohn's Patients: Is There Consistency between Crohn's Disease Activity Index, Subjective Global Assessment and Body Mass Index?
(Iranian Scientific Society Medical Entomology, 2021) İnanç, Neriman; Firat, Yagmur Yasar; Başmısırlı, Eda; Çapar, Aslı Gizem
Background: We aimed to determine the nutrient intake of Crohn's patients and to expose its relationship with Crohn's Activity Index (CDAI), Subjective Global Assessment (SGA) and Body Mass Index (BMI). Methods: This randomized controlled trial was conducted on patients enrolled in the Gastroenterology Polyclinic of a University Medical Faculty Hospital, Kayseri, Turkey in 2017. Two groups were included in this study: Crohn's Group (n = 100) and Control (n = 89). Crohn's Disease Activity Index was used to detect disease activity. Malnutrition risk was determined by the SGA and daily energy and nutrient intakes were calculated. Results: There was a significant relationship between SGA and both CDAI and BMI (P<0.001, P=0.008, respectively). Daily energy, carbohydrate, monosaccharide, starch, sucrose, fructose, poly-unsaturated fatty acids, omega-3 fatty acids, fiber, vitamin E and C, thiamine, niacin, pyridoxine, Mg, P, Fe, Cu, Zn intakes were significantly lower in Crohn's Group than in Control Group. While more than 50% of the patients did not consume enough, B6, C, thiamine, niacin, folic acid, Mg, Ca and fiber, intakes of vitamin E, riboflavin, Fe, P, and Zn were adequate. Energy and nutrient (vitamin E, thiamine, vitamin B6, mono and poly unsaturated fatty acids, saturated fatty acids, Mg, Ca, P, Zn, n-3 fatty acids and starch) intakes were negatively correlated with CDAI, but there was no relationship between these intakes and SGA. Conclusion: There was a relationship between CDAI, SGD and BMI used to determine nutritional status in patients with Crohn's.
Reliability and Validity of the Four Square Step Test in Adolescent Cerebral Palsy
(Medcom Ltd, 2025) Soyuer, F. Tanrioger; Sirayder, U.
Purpose: The study is aimed to determine the validity and reliability of the Four Square Step Test (FSST) for evaluating adolescent cerebral palsy (CP). Methods: This study included a total of 66 subjects (21 with hemiparetic CP, 19 with diplegic CP, and 26 healthy participants), all aged between 12 to 18 years and similar gender distribution.We assessed dynamic balance with the FSST and the Time Up and Go (TUG) test. Findings: For internal consistency, Cronbach's alpha coefficients calculated as 0.913 as the total score. Test-retest measurement demonstrated excellent reliability (intraclass correlation coefficient- 95% confidence interval, 0.805 to 0.999). There was a significant positive correlationbetween FSST and TUG among both of the groups with CP (r=0.95, p<0.001). Receiver operating characteristic analysis for differentiating healthy from those with hemiparetic CP the FSST showed 66.4% sensitivity and 84.62% specifity; for diparetic CP, the FSST showed 63.16% sensitivity and 100% specifity, and the TUG test showed 73.68% sensitivity and 100% specifity. Conclusion: The study shows that the FSST is a valid and reliable test to evaluate dynamic standing balance in adolescents with CP.
Does Behavioral Feeding Problem Influence Weight Status and Diet Quality in Preschool Children?
(Lippincott Williams & Wilkins, 2025) Kaya, Neşe; Aykemat, Yusuf; Kurtbeyoglu, Emine
This study investigated behavioral feeding problems and associations with weight status and diet quality in preschool children. A cross-sectional study was conducted with 265 children aged 3 to 6 years. The Behavioral Pediatric Feeding Assessment Scale (BPFAS) was used to assess feeding behavior. Higher feeding problems were associated with lower body mass index and lower diet quality. Underweight children had higher mean BPFAS scores (P = .01). Having fewer siblings was associated with lower diet quality (r = 0.187; P = .002) and higher BPFAS scores (r = -0.127; P = .038). Higher BPFAS scores, picky-eaters scores, toddler refusal-general scores, and older children refusal-general scores were associated with lower body mass index and lower diet quality (P < .001).
Comparison of Pediatric Nutrition Screening Tool (PNST) With the Pediatric Yorkhill Malnutrition Score (PYMS) in Hospitalized Turkish Children
(Lippincott Williams & Wilkins, 2023) Caferoglu, Zeynep; Kaya, Neşe; Konyaligil, Nurefsan; Kurtbeyoglu, Emine; Cavdar, Meliha; Firat, Selma; Toklu, Hilal
This study aimed to compare the diagnostic accuracy of Pediatric Nutrition Screening Tool (PNST) and Pediatric Yorkhill Malnutrition Score (PYMS) in Turkish pediatric inpatients. A cross-sectional study was conducted on 996 inpatients aged 1 to 16 years. The prevalence of malnutrition was 31.8%. The PNST identified 28.7% (original cutoffs) and 62.6% (adjusted cutoffs) of patients as at risk, whereas PYMS categorized 44.3% as at high risk of malnutrition. The sensitivity of PNST with original cutoffs (52.1%) was lower than that of PYMS (85.2%) and PNST with adjusted cutoffs (83.3%), especially for acute malnutrition (67.6% vs 95.3% and 94.6%, respectively). Considering the importance of early identification and treatment of malnutrition, PYMS and PNST with adjusted cutoffs may be useful as a screening tool in this population.
Impaired exercise capacity in electrostatic polyester powder paint workers
(Taylor & Francis Ltd, 2021) Sirayder, Ukbe; Inal-Ince, Deniz; Acik, Cihangir; Soyuer, Ferhan
Purpose Limited number of studies investigated the effects of Electrostatic powder paints (EPP) on human health. We investigated the effects of EPP exposure on lung function, exercise capacity, and quality of life, and the factors determining exercise capacity in EPP workers. Methods Fifty-four male EPP workers and 54 age-matched healthy male individuals (control group) were included. Lung function and respiratory muscle strength were measured. The lower limit of normal (LLN) cut-points for FEV1 and FEV1/FVC were calculated. An EPT was used to evaluate bronchial hyperactivity. The handgrip and quadriceps muscle strength were evaluated using a hand-held dynamometer. An ISWT was used to determine exercise capacity. The physical activity level was questioned using the IPAQ. The SGRQ and NHP were used to assessing respiratory specific and general quality of life, respectively. Results Duration of work, FEV1, MIP, handgrip strength, and ISWT distance were significantly lower, and the change in FEV1 after EPT and %HRmax were significantly higher in the EPP group compared to the control group (p < 0.05). There were no subjects with a < LLN for FEV1 and FEV1/FVC in both groups. In the EPP group, ISWT distance was significantly related to age, height, duration of work, FEV1, change in FEV1 after EPT, MIP, MEP, handgrip strength, IPAQ, SGRQ, and NHP total scores (p < 0.05). The change in FEV1 after EPT, MIP, and duration of work explained % 62 of the variance in the ISWT distance (p < 0.001). Conclusions Changes in lung function based on LLN for the FEV1 and FEV1/FVC were not clinically relevant in EPP workers. Exercise capacity is impaired in EPP workers. Degree of exercise-induced bronchospasm, inspiratory muscle strength, and duration of work are the determinants of exercise capacity in EPP workers.
The effects of implementing a nutritional support algorithm in critically ill medical patients
(Pakistan Medical Assoc, 2015) Sungur, Gonul; Şahin, Habibe; Tasci, Sultan
Objectives: To determine the effect of the enteral nutrition algorithm on nutritional support in critically ill medical patients. Methods: The quasi-experimental study was conducted at a medical Intensive Care Unit of a university hospital in central Anatolia region in Turkey from June to December 2008. The patients were divided into two equal groups: the historical group was fed in routine clinical applications, while the study group was fed according to the enteral nutritional algorithm. Prior to collecting data, nurses were trained interactively about enteral nutrition and the nutritional support algorithm. The nutrition of the study group was directed by the nurses. Data were recorded during 3 days of care. SPSS 22 was used for statistical analysis. Results: The 40 patients in the study were divided into two equal groups of 20(50%) each. The energy intake of study group was 62% of the prescribed energy requirement on the 1st, 68.5% on the 2nd and 63% on the 3rd day, whereas in the historical group 38%, 56.5% and 60% of the prescribed energy requirement were met. The consumed energy of the historical group on the 1st 2nd and 3rd day was significantly different (p=0.020). In the study group, serum total protein and albumin levels decreased significantly (p<0.05), but pre-albumin and fasting blood glucose levels were not changed on the 1st and 4th day. In the historical group, any of the serum parameters did not change. Enteral nutrition-induced complications, duration of stay in intensive care unit were not significantly different between the groups (p>0.05). Conclusion: The use of standard algorithms for enteral nutrition may be an effective way to meet the nutritional requirements of patients.
Effects of dairy products consumption on weight loss and blood chemistry in premenopausal obese women
(Pakistan Medical Assoc, 2016) Celik, Neslihan; İnanç, Neriman
Objectives: To determine the effects of dairy calcium on changes in body weight and body fat mass in obese women on a weight-loss diet. Methods: The non-randomised controlled study was conducted at Sivas Government Hospital, Turkey, between January and March 2010, and comprised obese women outpatients coming to the Nutrition and Diet Clinic. The participants were assigned to three groups according to their intake of dairy products as control, low dairy and high dairy groups. Measurements of anthropometry, blood pressure and analysis of blood chemistry were done before and after the intervention. Results: The mean age of the 65 women was 33.10 +/- 6.18 years. There were 20(30.7%) women in control group, 22(33.8%) in high dairy group and 23(35.3%) in low dairy group. At the end of the study, body weight, body mass index, waist and hip circumferences, waist/hip ratio, body fat percentage, and fat mass significantly decreased within the groups (p<0.001) whereas no difference was determined between the groups. Plasma total cholesterol levels decreased (p<0.05, p<0.001) and high-density lipoprotein cholesterol levels increased (p<0.05) in the two intervention groups. Systolic blood pressure was negatively correlated with dairy calcium (?=0.460, p<0.05). Conclusions: In women following a weight-loss programme, increasing the amount of dairy products was not effective in improving weight-loss compared to calorie restriction alone.
Effects of Inspiratory Muscle and Balance Training in Children with Hemiplegic Cerebral Palsy: A Randomized Controlled Trial
(Taylor & Francis Inc, 2022) Kepenek-Varol, Busra; Gurses, Hulya Nilgun; Icagasioglu, Dilara Fusun
The aim of the study was to investigate the effects of inspiratory muscle and balance training on pulmonary function, respiratory muscle strength (RMS), functional capacity, and balance in children with hemiplegic cerebral palsy (CP). Thirty children with hemiplegic CP (Gross Motor Function Classification System I-II) included in this study. The control group (n = 15) underwent conventional physiotherapy rehabilitation program (CPRP) that included balance exercises, and the training group's (n = 15) program included inspiratory muscle training (IMT) in addition to CPRP for 8 weeks. The outcome measures were pulmonary function test, RMS measurement, the six-minute walk test (6MWT), and balance tests. There were no significant differences in the score changes of pulmonary function, balance, and 6MWT distance between groups (p > .05), whereas maximum inspiratory and expiratory pressure further increased in the training group (p > .05). RMS assessment and the identification of children who need it, and adding IMT to CPRP will contribute greatly to the rehabilitative approach of children with CP.
The effect of breastfeeding training on exclusive breastfeeding: a randomized controlled trial
(Taylor & Francis Ltd, 2021) Yilmaz, Muge; Aykut, Mualla
Introduction: Although exclusive breastfeeding is very beneficial for children's and mothers' health, a limited number of infants are exclusively breastfed for 6 months. Aim: This randomized controlled intervention study aims to determine the effect of breastfeeding training on mothers' knowledge, behaviors, and exclusive breastfeeding for 6 months. Materials and methods: The participants were selected randomly for training (n = 60) and control groups (n = 60) among the pregnant women admitted to the obstetrics and gynecology polyclinics of a baby-friendly hospital. The training group received breastfeeding training during the prenatal and postnatal periods. The data were collected using a questionnaire during admission and at the postpartum 1st and 24th weeks through face-to-face interviews. The study was completed with 34 and 30 mother-infant pairs in the training and control groups, respectively. Analyzed using the chi-square, Student t, Mann-Whitney U, and Wilcoxon t-tests. Results: The difference between the number of correct answers in pre- and posttest was higher in the training group (four questions) than in the control group (two questions) (p < .001). The number of mothers exclusively breastfeeding for 6 months was significantly higher in the training group (26.5%) than in the control group (3.3%) (p = .015). The median of the exclusive breastfeeding period was longer in the training group (5 months) than in the control group (4 months) (p = .013). Conclusion: Training and supporting pregnant women and breastfeeding mothers on breastfeeding increased their knowledge, the period of exclusive breastfeeding, and the rate of 6-month exclusive breastfeeding.

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