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Fear of Getting Pregnant Scale Development Study 对怀孕的恐惧规模发展研究
IF 0.2 Pub Date : 2023-03-06 DOI: 10.33808/clinexphealthsci.1166793
Nursel Alp Dal, K. Beydağ
Purpose: This study was carried out in order to develop a measurement tool that determines the factors that may be effective in women's fear of getting pregnant and to bring it into the literature. Methods: The sample of the study, which was carried out in methodological and analytical type, consisted of 240 sexually active women who applied to the obstetrics clinic of a hospital in the Anatolian side of Istanbul between February 1 and June 1, 2021. The study data were obtained with the "Personal Information Form" and the "Fear of Getting Pregnant Scale" created by the researchers. The draft scale, which consisted of 22 items when it was first developed, took its final form with 18 items as a result of the necessary validity and reliability studies. The scale consisted of three sub-dimensions: “physical reasons” (5 items), “psychological reasons” (6 items), and “social reasons” (7 items). Explanatory factor analysis, confirmatory factor analysis, Barlett test, Cronbach alpha test, Shapiro-Wilk test were used in the development of the scale. After evaluating the content validity of the scale, test-retest reliability, internal consistency and construct validity were examined. Results: In the validity and reliability study of the Fear of Getting Pregnant Scale, the Content Validity Index (CVI) was found to be “0.837”. The total cronbach alpha value of the scale was determined as 0.951, and the cronbach alpha value for the "physical reasons" sub-dimension was 0.910, the cronbach alpha value for the "psychological reasons" sub-dimension was 0.898, and the cronbach alpha value for the "social reasons" sub-dimension was 0.904. Conclusion: In line with these data, it was determined that the “Fear of Getting Pregnant Scale” is a valid and reliable scale.
目的:本研究旨在开发一种测量工具,确定可能对女性怀孕恐惧有效的因素,并将其纳入文献。方法:该研究采用方法论和分析型样本,由240名性活跃的女性组成,她们于2021年2月1日至6月1日在伊斯坦布尔安纳托利亚一侧一家医院的产科诊所提出申请。研究数据是通过研究人员创建的“个人信息表”和“怀孕恐惧量表”获得的。该量表草案最初制定时由22个项目组成,经过必要的有效性和可靠性研究,最终形成了18个项目。该量表由三个子维度组成:“身体原因”(5项)、“心理原因”(6项)和“社会原因”(7项)。量表的编制采用了解释性因素分析、验证性因素分析,Barlett检验、Cronbachα检验、Shapiro-Wilk检验。在评估量表的内容有效性后,对重测信度、内部一致性和结构有效性进行了检验。结果:在《害怕怀孕量表》的有效性和可靠性研究中,内容有效性指数(CVI)为“0.837”。量表的总cronbachα值为0.951,“身体原因”子维度的cronbach a值为0.910,“心理原因”子维的cronbach-α值为0.898,“社会原因”子维度的cronbach-alpha值为0.904。结论:根据这些数据,确定“害怕怀孕量表”是一个有效和可靠的量表。
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引用次数: 0
The Effect of The Musical Snow Globe Used in Infancy Vaccination Applications on The Level of Pain: A Randomized Controlled Study 音乐雪花球在婴儿疫苗接种中对疼痛水平的影响:一项随机对照研究
Pub Date : 2023-03-06 DOI: 10.33808/clinexphealthsci.1191934
Betül AKKOÇ, Tülay AYYILDIZ
Objective: This randomized controlled trial was conducted to investigate the effect of a musical snow globe on reducing pain associated with vaccine administration in infants 2-6 months of age. Method: The sample of the study consisted of 78 infants (experimental group (EG):39, control group (CG): 39 babies) who applied to the family health center between the specified dates and met the case selection criteria. The Face, Legs, Activity, Crying, and Comfort (FLACC) Scale was used to assess infants' pain before, during, and after immunization. Heart rate and oxygen saturation in the infants' blood were measured as part of the study. During vaccine administration, infants in the experimental group were shown a snow globe with music, while infants in control group were vaccinated with a routine health application. Results: There was no statistically significant difference (p>.05) between the SpO2 values before the interventions (EG: 99.46 CG: 99.56) and the SpO2 values after the interventions (EG: 96.30 CG: 96.05) of the babies in the experimental and control groups; In heart rates, there was no statistically significant difference (p>.05) between befoere the interventions (EG:127.31 CG:127.71) and after the interventions (EG:140.10 CG:147.66) values. However, a significant difference was found between SpO2 (EG: 95.20 CG: 93.23) and heart rate values (EG: 145.76 CG: 157.33) during the intervention (p.05); however, the FLACC scores of the infants in the experimental group were lower than the infants in the control group at the time of the intervention (EG: 3.89 CG: 6.92) (p
目的:本随机对照试验旨在研究音乐雪花球在2-6个月大的婴儿接种疫苗后减轻疼痛的效果。& # x0D;方法:选取符合病例选择标准的78例婴幼儿,试验组(EG) 39例,对照组(CG) 39例。采用面部、腿部、活动、哭泣和舒适(FLACC)量表评估婴儿在免疫接种前、期间和之后的疼痛。作为研究的一部分,研究人员测量了婴儿的心率和血氧饱和度。在给药过程中,实验组的婴儿观看带有音乐的雪球,而对照组的婴儿则接种常规的健康应用。& # x0D;结果:实验组和对照组婴儿干预前SpO2值(EG: 99.46 CG: 99.56)与干预后SpO2值(EG: 96.30 CG: 96.05)差异无统计学意义(p> 0.05);在心率方面,干预前(e.g.:127.31 CG:127.71)与干预后(e.g.:140.10 CG:147.66)的数值无统计学差异(p> 0.05)。然而,在干预期间,SpO2 (EG: 95.20 CG: 93.23)和心率值(EG: 145.76 CG: 157.33)之间存在显著差异(p. 0.05);实验组婴儿在干预时的FLACC得分低于对照组婴儿(EG: 3.89, CG: 6.92) (p
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引用次数: 0
The opinions of postgraduate nursing students about evidence-based practice: A qualitative study 护理研究生对循证实践的看法:一项质的研究
IF 0.2 Pub Date : 2023-03-05 DOI: 10.33808/clinexphealthsci.932298
S. Yurt, N. Kolac, Esra Sen
Objective: This study was conducted for the purpose of exploring the opinions and experiences of postgraduate nursing students regarding evidence-based practice and its use in the clinical setting in Turkey. Methods: A qualitative study design was employed. Data in this research study were collected through Semi-structured questions were asked face-to-face in focus group discussions. Results: The findings of the study set forth the individual and organizational barriers that faced postgraduate nursing students in their efforts to implement evidence-based practices. The main themes of the study were highlighted as: perceptions regarding evidence-based practice, the impact on the group cared for, challenges faced in the implementation, institutional support in applying practices. Subthemes were data verification, useful and reliable application, difficulties in communicating with colleagues, traditional views, troubles with team collaboration, the indifference of young colleagues, insufficient resources, and the need for a mentor in the workplace. Conclusion: The students in their undergraduate programs, and elective courses on EBP should be added to the curriculum. In order to eliminate organizational barriers, institutions should establish EBP committee and mentoring system.
目的:本研究旨在探讨护理研究生对循证实践及其在土耳其临床应用的看法和经验。方法:采用定性研究设计。本研究中的数据是通过在焦点小组讨论中面对面提问的半结构化问题收集的。结果:研究结果阐明了护理研究生在实施循证实践过程中面临的个人和组织障碍。该研究的主要主题强调为:对循证实践的看法、对受照顾群体的影响、实施过程中面临的挑战、应用实践的机构支持。次要问题包括数据验证、有用和可靠的应用程序、与同事沟通的困难、传统观点、团队协作的困难、年轻同事的冷漠、资源不足以及工作场所需要导师。结论:应在课程中增加本科生和选修EBP课程的学生。为了消除组织障碍,各机构应建立EBP委员会和辅导制度。
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引用次数: 0
Effect of Reboxetine Treatment on BDNF, Synaptophysin, and PSD-95 Levels in the Spinal Dorsal Horn of Rats with Diabetic Neuropathy 利波西汀对糖尿病神经病变大鼠脊髓背角BDNF、Synaptophysin和PSD-95水平的影响
IF 0.2 Pub Date : 2023-03-05 DOI: 10.33808/clinexphealthsci.1222028
Nazlı Turan Yücel, Umut İrfan Üçel, Ümide Demir Özkay, E. Ulupınar, Ö. Can
Objective: It is known that neuropathic pain is accompanied by alterations in the levels of neurotrophic factors and synaptic proteins in the microenvironment of the spinal dorsal horn. Such changes contribute to hyperalgesia and allodynia processes; thus, analgesic drugs can exert their pharmacological effects by affecting the expressions, levels, or functions of these endogenous substances. In this study, based on the knowledge that reboxetine (a selective noradrenaline reuptake inhibitor) has the potential for antihyperalgesic efficacy in diabetic neuropathy, we aimed to examine the probable effects of this drug on diabetes-induced changes in brain-derived neurotrophic factor (BDNF), synaptophysin (the pre-synaptic marker of synaptic integration), and postsynaptic density-95 (PSD-95) (the postsynaptic marker of synaptic integration) levels in the superficial laminae of the dorsal horn. Methods: Experimental diabetes was induced by a single-dose injection of streptozotocin (STZ) (50 mg/kg) in rats. After four week-long induction period of painful diabetic neuropathy, rats were treated orally with 8 mg/kg reboxetine for two weeks. Hyperalgesia responses were evaluated by using the Randall–Selitto and Hargreave's tests. Following the pain tests, immunohistochemical studies were performed. Results: Two weeks of reboxetine administration increased the reduced paw withdrawal thresholds and shortened the paw withdrawal latencies of diabetic rats in neuropathic pain tests, indicating the antihyperalgesic efficacy of this drug. Moreover, augmented BDNF and synaptophysin levels in diabetic rats reversed by reboxetine treatment. However, there was no alteration in the densities of PSD-95, in both STZ-diabetic and reboxetine-treated STZ-diabetic rats. Conclusion: The obtained results suggested that inhibition of central sensitization and modulation of spinal plasticity seem to be pharmacological mechanisms underlying reboxetine's antihyperalgesic effects on diabetic rats. However, further studies are still needed to clarify the exact mechanism of action.
目的:众所周知,神经性疼痛伴随着脊髓背角微环境中神经营养因子和突触蛋白水平的改变。这些变化导致痛觉过敏和异常性疼痛过程;因此,镇痛药物可以通过影响这些内源性物质的表达、水平或功能来发挥药理作用。在本研究中,基于利波西汀(一种选择性去甲肾上腺素再摄取抑制剂)在糖尿病神经病变中具有抗痛觉作用的认识,我们旨在研究这种药物对糖尿病诱导的脑源性神经营养因子(BDNF)、突触素(突触整合的突触前标记物)、和背角浅层突触后密度-95 (PSD-95)(突触后整合的标记物)水平。方法:大鼠单剂量注射链脲佐菌素(STZ) (50 mg/kg)诱导实验性糖尿病。在4周的疼痛性糖尿病神经病变诱导期后,大鼠口服8 mg/kg利波西汀2周。采用Randall-Selitto和Hargreave试验评估痛觉过敏反应。在疼痛测试之后,进行免疫组织化学研究。结果:利波西汀给药2周后,糖尿病大鼠神经性疼痛试验中足部戒断阈值降低,足部戒断潜伏期缩短,表明该药具有抗痛觉作用。此外,利波西汀可逆转糖尿病大鼠BDNF和突触素水平的增强。然而,在stz -糖尿病大鼠和利博西汀治疗的stz -糖尿病大鼠中,PSD-95的密度没有改变。结论:利波西汀对糖尿病大鼠的抗痛觉作用可能与抑制中枢致敏和调节脊柱可塑性有关。然而,还需要进一步的研究来阐明确切的作用机制。
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引用次数: 0
Evaluating the Effect of Jointly Administering Synthetic Graft and Ankaferd Blood Stopper for Bone Recovery in Created Bone Deformities in Diabetic Rats 糖尿病大鼠人工骨移植与踝关节血阻剂联合应用对骨修复的影响
IF 0.2 Pub Date : 2023-03-05 DOI: 10.33808/clinexphealthsci.1080508
Abdulsamet Tanık, A. Dogru, M. Gül
Objective: In the present paper, it was purposed to examine the late impacts of bone tissue recoveries in combination with synthetic grafts and Ankaferd Blood Stopper (ABS), which are effective in bone wound healing in diabetic rats. Methods: A total of 64 Wistar albino male rats with diabetes were studied. A bone deformity was generated in the calvarium of diabetic rats. These diabetic rats are divided into 4 different groups. Only saline was applied to the bone defect in group 1, Beta-tricalcium phosphate (β-TCP) graft was administered to Group 2, ABS solution to Group 3, (β-TCP+ABS) were administered to group 4. Eight rats from each group were sacrificed on the 28th day and another 8 rats on the 56th day. Immunohistochemical, histopathological, and Dual Energy X-ray Absorptiometry (DEXA) analyzes of the obtained samples were made. Results: In histopathological measurements, osteoblastic activity and bone regeneration were considerably higher in the group treated with group 2 and group 4 when compared to the control group on the 28th and 56th day (p˂ .05). Western blotting findings showed that the osteopontin (OP) and osteonectin (ON) expression at 28th day increased dramatically in the treated with group 4. DEXA analyzes revealed that BMC values in groups treated with group 2, group 3 and group 4 on 28th day were considerably higher than the control group (p˂ .05). Conclusion: We can believe and conclude that ABS in combination with a β-TCP bone graft will produce more successful outcomes on wound healing and formation of new bone in diabetic rats.
目的:本论文旨在研究合成移植物和Ankaferd止血剂(ABS)联合应用对糖尿病大鼠骨创伤愈合的后期影响。方法:对64只患有糖尿病的Wistar白化雄性大鼠进行研究。糖尿病大鼠颅骨出现骨畸形。将这些糖尿病大鼠分为4组。第1组仅用生理盐水治疗骨缺损,第2组用β-磷酸三钙(β-TCP)移植物,第3组用ABS溶液,第4组用β-TCP+ABS。第28天处死每组8只大鼠,第56天处死另外8只。对获得的样品进行免疫组织化学、组织病理学和双能X射线吸收法(DEXA)分析。结果:在组织病理学测量中,第28天和第56天,与对照组相比,第2组和第4组的成骨细胞活性和骨再生显著较高(p0.05)。Western印迹结果显示,第4组在第28天的骨桥蛋白(OP)和骨连蛋白(on)表达显著增加。DEXA分析显示,第2组、第3组和第4组在第28天的BMC值显著高于对照组(p0.05)。
{"title":"Evaluating the Effect of Jointly Administering Synthetic Graft and Ankaferd Blood Stopper for Bone Recovery in Created Bone Deformities in Diabetic Rats","authors":"Abdulsamet Tanık, A. Dogru, M. Gül","doi":"10.33808/clinexphealthsci.1080508","DOIUrl":"https://doi.org/10.33808/clinexphealthsci.1080508","url":null,"abstract":"Objective: In the present paper, it was purposed to examine the late impacts of bone tissue recoveries in combination with synthetic grafts and Ankaferd Blood Stopper (ABS), which are effective in bone wound healing in diabetic rats. \u0000Methods: A total of 64 Wistar albino male rats with diabetes were studied. A bone deformity was generated in the calvarium of diabetic rats. These diabetic rats are divided into 4 different groups. Only saline was applied to the bone defect in group 1, Beta-tricalcium phosphate (β-TCP) graft was administered to Group 2, ABS solution to Group 3, (β-TCP+ABS) were administered to group 4. Eight rats from each group were sacrificed on the 28th day and another 8 rats on the 56th day. Immunohistochemical, histopathological, and Dual Energy X-ray Absorptiometry (DEXA) analyzes of the obtained samples were made. \u0000Results: In histopathological measurements, osteoblastic activity and bone regeneration were considerably higher in the group treated with group 2 and group 4 when compared to the control group on the 28th and 56th day (p˂ .05). Western blotting findings showed that the osteopontin (OP) and osteonectin (ON) expression at 28th day increased dramatically in the treated with group 4. DEXA analyzes revealed that BMC values in groups treated with group 2, group 3 and group 4 on 28th day were considerably higher than the control group (p˂ .05). \u0000Conclusion: We can believe and conclude that ABS in combination with a β-TCP bone graft will produce more successful outcomes on wound \u0000healing and formation of new bone in diabetic rats.","PeriodicalId":10192,"journal":{"name":"Clinical and Experimental Health Sciences","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2023-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49414208","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Experience, Thoughts, and Attitudes of Orthopaedic Surgeons about Chronic Postsurgical Pain after Arthroplasty 骨科医师对关节成形术后慢性术后疼痛的经验、思想和态度
IF 0.2 Pub Date : 2023-03-03 DOI: 10.33808/clinexphealthsci.1078755
Selin Balta, Muhammet Zeki Gültekin
Objective: Arthroplasty constitutes a major procedure commonly used in orthopaedic and traumatology surgery, and chronic pain develops in 7%–34% of patients after arthroplasty. This study aims to evaluate the experience, thoughts and attitudes of orthopaedic surgeons about chronic postsurgical pain after arthroplasty. Methods: The survey was sent to orthopaedic surgeons via the Google survey system. The questionnaire consisted of 17 questions in total; four were related to demographic information, two asked about the surgeons’ experience, three asked for their thoughts, and eight queried their attitudes. Results: The study evaluated 319 participants. All the orthopaedic surgeons reported that they routinely prescribe for postoperative pain control when discharging patients after arthroplasty. Of those surveyed, 69.7% have used multimodal analgesic therapy to treat chronic postsurgical pain after arthroplasty. Consultation rates were 5% and 20% for psychiatry and pain physician, respectively. A weak positive correlation was found between the rate of referring patients with chronic postsurgical pain after arthroplasty to pain physician and the beliefs of orthopaedic surgeons that pain physician can help patients with chronic postsurgical pain after arthroplasty who are unresponsive to pharmacological treatments (p = 0.008, r = 0.148). Conclusion: Orthopaedic surgeons employ pre-emptive approaches to chronic postsurgical pain after arthroplasty and engage in pharmacological management of chronic postsurgical pain after arthroplasty, but they need to advance further with multidisciplinary treatments and directions.
目的:关节成形术是整形外科和创伤外科常用的主要手术,关节成形术后7%至34%的患者会出现慢性疼痛。本研究旨在评估整形外科医生对关节成形术后慢性术后疼痛的经验、想法和态度。方法:通过谷歌调查系统将调查发送给整形外科医生。调查表共有17个问题;四个与人口统计信息有关,两个询问外科医生的经历,三个询问他们的想法,八个询问他们态度。结果:该研究评估了319名参与者。所有整形外科医生都报告说,他们在关节成形术后出院时经常开处方控制术后疼痛。在接受调查的人中,69.7%的人使用了多模式镇痛疗法来治疗关节成形术后的慢性术后疼痛。精神科和疼痛科医生的会诊率分别为5%和20%。关节成形术后慢性术后疼痛患者转诊给疼痛医生的比率与整形外科医生认为疼痛医生可以帮助对药物治疗无反应的关节成术后慢性手术后疼痛患者的信念之间存在弱正相关(p=0.008,r=0.148)关节成形术后慢性术后疼痛的治疗方法,并参与关节成形术后慢性手术后疼痛的药物治疗,但他们需要通过多学科的治疗和指导进一步推进。
{"title":"Experience, Thoughts, and Attitudes of Orthopaedic Surgeons about Chronic Postsurgical Pain after Arthroplasty","authors":"Selin Balta, Muhammet Zeki Gültekin","doi":"10.33808/clinexphealthsci.1078755","DOIUrl":"https://doi.org/10.33808/clinexphealthsci.1078755","url":null,"abstract":"Objective: Arthroplasty constitutes a major procedure commonly used in orthopaedic and traumatology surgery, and chronic pain develops in 7%–34% of patients after arthroplasty. This study aims to evaluate the experience, thoughts and attitudes of orthopaedic surgeons about chronic postsurgical pain after arthroplasty. \u0000Methods: The survey was sent to orthopaedic surgeons via the Google survey system. The questionnaire consisted of 17 questions in total; four were related to demographic information, two asked about the surgeons’ experience, three asked for their thoughts, and eight queried their attitudes. \u0000Results: The study evaluated 319 participants. All the orthopaedic surgeons reported that they routinely prescribe for postoperative pain control when discharging patients after arthroplasty. Of those surveyed, 69.7% have used multimodal analgesic therapy to treat chronic postsurgical \u0000pain after arthroplasty. Consultation rates were 5% and 20% for psychiatry and pain physician, respectively. A weak positive correlation was \u0000found between the rate of referring patients with chronic postsurgical pain after arthroplasty to pain physician and the beliefs of orthopaedic surgeons that pain physician can help patients with chronic postsurgical pain after arthroplasty who are unresponsive to pharmacological treatments (p = 0.008, r = 0.148). \u0000Conclusion: Orthopaedic surgeons employ pre-emptive approaches to chronic postsurgical pain after arthroplasty and engage in pharmacological management of chronic postsurgical pain after arthroplasty, but they need to advance further with multidisciplinary treatments and directions.","PeriodicalId":10192,"journal":{"name":"Clinical and Experimental Health Sciences","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2023-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45763210","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Relationship Between Staging and Grading of Periodontitis and Periimplantitis: A Retrospective Study 牙周炎和种植体周围炎分期分级关系的回顾性研究
IF 0.2 Pub Date : 2023-03-02 DOI: 10.33808/clinexphealthsci.1224054
Hafize ÖZTÜRK ÖZENER
Objective: The purpose of this retrospective study was to determine the relationship between peri-implantitis and stage/grade of periodontitis. Methods: Records of 171 periodontitis patients with 318 dental implants were screened. Classification of diagnosed patients with periodontitis were done by both stage (1, 2, 3 and 4) and grade (A, B and C). Peri-implant health status was evaluated as no peri-implantitis or with peri-implantitis. Marginal bone loss severity of implants diagnosed with peri-implantitis, prosthesis type (single, bridge), location of dental implants (maxilla, mandibula, anterior and posterior), smoking (yes/no) and diabetes history (yes/no) of the patients were also evaluated. Analysis was done at implant level. Results: A total of 203 (63.8%) dental implants were diagnosed with peri-implantitis. There were statistical differences in the stage and grade of periodontitis between implants diagnosed with no peri-implantitis and peri-implantitis (p
目的:本回顾性研究的目的是确定种植体周围炎与牙周炎分期/分级之间的关系。方法:对171例牙周炎患者318颗种植体进行临床资料筛选。根据分期(1、2、3和4)和分级(A、B和C)对诊断为牙周炎的患者进行分类。种植体周围健康状况评估为无种植体周围炎或有种植体周围炎症。还评估了被诊断为种植体周围炎的种植体的边缘骨丢失严重程度、假体类型(单体、桥接)、牙科种植体的位置(上颌骨、下颌骨、前部和后部)、吸烟(是/否)和糖尿病病史(是/无)。在植入物层面进行分析。结果:共有203例(63.8%)种植体被诊断为种植体周围炎。诊断为无种植体周围炎的种植体与诊断为种植体周围炎症的种植体在牙周炎的分期和分级上存在统计学差异(p
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引用次数: 0
Determinants of Self-Rated Health for Adults in Türkiye 日本成人自评健康的决定因素
IF 0.2 Pub Date : 2023-02-24 DOI: 10.33808/clinexphealthsci.923476
Duygu Ürek, Sevilay Karaman, İpek Bi̇lgi̇n, Özgür Uğurluoğlu, Oğuz Işık
Objective: Self-rated health as an important health outcome is affected by several factors. It is of great importance to investigate the determinants of self-rated health of individuals in order to obtain better results regarding public health. The purpose of this study was to determine the factors that affect the self-rated health of adults in Türkiye. Methods: Logistic regression analysis was performed to analyze data from the TurkStat’s 2014 Health Survey, with 19,129 people. The independent variables were related to socio-economic characteristics, health problems, lifestyle, and utilisation of healthcare services, while the dependent variable was self-rated health. Results: It was found that younger people, men, and people with higher educational and income levels rated their health status better. The health status of individuals with chronic diseases, mental disorders, sleeping problems and those who did not have a normal range body mass index also rated their health status as poor. However, the self-rated health of people who had no inpatient treatment in the last 12 months and those who took no prescription medicine in the last two weeks was good. Conclusion: This study provided the identification of the most advantaged and disadvantaged groups through determining the factors affecting the health status of adults in Türkiye. To improve the unfavourable condition of disadvantaged individuals, more specific interventions need to be designed and implemented.
目的:自评健康是一项重要的健康结果,受多种因素的影响。为了在公共卫生方面取得更好的结果,调查个人自评健康的决定因素是非常重要的。本研究的目的是确定影响日本成人自评健康的因素。方法:对土耳其统计局2014年健康调查数据进行Logistic回归分析,共19129人。自变量与社会经济特征、健康问题、生活方式和医疗保健服务的利用有关,而因变量与自我评价的健康有关。结果:年轻人、男性和受教育程度和收入水平较高的人对自己的健康状况评价较高。患有慢性疾病、精神障碍、睡眠问题和身体质量指数范围不正常的人的健康状况也被评为较差。然而,在过去12个月内没有住院治疗的人和在过去两周内没有服用处方药的人的自我评估健康状况良好。结论:本研究通过确定影响 rkiye成人健康状况的因素,提供了最有利和最不利群体的识别。为了改善处境不利个人的不利条件,需要设计和执行更具体的干预措施。
{"title":"Determinants of Self-Rated Health for Adults in Türkiye","authors":"Duygu Ürek, Sevilay Karaman, İpek Bi̇lgi̇n, Özgür Uğurluoğlu, Oğuz Işık","doi":"10.33808/clinexphealthsci.923476","DOIUrl":"https://doi.org/10.33808/clinexphealthsci.923476","url":null,"abstract":"Objective: Self-rated health as an important health outcome is affected by several factors. It is of great importance to investigate the determinants of self-rated health of individuals in order to obtain better results regarding public health. The purpose of this study was to determine the factors that affect the self-rated health of adults in Türkiye. \u0000Methods: Logistic regression analysis was performed to analyze data from the TurkStat’s 2014 Health Survey, with 19,129 people. The independent variables were related to socio-economic characteristics, health problems, lifestyle, and utilisation of healthcare services, while the dependent variable was self-rated health. \u0000Results: It was found that younger people, men, and people with higher educational and income levels rated their health status better. The health status of individuals with chronic diseases, mental disorders, sleeping problems and those who did not have a normal range body mass index also rated their health status as poor. However, the self-rated health of people who had no inpatient treatment in the last 12 months and those who took no prescription medicine in the last two weeks was good. \u0000Conclusion: This study provided the identification of the most advantaged and disadvantaged groups through determining the factors affecting the health status of adults in Türkiye. To improve the unfavourable condition of disadvantaged individuals, more specific interventions need to be designed and implemented.","PeriodicalId":10192,"journal":{"name":"Clinical and Experimental Health Sciences","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2023-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43973644","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Reliability, Concurrent Validity, and Minimal Detectable Change of a Smartphone Application for Measuring Thoracic Kyphosis 测量胸后凸的智能手机应用程序的信度、并发效度和最小可检测变化
IF 0.2 Pub Date : 2023-02-17 DOI: 10.33808/clinexphealthsci.1038122
Ertan Şahinoğlu, Gülbin Ergin, Serkan Bakırhan, B. Ünver
Objective: To assess the intra- and inter-rater reliability and concurrent validity, and to estimate minimal detectable change of a smartphone application for measuring thoracic kyphosis angle. Methods: A total of 80 healthy university students were evaluated. Two raters measured the thoracic kyphosis angle using a digital inclinometer and the smartphone application. Intra- and inter-rater reliability were assessed using the intraclass correlation coefficient (ICC) with 95% confidence interval. The standard error of measurement (SEM) and the minimal detectable change at the 95% confidence level (MDC95) were also calculated. The concurrent validity between the digital inclinometer and the smartphone application was assessed by the linear regression analysis and Bland and Altman's 95% limits of agreement method. Results: The intra- and inter-rater reliability were excellent for the digital inclinometer and the smartphone application (ICC > 0.75). The SEM values for the digital inclinometer and the smartphone application were close together. The MDC95 values for the smartphone application were 5.11 and 6.30 degrees, and 9.02 degrees for intra- and inter-rater, respectively. The digital inclinometer and the smartphone application showed a positive correlation (R2 = 0.85). The Bland-Altman plot showed a good agreement between the instruments. Conclusion: The smartphone application used in this study is a cost-effective, practical, reliable, and valid instrument for measuring the thoracic kyphosis angle. More than 9 degrees in the value of the thoracic kyphosis angle measured by the smartphone application can be considered as a true change.
目的:评估评估内部和内部的信度和并发效度,并估计用于测量胸后凸角的智能手机应用程序的最小可检测变化。方法:对80名健康大学生进行评价。两名评分员使用数字倾斜仪和智能手机应用程序测量胸后凸角。采用95%置信区间的类内相关系数(ICC)评估组内和组间信度。还计算了测量的标准误差(SEM)和95%置信水平下的最小可检测变化(MDC95)。通过线性回归分析和Bland和Altman的95%一致限法评估数字倾角仪和智能手机应用程序之间的并发效度。结果:数字倾角仪和智能手机应用(ICC > 0.75)的内部和内部信度都很好。数字倾角仪和智能手机应用程序的SEM值接近在一起。智能手机应用程序的MDC95值分别为5.11度和6.30度,内部和内部的MDC95值分别为9.02度。数字测斜仪与智能手机应用呈正相关(R2 = 0.85)。Bland-Altman图显示仪器之间有很好的一致性。结论:本研究中使用的智能手机应用程序是一种经济、实用、可靠、有效的测量胸后凸角的工具。通过智能手机应用程序测量的胸后凸角值超过9度即可视为真正的变化。
{"title":"Reliability, Concurrent Validity, and Minimal Detectable Change of a Smartphone Application for Measuring Thoracic Kyphosis","authors":"Ertan Şahinoğlu, Gülbin Ergin, Serkan Bakırhan, B. Ünver","doi":"10.33808/clinexphealthsci.1038122","DOIUrl":"https://doi.org/10.33808/clinexphealthsci.1038122","url":null,"abstract":"Objective: To assess the intra- and inter-rater reliability and concurrent validity, and to estimate minimal detectable change of a smartphone application for measuring thoracic kyphosis angle. \u0000Methods: A total of 80 healthy university students were evaluated. Two raters measured the thoracic kyphosis angle using a digital inclinometer and the smartphone application. Intra- and inter-rater reliability were assessed using the intraclass correlation coefficient (ICC) with 95% confidence interval. The standard error of measurement (SEM) and the minimal detectable change at the 95% confidence level (MDC95) were also calculated. The concurrent validity between the digital inclinometer and the smartphone application was assessed by the linear regression analysis and Bland and Altman's 95% limits of agreement method. \u0000Results: The intra- and inter-rater reliability were excellent for the digital inclinometer and the smartphone application (ICC > 0.75). The SEM values for the digital inclinometer and the smartphone application were close together. The MDC95 values for the smartphone application were 5.11 and 6.30 degrees, and 9.02 degrees for intra- and inter-rater, respectively. The digital inclinometer and the smartphone application showed a positive correlation (R2 = 0.85). The Bland-Altman plot showed a good agreement between the instruments. \u0000Conclusion: The smartphone application used in this study is a cost-effective, practical, reliable, and valid instrument for measuring the thoracic kyphosis angle. More than 9 degrees in the value of the thoracic kyphosis angle measured by the smartphone application can be considered as a true change.","PeriodicalId":10192,"journal":{"name":"Clinical and Experimental Health Sciences","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2023-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44038060","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Evaluation of in vitro Antioxidant, Antimicrobial and Cytotoxic Activities of Crude Ethanol Extract and Fractions of Achillea sintenisii Hub. Mor. 水蛭粗乙醇提取物及馏分体外抗氧化、抑菌及细胞毒活性评价。铁道部。
IF 0.2 Pub Date : 2023-02-11 DOI: 10.33808/clinexphealthsci.1058614
Nuraniye Eruygur, M. Atas, Mehmet Teki̇n, Ozge Cevi̇k
Objective: The Achillea species have been used to treat various ailments due to its anti-inflammatory, hemostatic, spasmolytic and cholagogue effects in the Turkish traditional medicine. However, there is no biological activity studies on some Achillea species except for the well-knowns. This work aimed to determine the antioxidant, antimicrobial and cytotoxic activities of the crude ethanolic extracts and fractions of Achillea sintenisii using in vitro methods. Methods: The antioxidant activity was investigated by DPPH (1,1´-diphenyl- 2-picrylhydrazyl), ABTS (2,2´-azino-bis (3-ethylbenzothiazoline-6-sulphonic acid) radical scavenging, total phenol and total flavonoid content, and iron chelating methods. Antimicrobial activity evaluated by micro-plate dilution method against five test organisms. Cytotoxicity was determined by MTT method using MCF-7 breast cancer cell line and PC-3 prostate cancer cell line. Apoptosis was also measured by AO/EB staining. Results: The n-Hexane fractions showed the highest antimicrobial and cytotoxic activities, respectively. Administration of the extracts on the cancer cells showed a concentration dependent inhibition on cell proliferation. The anti-proliferation effect could be via apoptosis and associated with the cell death. Conclusion: The results showed that the extracts demonstrated antioxidant, antimicrobial, and cytotoxic activity, also supports the claims of traditional usage.
目的:在土耳其传统医学中,Achillea因其抗炎、止血、解痉挛和利胆作用而被用于治疗各种疾病。然而,除了已知的Achillea外,还没有对一些物种的生物活性进行研究。本工作旨在使用体外方法测定新疆阿赤霉粗乙醇提取物和级分的抗氧化、抗菌和细胞毒性活性。方法:采用DPPH(1,1´-二苯基-2-丙酰肼基),ABTS(2,2´-叠氮双(3-乙基苯并噻唑啉-6-磺酸)自由基清除、总酚和总黄酮含量以及铁螯合方法。用微孔板稀释法评价对五种受试生物的抗菌活性。以MCF-7乳腺癌症细胞系和PC-3前列腺癌症细胞系为材料,采用MTT法测定细胞毒性。AO/EB染色法检测细胞凋亡。结果:正己烷组分分别表现出最高的抗菌活性和细胞毒性活性。对癌症细胞施用提取物显示出对细胞增殖的浓度依赖性抑制。其抗增殖作用可能通过细胞凋亡实现,并与细胞死亡有关。结论:结果表明,提取物具有抗氧化、抗菌和细胞毒性活性,也支持传统用法的说法。
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Clinical and Experimental Health Sciences
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