Browsing by Author "Demirci H."

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    Factors affecting the quality of life in climacteric women in Manisa region; [Manisa bölgesinde yaşayan klimakterik dönem kadınlarında yaşam kalitesini etkileyen faktörler]
    (Ekin Tibbi Yayincilik, 2010) Inceboz Ü.; Demirci H.; Özbaşaran F.; Çoban A.; Nehir S.
    Objectives: To determine the factors affecting the severity of menopausal symptoms and the quality of life among women living in Manisa, a western city of Turkey. Patients and Methods: After statistical estimation of the sample size reflecting the whole population, 268 climacteric women (mean age 50.7±6.6 years; range 40 to 60 years) with menopausal symptoms were investigated by sociodemographic questionnaire, menopause rating scale (MRS), and Quality of Life Scale (WHOQOL-BREF-TR) in Celal Bayar University Hospital. Results: Almost 1/3 of women had no knowledge on menopause. The MRS scores of women were inversely correlated with Physical Health, Psychological well-being, Social Relationship domains of quality of life. Educational level, menopausal knowledge, participation in decision-making in the family and economic status positively affected most domains of quality of life, whereas being married and having high BMI scores had negative effects. Conclusion: In climacteric women, quality of life was negatively affected by the severity of menopausal symptoms, low education level, limited menopausal knowledge, and being overweight. © Medical Journal of Trakya University.
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    A comparative study for selectivity of micronuclei in cervical exfoliated cells on chronic boron effects
    (Wolters Kluwer Medknow Publications, 2019) Yildirim H.; Göker A.; Demirci H.; Güvenal T.; Korkmaz M.
    Background: Cervical cancer is one of the most frequent malignancies in women. Micronucleus (MN) testing has gained popularity as a biomarker in early diagnosis of many types of cancer. Aims: This study aims to investigate the role of MN testing on early detection of cervical cancer and the effect of boron exposure on cervical cells. Settings and Design: The study population comprised women who were diagnosed to be human papillomavirus (HPV)-positive and had atypical squamous cells of undetermined significance (ASCUS) as cervical cytology in a cervical screening project. A total of 15 HPV-positive and 36 ASCUS patients were identified. Randomly selected 20 women were selected from boron-rich region (n = 10) and nonboron region (n = 10). Materials and Methods: Cervical swab specimens were dyed using Papanicolaou (PAP) and May-Grünwalds-Giemsa (MGG) techniques, and MN count in 1000 cells was performed. The results were statistically evaluated. Statistical Analysis Used: Data were analyzed using Statistical Package for the Social Sciences (SPSS) version 13. Quantitative data were presented as mean ± standard deviation. MN test scoring was compared using Mann-Whitney U-test. Results: Boron content of urine was measured to be 3.02 ± 1.45 and 0.98 ± 0.42 mg/day in boron-rich and nonboron regions, respectively. When MN counts were compared according to PAP and MGG staining in HPV- and ASCUS-positive women, there was statistically no significant difference (P > 0.05). Disregarding regions, HPV/control and HPV/ASCUS cases stained with PAP and MGG had statistically significant difference in MN count (P < 0.05). Conclusion: These findings suggest that MGG and PAP staining gives similar results with regard to MN count. On the other hand, it has been shown again that HPV induces MN and causes genomic instability. © 2019 Medknow Publications. All rights reserved.
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    Effect of simulation training on students′ childbirth skills and satisfaction in Turkey
    (Elsevier Ltd, 2020) İldan Çalım S.; Cambaz Ulaş S.; Demirci H.; Tayhan E.
    This study examined the effects of simulation training on student midwives' management skills for normal childbirth and their satisfaction. This study utilized a quantitative, quasi-experimental, comparison group research design. Students were placed into two groups according to the last digit of their school identity number (odd versus even), given by The Directorate of Student Affairs. Lots were drawn to decide which simulation model the odd and even numbers would represent. One group received simulation training for normal birth skills using a low-fidelity pelvic model (n = 37) while the other group used a high-fidelity computer-based mannequin (n = 38). After the skills training, each student midwife managed the second and third stages of a simulated normal childbirth. The skill checklists were used to evaluate the students' second and third stage labor midwifery skills. After the simulation activity, the Students’ Satisfaction and Self-confidence Scale was used to measure their levels of satisfaction with the simulation activity and their self-confidence in learning. There were no significant differences between the groups in terms of childbirth management skills and satisfaction in learning (p > 0.05). Thus, both methods can be recommended for simulation training of student midwives. © 2020 Elsevier Ltd
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    Effects of high fidelity simulation model on midwives' shoulder dystocia management skills: An educational İntervention study
    (Wolters Kluwer Medknow Publications, 2022) Calim S.I.; Ulas S.C.; Demirci H.; Tayhan E.B.
    Background: Shoulder dystocia is an emergency and risky situation that most likely directly involves midwives. Aim: The aim of this study is to determine the effects of simulation training with a high fidelity mannequin on midwives' shoulder dystocia management. Subjects and Methods: This study utilized a quantitative, quasi-experimental research design. No sample selection was made. The study included all midwives (n:16) working in the maternity unit of Manisa Province Hospital, Turkey. Management of shoulder dystocia was lectured both theoretically and practically, using a high fidelity simulation. Midwives' shoulder dystocia management skills and knowledge were evaluated before and after training using shoulder dystocia knowledge form and management skill checklist. Results: There was a statistically significant increase in their shoulder dystocia management knowledge scores and management skills after simulation-based shoulder dystocia training (P < 0.05). Before the training, the midwives (62.5%) mostly used the McRoberts maneuver and suprapubic pressure as the primary interventions in shoulder dystocia management. After training, all the midwives were able to apply secondary maneuvers (Wood's or Rubin's maneuvres or posterior arm delivery) along with the primary maneuvers, in accordance with the shoulder dystocia management algorithm. Conclusion: Using a high fidelity simulation model in training increased midwives' shoulder dystocia management skills and knowledge. © 2022 Wolters Kluwer Medknow Publications. All rights reserved.
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    Sexual Experiences of Infertile Women: A Qualitative Study
    (Wolters Kluwer Medknow Publications, 2023) Demirci H.; Sen S.
    Background: It is suggested that stress related to infertility causes marriage conflicts and decreases in the frequency of sexual intercourse. Aim: This study aimed to explore the experiences of the sexuality of infertile women. Patients and Methods: A phenomenological design was used in this study. We conducted face-to-face, semistructured, in-depth interviews with 11 infertile women. The interviews were audio-recorded, and a thematic approach was used to assess the data. Results: The average age of the women was 33.05 ± 3.40 years, and their age of first sexual intercourse was 23.0 ± 2.8 years and all of them are legally married. The durations of experiencing the problem of infertility were as follows; 3-5 years in 33%, 6-10 years in 27%, and 11 years and above in 38%. According to interpretative phenomenological analysis, two main themes emerge. Two main themes were determined: Perception of Sexuality and Sexual Problems. The results show that infertile women have a higher risk for sexual dysfunction than fertile women. Conclusion: These findings suggest that the diagnosis of infertility is an important factor in assessing the differences in the sexual satisfaction of women. In infertility counseling, health professionals must explain the gender differences. Also, infertile couples must encourage to share each other’s feelings and this may help couples to cope with the communication problems they may experience. © 2023 Nigerian Journal of Clinical Practice.