Browsing by Author "Karadeniz G."
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Item Does chronic exercise alter immune parameters in postmenopausal women?(2002) Karadeniz G.; Buyukyazi G.; Gunduz T.; Kutlu N.; Ozbakkaloglu B.The aim of this study was to determine the effect of chronic exercise on immune functions. Eighteen postmenopausal women were included in the study: nine were undertaking chronic exercise (exercise group) and the other nine were sedentary (control group). The exercise group had been training for 7.2 h per week for 19.9 years. The subjects were chosen among postmenopausal women to eliminate any effects of menstrual cycle on the immune system. The subjects were paired and reported to the Human Performance Laboratory twice a week between 8:00 and 10:00 a.m. In the first visit, body composition and aerobic capacity were measured. In the second visit, their blood samples were drawn and screened immediately. VO2max was significantly higher in the exercise group. The leukocyte and lymphocyte subset data comparions demonstrated no significant difference between the exercise group and the control group. Only IgA was significantly higher in the exercise group than in the control group (p = 0.005). The results of this investigation indicate that chronic exercise training does not significantly alter concentrations of T and B lymphocytes or T lymphocyte subsets. However, a significant increase in IgA levels may occur, leading to changes in immune response.Item Nurses' perceptions of medication errors(2002) Karadeniz G.; Çakmakçi A.This study reports nurses' perceptions of medication errors and of their appropriate reporting. Thirty-three percent of the participants believed the main cause of medication errors was nurses' tiredness or exhaustion, while 30% of participants indicated that the main cause was the poor legibility or illegibility of physcians' writing on the doctor's order form. Some medication errors were not reported because nurses were afraid of reprisals (63%).Item Nurses' knowledge regarding patients with intravenous catheters and phlebitis interventions(Mosby Inc., 2003) Karadeniz G.; Kutlu N.; Tatlisumak E.; Özbakkaloǧlu B.This study was planned and applied in 2 stages. Stage I was applied to determine the knowledge of nurses working in the internal medicine, surgery, obstetrics and gynecology, pediatrics, and other services in Celal Bayar University Hospital about using intravenous catheter and intravenous fluid treatment, and the symptoms and treatment procedure for phlebitis. Stage II consisted of observation of all patients who had intravenous catheters for symptoms of phlebitis for 5 days and the interventions the nurses used for the patients who had phlebitis. In stage I, questionnaires were used to determine the knowledge of the nurses; in stage II, 2 investigators observed the patients. Results were evaluated using SPSS software with χ2 statistical analysis. Nurses were found to have high knowledge levels, but their practices were not suitable to their knowledge levels. Of the patients who participated in the study, 67.24% showed symptoms of phlebitis. We found that there was a significant relationship (P < .05) between the selection of the vein and the occurrence of phlebitis in patients who had an intravenous catheter. We also found that the relationships between the age groups of the patients and phlebitis and the relationships between the diagnosis and phlebitis were statistically significant (P < .05).Item The prejudice of a high school students against persons with HIV/AIDS; [HIV-AIDS'lilere karşi önyargi](2003) Karadeniz G.; Altiparmak S.; Güngör N.The purpose of this descriptive study is to determine the opinion of Celal Bayar University Health College Students about prejudice against persons with HIV/AIDS. The study group has been compromised of 185 students of Celal Bayar University Health College Students. Data was collected by using quastionnare which submitted in ICN days in 2003. This questionnare was translated in Turkish by researches. Percentage tests were used in statistical analyses. The result obtained from the study suggested that the students didn't bear any prejudice against persons with HIV/AIDS.Item Differences in the cellular and humoral immune system between middle-aged men with different intensity and duration of physically training(2004) Buyukyazi G.; Kutukculer N.; Kutlu N.; Genel F.; Karadeniz G.; Ozkutuk N.Aim. The effects of acute exercise on immune system and serum magnesium and iron have been investigated in recent years. However, data related to the comparisons of long-term physical training with different intensity and duration are limited. Methods. The association between long-term physical training and cellular (lymphocyte phenotyping) and humoral immune parameters (serum immunoglobulins) and serum magnesium and iron values in the middle-aged men was investigated. Eleven male master athletes (MA) performing high intensity and long duration training, 11 male recreational athletes (RA) performing moderate intensity and duration training (>10 years) participated. Eleven male sedentary individuals were enrolled as control group (CG). Results. The percentages of total CD3+ T cells, CD4+ T helper, CD8+ T suppressor/cytotoxic, CD19+ B cells, natural killer cells, HLA-DR+ active T cells and CD4/CD8 ratios did not show any significant difference among 3 groups. In MA, VO2max values showed a significant negative correlation with CD4+ T helper cells. There were no significant differences among MA, RA and CG in terms of IgG, IgA, and IgM concentrations. There was a significant correlation between VO 2max and IgG in RA. Iron, iron binding capacity and ferritin were found similar in all groups, but serum magnesium level in MA was significantly lower than RA and CG. Conclusion. No exact data to support immunosuppression or immunostimulation could be obtained except a significant negative correlation between CD4+ T helper cells and VO2max values in MA and a positive correlation between serum IgG and VO2max ivalues in RA. These findings may be the indirect markers of cellular immune system suppression by intensive exercises and stimulation of IgG production by moderate exercises.Item An evaluation of nursing care in cancer patients(2004) Karadeniz G.; Yanikkerem E.; Altiparmak S.; Sevil Ü.; Ertem G.; Esen A.The aim of the present study was to identify what hospitalized cancer patients expect from nurses in terms of the care they receive. The specific aims of this study were: (i) to identify those individuals to whom the patients felt closest in the hospital setting and (ii) to evaluate nurses' management of cancer patients during their stay in the hospital. The sample included patients hospitalized at Ege University Hospital and Suat Seren District Hospital, Izmir, Turkey. We found significant differences between the scores of satisfaction and dissatisfaction and gender, age, education, occupation, type of cancer and the mode of treatment (p < 0.05). The majority of the cancer patients reported that nursing management was unsatisfactory. Some demographic factors such as cultural and social status affected patients' expectations.Item Analysis of job-related risks faced by hospital nurses(2004) Karadeniz G.; Gündüz T.; Altiparmak S.; Yanikkerem E.The aim of this study was to analyze the job-related risks nurses face during training such as needlestick i njuries, contaminated blood and infectious fluids. From May to July 2003 we conducted a survey of a sample of 242 nurses who were working in the the Pediatric Hospital, Government Hospital, the Training Hospital of Celal Bayar University, the Gynecology Hospital and the Psychiatric Hospital in Manisa City in Turkey. Two hundred sixteen nurses (89.3%) had needlestick injuries and 107 (44.2%) had Injuries by contaminated cutting utensils. A total of 104 nurses (43.0%) used gloves, while 65 (26.9%) used gloves and mask. In medical and surgical staff nurses, injuries due to contaminated cutting utensils were statistically significant (p < 0.05). Awareness of accidents was significant between the two groups (p < 0.05).Item The relation between pregnancy problems and risk factors in pregnants (a sample from a rural area); [Risk faktörleri i̇le gebelik sorunlari arasindaki i̇lişki: Bir kirsal alan örneǧi](2005) Altiparmak S.; Yanikkerem E.; Karadeniz G.OBJECTIVE: The aim of this study is to dedermine between risk factors and living pregnancy problems in pregnancies who live in rural area. STUDY DESIGN: Data has been collected the date between 2004/March-July. All pregnancies were taken to the samples in 5. Number Health Center from Manisa city (n=130). Not only 130 samples were received because of they aren't at home or regret the questionnare but only 94 pregnants were received. Therefore 34 pregnants stayed out of the study. The data were evaluated on computer with SPSS 10.0 pacget programme. In the statistical analysis percentage, student t test, Mann Whitney-U test, Chi Square and Odss Ratio were used and regression and correlation analysis were done. RESULTS: As the results of this study 17.0% of pregnants take a place in risk group. There is no significant between risk factors and pregnancy problems in the statistical analysis. In the result of multiple statistical analysis it is determined that social insurence, pariety and before having chronical illnesses are effective on pregnancy risk factors. CONCLUTIONS: Risk factors are more three times in un having social insurence. If the pariety is higher than 3 who have more risks (9 times higher) as lower parieties. The score is higher of having short pariety siclus as having long pariety siclus. And having chronical illness pregnants are under higher risk as no having chronical ilness.Item Hypertension prevalence among elderly people: A sample from Manisa; [Yaşlilarda hipertansiyon prevalansi: Manisa örneǧi](2006) Altiparmak S.; Karadeniz G.; Altiparmak O.; Ataseven M.; Şahin R.Background: Hypertension is a social health problem prevalence of which increases with ageing. It is a serious disease that must not be underestimated, causing mortal complications like ischemic hearth diseases, cerebrovascular diseases etc. or organ handicaps. This study aimed to determine, with cross sectional analytic method, the prevalence of hypertension, risk factors and their interrelationships in the population above 64 years old in Manisa. Materials and Methods: Arterial blood pressures of 340 participants who are registered in the region systematic sampling method were measured and a questionnaire interrogating demographic features and was conducted by means of face-to-face interviews. Results: According to questionnaire results, the hypertension prevalence, which is actually 49.7%, was found to be 61.8% in all individuals above 65 years old. Out of elderly people 26.2% were normotensive, 27.1% were systolic hypertension, 8.6% were diastolic hypertension, 26.2% were systolo-diastolic hypertension. Hypertensive individuals have been compared in respect of age, gender, educational level, marital status was not statistically different between the groups. Body Mass Index made increase on risk score. Conclusion: Consequently, the hypertension prevalence among elderly in the study region was high. This result draws the attention once again to the fact that the screening for hypertension among the elderly people and adequate and equal nutrition is necessary.Item Turkish health professional's attitude toward Euthanasia(2008) Karadeniz G.; Yanikkerem E.; Pirinçci E.; Erdem R.; Esen A.; Kitapçioǧlu G.The cross-sectional study was administrated between April and September 2006. Participants are doctors, nurses, and midwives. Between these dates we met only 750 health staff (doctor, nurse, and midwife). Six hundred thirty-two of them responded to our questionnaire, 122 of them were in Manisa city, and 510 of them in Erciyes. We sought to identify variables that contribute to euthanasia attitude, including demographics, in order to demonstrate Turkish doctors, nurses', and midwives' attitudes toward euthanasia and to compare their attitudes in this regard. The data was collected by a two-part questionnaire. The first part included questions about the health personnel; the second part comprised the euthanasia (Medical Staff's Attitude toward Euthanasia) scale. The scale was developed by the researcher to measure the attitude of healthy staff euthanasia. The SPSS was used to analyze the data. Student t-test, ANOVA, Mann Whitney U, and Kruskal Wallis were used to evaluate the data. The p value 0.05 (95% confidence interval) was accepted as significant. In our study, professional groups are compared with all the factors but there is a significant difference only between social cost and professional groups. © 2008, Baywood Publishing Co., Inc.Item An integrated psychosocial-spiritual model for cancer pain management; [Kanser aǧrisinin kontrolü ile psikososyal-spiritüel modelin birleştirilmesi](2009) Dedeli Ö.; Karadeniz G.Cancer pain is known to be a multidimensional and complex experience that can cause severe suffering and can lessen the quality of life. The Psychosocial and Spiritual Aspects of Cancer Pain Play an Important Role in This Phenomenon. This article describes a multidisciplinary model for cancer pain management that focuses on the psychosocial and spiritual aspects of cancer pain and the needs of patients.Item Women's attitudes and expectations regarding gynaecological examination(2009) Yanikkerem E.; Özdemir M.; Bingol H.; Tatar A.; Karadeniz G.Objective: to describe women's expectations of doctors and nurses during gynaecological examination, to identify if women have a preference for the doctor's gender, to investigate women's feelings during examination, and to determine why women consult the gynaecological outpatient clinic. Design: a descriptive and cross-sectional study using a questionnaire administered face to face. Setting: this study was performed with women recruited from those making an appointment for gynaecological examination at the gynaecological outpatient clinic at Manisa Maternity and Child Hospital between September 2004 and February 2005. Participants: four hundred and thirty-three women who applied to the gynaecological outpatient clinic at Manisa Maternity and Child Hospital. Measurements: the questionnaire included questions about the women's socio-demographic and reproductive characteristics, feelings with regard to pelvic examination, expectations of doctors and nurses during gynaecological examination, preferences regarding the gender of the physician, and the reason for the gynaecological examination. Findings: more than one-half of women felt anxious or worried about their health situation during the pelvic examination (54.8%), and 41.8% of women said that they were embarrassed about having to undress. 45.5% of women reported that they would prefer a female doctor, only 4.2% of women would prefer a male doctor in their obstetric and gynaecological care, and the remaining women (49.9%) expressed no preference. Most women (62.1%) expected the doctor to explain their health situation after examination. 71.8% of women said that the nurse should have an understanding and gentle manner, and 28.2% of women stated that the nurse should offer information to the patient about the pelvic examination. Key conclusions: it was very important for the women to participate through receiving information during the gynaecological examination. When treated with respect, the women were able to have a positive relationship with the staff. This encourages the women to attend clinics for their own health needs. Gynaecological examination is an essential part of gynaecological care and the most common procedure in gynaecological practice. Many women in the world will have a gynaecological examination several times during their lives, from youth to old age. This study could contribute to improve health programmes to make the gynaecological examination situation more positive for women. © 2007 Elsevier Ltd. All rights reserved.Item Breast-feeding knowledge and practices among mothers in Manisa, Turkey(2009) Yanikkerem E.; Tuncer R.; Yilmaz K.; Aslan M.; Karadeniz G.Objective: to determine breast-feeding knowledge and practices among mothers before and after an educational intervention on breast feeding. Design: cross-sectional, descriptive study using a face-to-face questionnaire. Setting: Manisa Maternity and Children's Hospital, which has Baby Friendly status. Participants: 158 women in the early postpartum period. Measurements and findings: 10.8% of women were not aware that they should offer colostrum to their babies. Only 43.7% of women commenced breast feeding within the first 30 minutes of giving birth. Prior to receiving the educational intervention, 55.7% of mothers knew how often they should feed their baby, 48.7% knew that they should breast feed their baby for two years together with additional food, although 55.1% of women did not know how to hold their breast during a feed. The mean pre-test score was 9.9 (SD 2.4; range 3-13), and the mean post-test score was 12.6 (SD 0.8; range 9-13). The difference between the mean pre- and post-test scores was statistically significant (paired t=15.3, df=157, P<0.001). Conclusion and implications for practice: given the integral role of breast feeding in improving overall community health, regular breast-feeding counselling should be offered, particularly during the pregnancy and early postpartum period. © 2007 Elsevier Ltd. All rights reserved.Item Assessing the role of education on Turkish university students' knowledge about HPV and related diseases(Asian Pacific Organization for Cancer Prevention, 2010) Yanikkerem E.; Piyan G.; Kavlak T.; Karadeniz G.Background: Human papillomavirus (HPV) is one of the most common sexually transmitted causes of infections and adolescents are at high risk. The aim of the study was to evaluate university students' HPV knowledge before and after educational intervention on HPV. Methods: This study was undertaken in the Celal Bayar University, Manisa, Turkey. A total of 553 university students were educated about HPV and related diseases. Pre-test was administered before education intervention, and then university students' knowledge was evaluated by using post-test. Paired sample t test was used to evaluate differences between pre-test and post-test answers. Results: The mean pre-test score for HPV knowledge was 11.6 (SD 1.76, range 10-20). After education, the mean post-test score was 18.8 (SD 1.52, range 11-20) (p<0.001). Conclusion: Information campaigns and education specifically targeting university students are needed in the near future, to promote greater and more adequate knowledge of HPV and related diseases in the general population.Item Domestic violence during pregnancy and responsibility of prenatal health care providers(Nova Science Publishers, Inc., 2010) Yanikkerem E.; Karadeniz G.; Ozer B.[No abstract available]