Person: SAVE, DİLŞAD
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SAVE
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DİLŞAD
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Publication Open Access Autism Awareness Scale for Security Officers Working in Hospitals: A Study of Validity and Reliability(MARMARA UNIV, INST HEALTH SCIENCES, 2020-10-26) SARISALTIK, ALİCAN; Karavus, Melda; Hidiroglu, Seyhan; Sarisaltik, Alican; Ilgin, Can; Yuksel, Gulsum Hatice; Seker, Abdullah Omer; Kumru, Pinar; Save, Dilsad; Luleci, Nimet EmelObjective: The purpose of this study was to evaluate the knowledge and awareness toward autism among security officers working in hospitals and to explore the validity and reliability of the Autism Awareness Scale for Security Officers (AASSO) developed by the researchers. Methods: This methodological study was conducted at two Government Training and Research Hospitals in Istanbul, Turkey. A total of 135 security officers were included in the study and the data were obtained between February and April 2019. The AASSO is a 4-point Likert type scale and consists of 20 items. The factor structure of the scale was extracted by performing exploratory factor analysis. Results: Most of the participants were male (n=79; 58.5%) and high school graduates (n=86; 67.7%). Participants considered autism mostly as a kind of mental retardation (n=69; 51.9%), followed by social interaction problem (n=24; 18.0%). The AASSO reduces autism awareness into 3 factors ('Coming across', 'Communication' and `Interaction with the environment'), with eigenvalues ranging from 9.417 to 1.201 and explained 65.45% of all variance. Cronbach's alpha values for the AASSO was 0.936 and ranged from 0.921 to 0.809 for the subscales. Conclusion: According to these results AASSO is a valid and reliable scale. The consequence of further studies especially conducted on non-healthcare professionals of hospitals should be establishing autism-friendly hospitals.Publication Open Access The Factors Associated with Mothers' Preventive Measures Against Home Accidents: A Descriptive Study from Istanbul, Turkey(MARMARA UNIV, INST HEALTH SCIENCES, 2019-06-30) ILGIN, CAN; Bayram, Tevfik; Ilgin, Can; Kulbay, Hayriye; Tozakoglu, Batuhan; Karaduman, Ilker; Colak, Burkay Cagan; Save, DilsadObjective: One of the most common causes of death among children in Turkey is accidents, and of this, 18-25% caused by home accidents. This study aims to identify the factors associated with safety measures against home accidents, that are taken by mothers who have children between 0-6 years of age. Methods: This descriptive study was conducted among the mothers who admitted to three Family Health Centers in Istanbul, Turkey, in 2017. The data was collected with a questionnaire including The Scale for Mother's identification of Safety Measures Against Home Accidents for Children of 0-6 Years Age Group. The data was analyzed with SPSS program using Chi square, Mann Whitney-U and Spearman correlation tests (p<0,05 considered significant). 224 mothers participated in this study. Results: The most frequent home accidents were falling (48.9%), finger jam (36.6%) and crashing (30.6%). There was a weak positive correlation between the scale score and family's income (p=0.039; r=0.157); and a weak negative correlation between the scale score and child's age (p=0.001; r=-0.331). There was no association between education level of parents and safety measures. However, the scale scores were significantly higher among those who have specifically been educated about home accidents compared to those who haven't (p=0.013). Conclusion: The current education program may not be sufficient to prevent home accidents. We believe that specific courses about home accidents and safety measures are needed; even if these courses can be integrated to secondary school or university curricula it can be more beneficial.Publication Open Access COMPARISON OF SUCROSE AND HUMAN MILK ON NEWBORNS' PAIN RESPONSE(1998-09) SAVE, DİLŞAD; Örs, Rahmi; Özek, Eren; Baysoy, Gökhan; Cebeci, Dilşat; Bilgen, Hülya; Türküner, Merih; Başaran, MüjdatPublication Metadata only Oti̇zmde spor etki̇nli̇kleri̇ni̇n davranış ve sosyalleşme üzeri̇ndeki̇ olasi etki̇leri̇ni̇ değerlendi̇ren ni̇teli̇ksel bi̇r çalışma(2022-12-01) LÜLECİ, NİMET EMEL; KARAVUŞ, MELDA; SAVE, DİLŞAD; HIDIROĞLU, SEYHAN; Peker Ş., Hıdıroğlu S., Karavuş M., Tepe P., Akçabey S., Kaya A. Ö., Öztürkçü H., Lüleci N. E., Save D.Publication Open Access Delivering the thinking healthy programme as a universal group intervention integrated into routine antenatal care: a randomized-controlled pilot study(2023-12-01) BORAN, PERRAN; DÖNMEZ, MELİKE; BARIŞ, HATİCE EZGİ; ALTAŞ, ZEYNEP MEVA; HIDIROĞLU, SEYHAN; SAVE, DİLŞAD; BORAN P., DÖNMEZ M., Barış E., Us M. C., ALTAŞ Z. M., Nisar A., Atif N., Sikander S., HIDIROĞLU S., SAVE D., et al.© 2023, The Author(s).Background: Women with perinatal depression and their children are at increased risk of poor health outcomes. There is a need to implement non-stigmatizing interventions into existing health systems which reduce psychosocial distress during pregnancy and prevent perinatal depression. We adapted the WHO-endorsed Thinking Healthy Programme (THP) to be delivered universally to all women attending routine online pregnancy schools in Istanbul, Turkey. This study aimed to evaluate the feasibility and acceptability of this intervention. Methods: This mixed-methods study incorporated a two-arm pilot randomized controlled trial and qualitative evaluation of the feasibility and acceptability of the adapted THP – Brief Group version (THP-BGV) to a range of stakeholders. We recruited pregnant women at 12-30 weeks’ gestation through pregnancy schools within the University Hospital’s catchment area. Women in the intervention arm received five online sessions of the THP-BGV delivered by antenatal nurses. The intervention employed principles of cognitive behaviour therapy to provide psychoeducation, behaviour activation, problem-solving strategies and group support to participants. In the control arm, women received usual care consisting of routine online educational pregnancy classes aided by the antenatal nurses. The women were assessed for depressive symptoms with the Edinburgh Postnatal Depression Scale at baseline and 4-6 weeks post-intervention and also evaluated for anxiety, perceived social support, partner relationship, level of disability and sleep quality. In-depth interviews were conducted with women and other key stakeholders. Results: Of the 99 consecutive women referred to the pregnancy schools, 91 (91.9%) were eligible and 88 (88.8%) consented to participate in the study and were randomized. Eighty-two (83%) completed the final assessments. Our main findings were that this preventive group intervention was feasible to be integrated into routine antenatal educational classes and it was valued by the women and delivery-agents. While the study was not powered to detect differences between intervention and control conditions, we found small trends towards reduction in anxiety and depressive symptoms favoring the intervention arm. No serious adverse events were reported. Conclusions: Given the paucity of preventive interventions for perinatal depression in low and middle-income countries, a fully powered definitive randomized controlled trial of this feasible and acceptable intervention should be conducted. Trial registration: The study was registered at Clinical Trails.gov (NCT04819711) (Registration Date: 29/03/2021).Publication Open Access The Knowledge and Attitude about Diarrhea of Mothers of Students Attending an Elementary School in a Suburban Area in Istanbul(MARMARA UNIV, INST HEALTH SCIENCES, 2019-08-31) SAVE, DİLŞAD; Keskin, Nese; Surmen, Aysen; Save, Dilsad; Hidiroglu, Seyhan; Karavus, MeldaObjective: Diarrhea is one of the main cause of morbidity and mortality among children age under 5 years in Turkey though diarrheal disease control program has been performing and death ratio due to diarrheal disease under 5 years has been decreasing year by year in Turkey. This study is undertaken to evaluate knowledge, attitude and practice of mothers about childhood diarrheal diseases in a suburban area. Methods: This descriptive study was carried out in a primary school in a suburban area of Istanbul. One hundred and forty four mothers of children included accepted in the study with response rate of 85%. A questionnaire form was applied for data collection. Epi-Info programme was used for statistical analysis. In addition to the descriptive statistical methods, for the comparison of qualitative data a chi-square test was used. Results: In our study, the percentage of mothers who could define diarrhea correctly was 40%. Abdominal pain and watery defecation were the main signs which the mothers understand their children have diarrhea. Most of the mothers indicated that microbes as the cause of diarrhea. One of every two mothers stated that they would take their children to the doctor as they notice their child has diarrhea. Among the homemade treatments we asked, Potatoes cooked in boiling water and banana were the most frequent answers. Only one of mothers mentioned about using drugs at home for diarrhea and percentage of hearing about ORS was 21.5%. Eleven percent of mothers mentioned they believed to decrease liquid intake would be an effective practice in the treatment of diarrhea. Education level was very influential about knowledge and attitude about diarrheal disease. Conclusion: This study reveals the importance of continuous health education of mothers as well as the need for raising their status especially schooling in communities. Circulating of correct information is also important as well as educating population.Publication Metadata only Prevalence of headache and its association with sleep disorders in children(ELSEVIER SCIENCE INC, 2007) ARMAN, AYŞE; Isik, Ugur; Ersu, Refika Hamutcu; Ay, Pinar; Save, Dilsad; Arman, Ayse Rodopman; Karakoc, Fazilet; Dagli, ElifAn association between headache and sleep disturbances has been reported in previous studies, but there is a lack of research examining this relationship in a community sample of children in order to reveal the magnitude of the problem. Among 32 District Educational Directorates in Istanbul, nine school districts and within each district eight schools were randomly selected. A questionnaire consisting of sociodemographic variables and evaluating headache and sleep disturbances was sent to students' homes to be completed by their parents. The prevalence of headache was 31.4% (95% confidence interval: 29.5-33.4%). Migraine prevalence was 3.3%, whereas nonmigraine headache prevalence was 28.1%. The prevalence of headache was similar between males and females (29.6% vs 33.3%, P > 0.05). The frequency of headache increased with age for both sexes. Snoring, parasomnias, sweating during sleep, and daytime sleepiness were more common among children with migraine compared with nonmigraine and no headache groups. Headaches are common among schoolchildren. Because children with migraine headaches have a high prevalence of sleep disturbances, they should always be evaluated for the presence of sleep problems. (c) 2007 by Elsevier Inc. All rights reserved.Publication Open Access Attitudes of married individuals towards oral contraceptives: a qualitative study in Istanbul, Turkey(BMJ PUBLISHING GROUP, 2004-04-01) SAVE, DİLŞAD; Karavus, M; Cali, S; Kalaca, S; Cebeci, DObjective To determine positive and negative attitudes of married Turkish women and men regarding the use of oral contraceptives (OCs). Methods Twenty focus group discussions were conducted during the period October 1998-March 1999 in Umraniye, which is one of the densely populated districts of Istanbul. Results Most of the negative attitudes relating to OCs stemmed from concerns over side effects, particularly the male focus groups. Health care professionals' behaviour, lack of concern or bias, and their reluctance to prescribe also limited the uptake of OCs. The female groups had very positive attitudes towards OCs compared to those of the male groups. It was identified that although OCs are largely provided free of charge in Turkey, beliefs and attitudes towards them are the important,factors which affect the uptake of the method. Conclusion Special efforts may be needed to educate these groups and also to teach the health professionals about family planning counselling.Publication Metadata only A comparison of the efficacy and safety of a half dose of fluticasone propionate with beclamethasone dipropionate and budesonide in childhood asthma(2001) KARADAĞ, BÜLENT TANER; Karakoç, F.; Karadag, B.; Kut, A.; Ersu, R.; Bakaç, S.; Cebeci, D.; Dagli, E.This study was carried out in an attempt to compare the efficacy and safety of fluticasone propionate (FP) at the half dose of budesonide (BUD) and beclamethasone dipropionate (BD) in childhood asthma. Ninety-six children with moderate to severe asthma (9.6 +/- 2.17 years) whose asthma was already controlled on BUD (n = 52) or BD (n = 44) were recruited into the study. In the first part of the study (the first 12 weeks) each group was followed with three weekly lung function measurements, daily diary records, and peak expiratory flow (PEF) measurements on the initial medication. At the end of 6 weeks, drugs were switched to a half dose of FP, and the subjects were followed for another 6 weeks. Blood samples were obtained for osteocalcin and plasma cortisol levels after each treatment period. In the second part of the study, 50 patients continued to take FP at the half dose of BUD or BD for another 30 weeks. Clinic visits, including lung function and PEF measurements, were conducted every 10 weeks. After 6 weeks of FP treatment, there was a small but statistically significant decrease in FEV1 and FEF(25-75) in both groups (BUD and BD) without any significant obstruction. These mild changes in lung function measurements continued during long-term follow-up. However, there was no statistically significant further decrease in any lung function parameters while receiving FP (visits 3-8) (coefficient = -0.00751 L/day, p = 0.39 for FEF(25-75) and coefficient = -0.00910 L/sec/day, p = 0.055 for FEV1). There were no significant changes in the morning and evening PEF measurements and diurnal PEF variations after 6 weeks of treatment with FP compared with BUD and BD treatments. There were no significant changes in basal cortisol and osteocalcin levels before or after 6 weeks of FP treatment (p > 0.05). The present study concluded that, although FP at the half dose of BUD or BD seems to maintain reasonable control of the disease symptoms, a mild but significant and persistent decrease in lung function parameters may indicate that FP may not be twice as potent as BUD or BD in childhood asthma by evaluation of lung functions. This conclusion must be further verified with long-term studies.Publication Metadata only The opinion of physicians who participated in community-oriented primaryhealth care work shop during their medical education: a qualitative study(2023-03-03) HIDIROĞLU, SEYHAN; SAVE, DİLŞAD; KARAVUŞ, MELDA; Keser N. B., Hıdıroğlu S., Sancaktar Demiröz M., Özgün F., Efe F., Okur Z., Öztürk M., Çetin M. Ş., Karavuş M., Save D.