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 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 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 Open Access How do social and spousal support influence postpartum depression?(MARMARA UNIV, FAC MEDICINE, 2021-10-31) SAVE, DİLŞAD; Yaksi, Nese; Save, DilsadObjective: Postpartum psychiatric morbidity is one of the most frequent complications of birth, cause of suicides and maternal death. We aimed to determine the prevalence of postpartum depression (PPD) among mothers who gave birth in the last 6 months and also assess the risk factors, particularly poor social and spousal support. Patients and Methods: This is a cross-sectional study. We included 303 mothers who gave birth in the last 6 months attending three family health centers in a district of Istanbul. Stratified sampling method was used. Edinburgh Postpartum Depression Scale, Postpartum Support Scale, The Scale of Perceived Spousal Support Among Women in Early Postpartum Period were administered. Univariate and multivariate statistical analyses were used. Results: Postpartum depression prevalence was 9.9% among the participants. According to multivariate statistical analysis; while a higher income (OR : 0.99) and a higher spousal support score (OR: 0.95) were found as protective factors, actively working (OR :8.63), unplanned pregnancy (OR: 3.21), having a first child compared to having two children (OR: 11.20), having low birth weight infant (OR: 8.33) and unmet social support (OR: 1.02) were risk factors for PPD (p<0.05). Conclusion: Considering the results of this study, increasing family income, social and spousal support, prevention of unplanned pregnancies using effective family planning methods and improving the life prosperity of the women are essential to the decrease of PPD prevalence.Publication Open Access Early life risk factors of motor, cognitive and language development: a pooled analysis of studies from low/middle-income countries(BMJ PUBLISHING GROUP, 2019-10) SAVE, DİLŞAD; Sania, Ayesha; Sudfeld, Christopher R.; Danaei, Goodarz; Fink, Gunther; McCoy, Dana C.; Zhu, Zhaozhong; Fawzi, Mary C. Smith; Akman, Mehmet; Arifeen, Shams E.; Barros, Aluisio J. D.; Bellinger, David; Black, Maureen M.; Bogale, Alemtsehay; Braun, Joseph M.; van den Broek, Nynke; Carrara, Verena; Duazo, Paulita; Duggan, Christopher; Fernald, Lia C. H.; Gladstone, Melissa; Hamadani, Jena; Handal, Alexis J.; Harlow, Sioban; Hidrobo, Melissa; Kuzawa, Chris; Kvestad, Ingrid; Locks, Lindsey; Manji, Karim; Masanja, Honorati; Matijasevich, Alicia; McDonald, Christine; McGready, Rose; Rizvi, Arjumand; Santos, Darci; Santos, Leticia; Save, Dilsad; Shapiro, Roger; Stoecker, Barbara; Strand, Tor A.; Taneja, Sunita; Tellez-Rojo, Martha-Maria; Tofail, Fahmida; Yousafzai, Aisha K.; Ezzati, Majid; Fawzi, WafaieObjective To determine the magnitude of relationships of early life factors with child development in low/middle-income countries (LMICs). Design Meta-analyses of standardised mean differences (SMDs) estimated from published and unpublished data. Data sources We searched Medline, bibliographies of key articles and reviews, and grey literature to identify studies from LMICs that collected data on early life exposures and child development. The most recent search was done on 4 November 2014. We then invited the first authors of the publications and investigators of unpublished studies to participate in the study. Eligibility criteria for selecting studies Studies that assessed at least one domain of child development in at least 100 children under 7 years of age and collected at least one early life factor of interest were included in the study. Analyses Linear regression models were used to assess SMDs in child development by parental and child factors within each study. We then produced pooled estimates across studies using random effects meta-analyses. Results We retrieved data from 21 studies including 20 882 children across 13 LMICs, to assess the associations of exposure to 14 major risk factors with child development. Children of mothers with secondary schooling had 0.14 SD (95% CI 0.05 to 0.25) higher cognitive scores compared with children whose mothers had primary education. Preterm birth was associated with 0.14 SD (-0.24 to -0.05) and 0.23 SD (-0.42 to -0.03) reductions in cognitive and motor scores, respectively. Maternal short stature, anaemia in infancy and lack of access to clean water and sanitation had significant negative associations with cognitive and motor development with effects ranging from -0.18 to -0.10 SDs. Conclusions Differential parental, environmental and nutritional factors contribute to disparities in child development across LMICs. Targeting these factors from prepregnancy through childhood may improve health and development of children.Publication Open Access A qualitative analysis evaluating how medical students perceive COVID-19 pandemic and its impact on their lives: Life in the Pandemic(2023-06-01) AYVAZ, İLKNUR; GİRGİN, ŞEVKET; LÜLECİ, NİMET EMEL; HIDIROĞLU, SEYHAN; TOPUZOĞLU, AHMET; SAVE, DİLŞAD; KARAVUŞ, MELDA; Ataoğlu B. N., Kesen Yurtcanlı C. H., Doğanç F. B., Çekici D., Peker Ş., Bakır Keser N., Ayvaz İ., Girgin Ş., Sandal Kılıç A., Doğan Jamil S., et al.One of the groups experiencing the pandemic’s effects were students. This study was aimed to evaluate the effects of the COVID-19 pandemic on the lives of medical students and also to see their perspectives about the pandemic. This study is designed as a qualitative study. In-depth interviews were conducted with 30 medical students on an online platform in February 2022, at the end of the third peak period. A semi-structured question guide used as a data collection tool. First, questions about individual characteristics then open-ended questions about their COVID-19 pandemic perception and its impact on their lives were asked. The thematic analysis method was used and \"Life in the pandemic\" were grouped into two main themes: 1.Perception of the Pandemic and Consequent Impact on Life and 2. Pandemic Period and Its Impact on Life. The median age was 22. Half of the participants have been diagnosed with COVID-19. All of the participants were vaccinated. In this study it has been observed that the majority of the medical students have perceived the COVID-19 pandemic as a difficult period and also as a new, uncertain and adverse situation. Another adverse effect perceived by the majority was restriction of social life. Fear and anxiety were most commonly used to express their mood during the pandemic. During the pandemic students individual, mental and social lives are highly affected. While negative effects are generally seen during the social isolation process, this situation has eased with the normalisation of the process.Publication Open Access Türkiye’de sigara bırakma polikliniklerinin erişilebilirliği: İstanbul’da sigara içen bir popülasyon arasında tanımlayıcı bir çalışma(2022-12-01) SAVE, DİLŞAD; Bayram T., Görçin Karaketir E. Ş., Özer F., Tatar ., Kılınckıran M., Can N., Save D.Objective: In 2011, Turkey started the nationwide \"Smoking Cessation Treatment Support Program\" via Smoking Cessation Clinics (SCC). This study examined the accessibility of these clinics using Levesque’s framework of access to healthcare services. From the (potential) users’ perspectives, it was aimed to find the challenges they face in accessing these clinics, and it proposed solutions for better implementation. Methods: This study was conducted among 304 smokers who visited four Family Health Centers in a geographically defined area in Istanbul, Turkey, in 2018. Result: In this study, it was found that 74% of smokers wished to quit smoking. Within them, 21% didn’t know of SCCs, and half of them didn’t know what services were provided there. Among those who knew of SCCs, 30% used them to quit smoking. The majority (75.7%) of the SCC users found the medications expensive; 41% didn’t use them, and 64% didn’t re-visit the clinics for follow-ups. Eventually, 4.3% of smokers quit smoking through SCCs. Utilization of these clinics were significantly higher among women (35%) than men (18.6%) (p=0.024). T; and there was no other differences in terms of age, marital status, income, and education level. Conclusion: Smoking cessation programs in Turkey and other countries can be implemented more efficiently if the sufficient number of clinics are opened and are accessible at the local level; more health professionals are trained to practice; the clinics are made more visible; smoking cessation medications are made available constantly; and closer monitoring of service users is ensured. Keywords: Smoking Cessation, Access To Health Care, Health Plan Implementations, Turkey
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