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LÜLECİ, NİMET EMEL

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Gastroenteroloji Enstitüsü

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LÜLECİ

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NİMET EMEL

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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 Emel
Objective: 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.
Open Access
Fracture History in Osteoporosis: Risk Factors and its Effect on Quality of Life
(AVES, 2015-01-15) AKYÜZ, GÜLSEREN DERYA; Kuru, Pinar; Akyuz, Gulseren; Cersit, Hulya Peynirci; Celenlioglu, Alp Eren; Cumhur, Ahmet; Biricik, Sefikcan; Kozan, Seda; Goksen, Aylin; Ozdemir, Mikail; Luleci, Emel
Background: Fractures are one of the main outcomes in osteoporosis and have an important effect on the general health status. Aims: The purpose of this study was to determine the effect of major fracture history on quality of life. We also investigated the important risk factors and their effect on bone mineral density and fracture history. Study Design: Cross-sectional study. Methods: We recruited 105 patients who were admitted to an osteoporosis outpatient clinic. Medical history, family history, calcium intake, physical activity level and biochemical tests were evaluated. Lumbar spine and femur neck bone mineral density were measured. The Qualeffo-41 questionnaire was also used for evaluating quality of life. Results: The average age of the 105 patients included in the study was 56.04 +/- 13.73 and 89% of them were post-menopausal women. The average body mass index was 26.84 +/- 5.99, which means that the women were overweight. Also, 48.5% of the patients were diagnosed with osteoporosis and 51.5% of them were diagnosed as low bone density. A total of 34 patients had a fracture history with minor trauma and some of the patients had more than one fracture (12 ankle and foot, 10 forearm, 9 vertebral, 4 hand, 3 hip, 2 rib, 1 tibial). When the patients with and without fracture history were compared, the mean Qualeffo-41 score in patients with fracture was 43.85 +/- 2.57 and in the non-fracture group was 36.27 +/- 2.01. Conclusion: Forearm, ankle and foot fractures can be commonly seen in osteoporosis patients with fracture history. We suggest that it is important to recognise osteoporosis prior to first fracture and disease-specific quality of life assessment should be done.
Open Access
Common Mistakes Made in Clinical Research Ethics Committee Applications: Experience of a Training and Research Hospital
(2022-01-01) LÜLECİ, NİMET EMEL; HIDIROĞLU, SEYHAN; MERCANOĞLU H. G., NUHOĞLU Ç., VURAL F., AKSARAY S., LÜLECİ N. E., KAYATAŞ K., GÜNGÖR B., UZUN M. A., HIDIROĞLU S., SARĞIN M., et al.
Introduction: It is the responsibility of the ethical committees to ensure that the studies carried out on volunteers are carried out in accordance with ethical rules. In this study, it is aimed to analyze the deficiencies in the 2018-2021 application forms of the Istanbul Haydarpaşa Numune Training and Research Hospital Clinical Research Ethics Committee. Methods: The number of applications and revisions, the quality and type of research, area of application and acceptance rate were analyzed retrospectively in the archives of the ethics committee, in 598 files that were finalized between January 2018 and December 2020. Results: In the examined period, the total number of applications has doubled as of the end of 2020 compared to January 2018 (131, 194 and 273 for the years 2018, 2019 and 2020, respectively), and almost all of the applications are non-pharmacologic clinical trials. Among these studies, the highest number of applications are individual research projects, and more than half of them are prospective (63.06%, 66.46% and 58.30%, respectively). The number of applications for which corrections were requested is 77 (58.77%), 107 (55.15%) and 107 (39.19%) according to years. Most of the corrections requested are method related. The highest increase in the number of revisions was in the misidentification of the research type (0.78%, 6.02% and 6.94% for 2018-2020, respectively). Discussion and Conclusion: It was determined that the researchers had difficulties in the study methodology, informed consent and preparation of the scientific basis. Planning periodical Good Clinical Practices (GCP) trainings on an institutional basis under the leadership of ethics committees and that the specialty students have completed their current GCP training before starting their specialty thesis studies will ensure that the research projects to be carried out will be of higher quality in terms of ethics and science
Open Access
A study exploring the autism awareness of students attending the department of pre-school teacher education of a public University in Istanbul, Turkey
(MARMARA UNIV, FAC MEDICINE, 2020-05-31) KARAVUŞ, MELDA; Hidiroglu, Seyhan; Luleci, Nimet Emel; Karavus, Melda; Gorcin Karaketir, Seyma; Karavus, Ahmet
Objectives: Early detection of autism might largely depend on pre-school teachers' awareness and their prompt referral of these children to health authorities for accurate diagnosis. The purpose of our study was to assess the awareness about childhood autism among students attending the Department of Pre-school Teacher Education of a public university. Materials and Methods: This descriptive study was carried out on 181 out of 218 students. Results: The best known characteristic of a child having autism was having a hard time in social relations (90.1%). The majority (85.6%) of the study group believed that autism was curable and thought that a child having autism could pursue a family life in the future with his/her spouse (51.3%). Around 60.7% of all participants were of the opinion that a child with autism cannot participate in conversations. Conclusion: The idea of a child with autism disturbing the teaching environment (50.8%) exists which might be a very important obstacle for his/her education; thus interfering with his/her treatment. Autism awareness of respondents could be considered to be relatively good among the senior students.
Open Access
Energy drink consumption among pre-clinical medical students attending a public medical school in Istanbul, Turkey
(MARMARA UNIV, FAC MEDICINE, 2019-05-28) KULAK, ERCAN; Kulak, Ercan; Hidiroglu, Seyhan; Luleci, Emel; Karavus, Melda
Objective: It has been reported that energy drink usage is increasing worldwide despite reports of severe adverse health effects. This study aimed to explore pre-clinical medical students' attitudes and perceptions in relation to energy drinks. Materials and Methods: This was a questionnaire-based descriptive study of pre-clinical medical students attending a public medical school in Istanbul, Turkey. Questions covered the students' sociodemographic characteristics, personal habits (e.g., smoking and alcohol consumption), energy drink perceptions and energy drink consumption, and their experience of side effects from energy drinks. Chi-square tests were used to compare the categorical data. Results: The mean age of the participants was 21.27 +/- 1.37 (range: 19-28) years, and 54.0% (n: 81) were females and 46.0% (n: 69) were males. Overall, 68.0% (n: 102) reported that they had consumed an energy drink at least once in their lives, with 29.4% of these reporting use in combination with alcohol, 22.6% reporting use before exams, 20.6% reporting use before a physical activity, 13.7% reporting use to relieve fatigue, and 48.0% reporting that they had only tried an energy drink out of curiosity. Conclusion: A large number of participants tried energy drinks out of curiosity, but energy drink consumption was quite common in combination with alcohol. Case studies are needed to provide detailed information on the actual adverse health effects of energy drinks, but in the meantime, energy drink consumption should not be encouraged. Health care providers should educate children and families for the adverse effects of energy drinks.
Open Access
Sleep quality and anxiety level in employees
(KARE PUBL, 2017) TEKER SAYIN, AYŞE GÜLSEN; Teker, Ayse Gulsen; Luleci, Nimet Emel
OBJECTIVE: The aim of this study was to measure the sleep quality and anxiety level of a group of employees, as well as determine the relationship between sleep quality and anxiety and other factors. METHODS: A total of 130 of 185 employees at a university campus were enrolled in this cross-sectional study. A descriptive questionnaire, the Pittsburgh Sleep Quality Index, and the Beck Anxiety Inventory were the data collection instruments. In addition to univariate analysis, the relationship between the 2 scales was examined with Spearman correlation analysis. RESULTS: Of the participants, 38.9% had poor sleep quality. Gender, income level, presence of a chronic disease, regular medication use, and relationship with family and the social environment were found to affect both sleep quality and anxiety. A decrease in sleep quality was associated with an increase in the level of anxiety. CONCLUSION: Poor sleep quality and a high anxiety level are common in this country, as in the rest of the world. Socioeconomic interventions and psychosocial support to improve the status of individuals with risk factors, such as chronic disease, will reduce anxiety and improve sleep quality and overall psychosocial health. Further prospective studies should be conducted with different groups of participants and with larger samples to expand knowledge of the relationship between sleep quality and anxiety.
Open Access
Changes in the etiology of chronic liver disease by referral to a fibroscan center: rising prevalence of the non-alcoholic fatty liver disease” hepatology
(2022-12-01) ÖZEL, FURKAN; LÜLECİ, NİMET EMEL; Eris T., Hassan M., Hikal Y., Sawah E., Daneshgar F., TEKER SAYIN A. G., ÖZEL F., LÜLECİ N. E., Kaya E., YILMAZ Y.
Background and Aim: Chronic liver disease (CLD) is a leading cause of morbidity and mortality worldwide with wide etiological spectrum. FibroScan® is used for follow-up of fibrosis and steatosis. This single center study aims to review the distribution of indications by referral to FibroScan®. Materials and Methods: Demographic characteristics, CLD etiologies, and FibroScan® parameters of the patients, who were referred to our tertiary care center between 2013 and 2021 were retrospectively evaluated. Results: Out of 9,345 patients, 4,946 (52.9%) were male, and median age was 48 [18-88]. Nonalcoholic fatty liver disease (NAFLD) was the most common indication (N= 4,768, 51.02%) followed by hepatitis B (N=3,194, 34.18%) and hepatitis C (N=707, 7.57%). Adjusting for age, sex, CLD etiology, the results revealed that patients with older age (Odds ratio (OR) =2.908, confidence interval (CI): 2.597-3.256, P<0.001), and patients with hepatitis C (OR= 2.582; CI=2.168-3.075; P<0.001), alcoholic liver disease (OR=2.019; CI=1.524-2.674, P<0.001), autoimmune hepatitis (OR=2.138; CI=1.360-3.660, P<0.001) had increased odds of advanced liver fibrosis compared to NAFLD. Conclusion: NAFLD was the most common indication for referral to FibroScan®.
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.
Open Access
A Cross-sectional Study Evaluating Childhood Autism Awareness of Residents Otorhinolaryngology Department in Istanbul
(ISTANBUL TRAINING & RESEARCH HOSPITAL, 2019-10-24) LÜLECİ, NİMET EMEL; Karavus, Melda; Karaketir, Seyma Gorcin; Hidiroglu, Seyhan; Luleci, Nimet Emel; Cetinkaya, Candan Yeter; Hosgor, Ezel Bersu; Karaketir, Semih; Karavus, Ahmet
Introduction: Otorhinolaryngology (ENT) physicians may be effective in the early diagnosis of autism spectrum disorder (ASD). The aim of this study was to investigate the awareness of ENT residents in Istanbul about recognizing ASD. Methods: The type of the study was cross-sectional. The study population consisted of 97 ENT residents, and 83 (85%) of these residents were included in the study. The questionnaire consisted of questions about the sociodemographic data of the participants and Autism Spectrum Disorder Awareness Questionnaire. Autism Spectrum Disorder Awareness Questionnaire contains the findings of ASD reported in the literature. This questionnaire includes observable findings of possible ASD in a child during routine examination of the ENT physician. Results: In our study, the most known finding of childhood autism was found to be difficulty in making eye contact (97.5%). Regarding work experience, difficulty in making eye contact (100%) and lack of age-appropriate language development (91.5%) findings were well-known findings among residents with less than four years of experience. On the other hand, very sensitive vision, hearing and touch senses (95.8%) and seem unable to hear even if hearing tests are normal (91.7%) findings were more prominent among residents with four or more years of experience. Conclusion: The ASD awareness of the ENT residents participating in our study can be considered as relatively good. The Autism Spectrum Disorder Awareness Questionnaire developed by the researchers is planned to be validated with the studies to be carried out later and developed to be used for ENT specialists. Such questionnaires can also be used to raise awareness among ENT residents and specialists.
Open Access
Untitled Reply
(2022-01-01) KARAVUŞ, MELDA; ILGIN, CAN; AY, NADİYE PINAR; LÜLECİ, NİMET EMEL; SAVE, DİLŞAD; HIDIROĞLU, SEYHAN; Ozdemir M., Ilgin C., KARAVUŞ M., HIDIROĞLU S., LÜLECİ N. E., AY N. P., Sarioz A., SAVE D.