GEVHER NESIBE JOURNAL OF MEDICAL AND HEALTH SCIENCES

The Effect of Psychoeducation on Fear of Birth and Anxiety Symptoms in Pregnant Women: A Meta-Analysis

Tuğba SARI, Nermin GÜRHAN — Sat, 03 Feb 2024 00:00:00 +0300

Bu çalışma, gebelere yönelik uygulanan psikoeğitimsel müdahalelerin anksiyete semptomlarının ve doğum korkusunun azalması üzerindeki etkisini ortaya koymayı amaçlamıştır. Bu meta-analiz çalışması için Ekim 2022-Ocak 2023 tarihleri arasında herhangi bir yıl sınırlaması olmadan PubMed, EBSCOhost, Web of Science, YÖK Tez Merkezi ve Google Scholar veri tabanları tarandı ve 10 çalışma bu meta analize dahil edildi. Veriler meta-analiz ve öyküsel anlatım yöntemleriyle sentezlendi. Bu meta-analiz, doğum korkusu yaşayan kadınlara uygulanan eğitim müdahalelerinin gebelerde doğum korkusunun azalması üzerinde etkili olduğunu göstermiştir (SMD: -0.749, %95 CI: (-1.021)-(-0.478), Z: -5.411, p: 0.002, I2: %73.819). Psikoeğitimsel müdahalelerin gebelerin yaşadığı anksiyete semptomları üzerinde müdahale grubu lehine anlamlı bir etkiye sahipti ve çalışmalar arasında yüksek heterojenite vardı (SMD: -0.862, %95 CI: (-1.319)- (-0.404), Z: -3.690, p = 0.000, I2= %80.755). Alt grup analizlerinde, müdahale türlerinin hem anksiyete semptomlarının hem de doğum korkusunun azalmasında etkili olduğu belirlenmiştir. Doğum korkusu ve anksiyete semptomları yaşayan kadınlarda uygulanan psikoeğitimsel müdahalelerin doğum korkusunda ve anksiyete semptomlarında anlamlı bir azalma olduğu görülmüş ve bu durumda daha olumlu doğum deneyimi yaşanmasını sağlamaktadır.

Acute Renal Failure Presenting with Lipid Storage Myopathy Case

Ersin KULOĞLU — Sat, 03 Feb 2024 00:00:00 +0300

Lipid storage myopathy, primarily characterized by excessive and pathological lipid accumulation in muscle fibers, is a group of genetic disorders. Although lipid metabolism disorders can lead to various clinical manifestations, patients often present with progressive muscle pain, muscle weakness, and fatigue. A 32-year-old female patient with no known chronic systemic disease except for a cervical-lumbar disc herniation presented to our emergency department with complaints of widespread muscle pain, weakness, and newly onset hematuria over the past few days. In this study, we aimed to evaluate the patient who was hospitalized in the internal medicine clinic with a diagnosis of non-traumatic exercise-induced rhabdomyolysis accompanied by hematuria and acute renal failure.

Examination of Thesis Studies Evaluating the Effect of Interventions Used in the Management of Fear of Birth in Turkey

Birnur YEŞİLDAĞ, Zehra GÖLBAŞI, Ayşe YILMAZ — Sat, 03 Feb 2024 00:00:00 +0300

Aim: This study was conducted to evaluate the effect of interventions used in the management of fear of childbirth in Türkiye.

Materials and Methods: In the study, theses in the National Thesis Center database were scanned between 10-15 March 2023, without any year limitation, using the Turkish keywords "fear of birth", "fear of birth management" and "pregnancy" in different combinations. Document analysis method was used in the study. The inclusion criteria were determined as randomized controlled, experimental and quasi-experimental studies, the full text of which could be accessed, interventions for fear of birth management started during pregnancy, and conducted with experimental and control groups.

Findings: 17 theses included in the scope of the study were written between 2011-2022, 4 of them are master's theses and 13 are doctoral theses. All of the theses examined consisted of experimental and control groups. The research design of the theses consisted of randomized controlled study, experimental study and quasi-experimental study. According to the branches of science in which the theses were made, 8 of them were made in the Department of Obstetrics and Gynecology Nursing, 2 in the Department of Nursing, 6 in the Department of Midwifery, and 1 in the Department of Clinical Psychology. Interventions used to manage fear of childbirth were implemented during pregnancy in all theses and birth preparation trainings were frequently used. To determine the level of fear of birth, three different measurement tools were used during pregnancy and two different measurement tools in the postpartum period.

Conclusion: In recent years, many different interventions such as psycho-education, cognitive behavioral therapy, haptotherapy, Hypnobirthing-Mongan method, art therapy, motivational interviewing, and individual counseling have been used in the management of fear of birth, along with birth preparation training. According to the results of the theses examined, it was determined that there was a statistically significant decrease in the average score of birth fear in the groups receiving intervention in all theses. However, there is a need for more randomized controlled studies with a high level of evidence that evaluate the effectiveness of the methods and evaluate the fear of birth using different methods together.

The Effect of Adaptation to Chronic Disease on Self-Efficacy of Chronic Obstructive Pulmonary Patients

Adile NEŞE, Nazan BAYRAM — Sat, 03 Feb 2024 00:00:00 +0300

Aim: This research was carried out to evaluate the effect of chronic obstructive pulmonary patients' adjustment to chronic disease on self-efficacy.

Material and Method: The population of the cross-sectional study consisted of Chronic Obstructive Pulmonary patients who applied to the chest polyclinic between January 15, 2020 and March 15, 2020. No sampling method was chosen and 103 patients who applied to the outpatient clinic were reached. The data of the research; The patient information form, which includes the socio-demographic characteristics of the patients, was obtained by using the Chronic Obstructive Pulmonary Self-Efficacy Scale and the Chronic Disease Adjustment Scale. In the analysis of data; normal distribution test, frequency, t test, ANOVA test and correlation analysis were used.

Results: The mean age of the patients participating in the study was 63.35±7.02 years and the mean duration of smoking was 40.64±9.43 years. It was determined that 93.2% of chronic obstructive pulmonary patients were male, 75.8% had primary school education, 48.5% lived with their spouse/children, and 60.2% had a low economic level. It was determined that 92.2% of the patients had a smoking history, 53.4% had an additional chronic disease, and 38.8% were using oxygen at home. The mean score of Self-Efficacy of Chronic Obstructive Pulmonary Patients was 2.66±0.61 and the mean score of adjustment to chronic disease was 76.24±10.41.

Conclusion: In this study, it was determined that the adaptation to chronic disease and self-efficacy scores of Chronic Obstructive Pulmonary patients were moderate and there was a positive correlation between adaptation to chronic disease and self-efficacy.

Anxiety and Diving Sports

Murat Can OKTAY — Sat, 03 Feb 2024 00:00:00 +0300

Anxiety, which has been accepted since the existence of human beings, has a general purpose. In the past, this purpose was an instinct to protect people against environmental dangers. But now, anxiety is experienced as a necessity of being alive, struggling with life, discovering new things, doing more positive things in a competitive environment and being accepted. As can be understood, anxiety is a reaction of the individual to various destructive and disruptive situations towards his existence. In addition to this positive feature of anxiety, it also has harmful aspects, reaching pathological levels. Another area where anxiety is actively felt is sports. Anxiety in sports has been the subject of many studies and studies have been conducted on the effect of anxiety on the athlete and his performance. When sports types were divided into individual and team, studies were examined on more groups. Many studies have shown that not only does the sport or activity increase anxiety, but when it is done amateurishly and without a focus on results, anxiety decreases. It has been discussed by many sports scientists and healthcare professionals that doing sports on a professional level can be a supporter for not only increasing anxiety but also increasing self-confidence and, as a result, success. Scientists continue to conduct research on the personal and environmental factors that lead to this state of anxiety that affects athletes.

Nonpharmacological Methods Used in the Management of Labor Pain

Remziye GÜLTEPE — Sat, 03 Feb 2024 00:00:00 +0300

Although childbirth is a physiological process for women, it also affects the health of the mother physically, spiritually and socially and is seen as a unique experience that is important for a woman's transition to the role of motherhood. The fears that pregnant women experience about childbirth can lead to the formation of fear and pain of childbirth along with physiological, hormonal and psychological changes. In cases where the pain during childbirth, which is a natural process, cannot be tolerated, the health of both the mother and the fetus can be negatively affected. Circulatory, respiratory, neuroendocrine and limbic systems are negatively affected in the mother, while complications due to hypoxia may be observed in the fetus. There are many complementary and alternative methods used in the management of birth pain and supported by clinacally controlled research. According to studies, it is emphasized that 73% of women worldwide use at least one nonpharmacological method to reduce pain during childbirth. These techniques: They can be grouped as applied techniques including physical stimulation, mental stimulation and relaxation techniques, position changes and breathing techniques. Studies have reported that with these methods used during birth, women's attention is directed to different areas during pain, their pain thresholds increase, they relax, the utero-placental circulation is relieved, and the perception of labor pain decreases. As a result, many studies have reported that the use of non-pharmacological methods in the management of labor pain is quite effective, but it has been determined that more studies are needed on some methods.

Evaluation of the Levels of Stigma, Depression, Quality Of Life and Social Support of Patients with HIV

Sebahat Gökçe ÇERÇİ , Havva SERT — Sat, 03 Feb 2024 00:00:00 +0300

Aim: HIV that has affected more than 35 million people worldwide so far is encountered as an important global community health problem. HIV positive individuals can be exposed to stigma depending on several factors. The study was conducted for the purpose of assessing the stigma, quality of life, depression and social support levels of patients with HIV.

Method: The study, planned as a descriptive type, was conducted between May and November 2018, with 40 patients registered to the infection outpatient clinic of a hospital, after obtaining institutional permission and ethics committee approval. Data were collected in an environment comfortable for the patient by using the Patient Identification Form, SF-36 Quality of Life Scale (SF 36 QOLS), Beck Depression Scale (BDS), Multidimensional Scale of Perceived Social Support (MSPSS), and HIV/AIDS Stigma Scale (HASS). The interviews lasted about 25-30 minutes. Data analysis was performed using descriptive statistics and parametric tests in computer environment.

Results: It was determined that the mean score obtained by the HIV positive individuals from the physical main dimension of the SF-36 QOLS was 77,03±16,66, mental main dimension 66,35±16,48, depression score 9,65±6,26, MPSSS score average 45,75±9,325 and the HASS score average was between 0,01±0,050 and 0,74±0,343. It was determined that there is a relationship between stigma seen in individuals and some sub-dimensions related to depression, social support levels and quality of life.

Conclusion: It was observed that the highest score on the stigma scale in HIV-positive individuals belonged to the negative self-perception sub-dimension, and there was a relationship between quality of life and some sub-dimensions of perceived social support.

Evaluation of Oral Lesions in People with COVID -19 Diagnosis

Meral UZUNKAYA, Eda ÇETİN ÖZDEMİR — Sat, 03 Feb 2024 00:00:00 +0300

Objective: The aim of this study is to evaluate the oral lesions that occur during or after the COVID-19 disease in patients who have applied to Kahramanmaraş Sütçü İmam University Faculty of Dentistry for any reason.

Materials and Method: A total of 160 patients were included in the study. A questionnaire consisting of 14 questions was applied to the participants about their socio-demographic information and dental status. Patients were asked questions about dental sensitivity, dry mouth, bleeding gums, edema in the oral tissues and mobility in the teeth during the Covid-19 quarantine periods.

Results: 43% of the participants stated that they experienced dry mouth during and after COVID-19. When we look at the answer given to the question of whether you have experienced sensitivity in your teeth during or after the COVID-19 process, they answered yes at a rate of 24%. 5.8% of the individuals stated that they felt mobility in their teeth. When we compared the effects of tooth brushing and flossing on gingival bleeding, no statistically significant difference was found.

Conclusion: In studies evaluating COVID-19 and oral lesions, it is stated that dry mouth and aphthous lesions are the most common lesions. According to the results of our study, we think that COVID-19 may have possible effects on dental tissue, such as sensitivity and mobility.

Evaluation of the Cultural Structure of Syrian Refugee Families According To the Place They Live

Sevim GÜLER , Mürşide ZENGİN , Sidar GÜL , Selma KAHRAMAN — Sat, 03 Feb 2024 00:00:00 +0300

Objective: This study was conducted qualitatively to evaluate the cultural structures of Syrian asylum-seeking families according to their location.

Materials and Method: The population of the study consisted of Syrian asylum-seeking families in Şanlıurfa, Adıyaman, and Diyarbakır provinces. Snowball and maximum diversity sampling were used to select the sample from the population. The study sample consisted of 60 Syrian asylum-seeking families who spoke Turkish or Kurdish. Data were collected between March and June 2015 using a semi-structured interview form and focus group interview method.

Results: 53.3% of the participants were female and the median age was 36.5 years. The average duration of their arrival from Syria is 1 year and almost all of them (98.3%) have a patriarchal family structure. The median number of children is 3 and 75 per cent do not speak Turkish. The participants stated that the "woman's task" is to be responsible for the management of the house (41.7%) and the "man's task" is to work and earn money (93.3%). The statements about the cultural characteristics of the family were categorised under the headings of family structure, economy, marriage status, education, nutrition, hygiene, health-illness, pregnancy, baby care, religious characteristics and death rituals and difficulties experienced.

Conclusion: It was determined that Syrian asylum-seekers live in an environment with many cultural differences with migration. It is recommended that health professionals should provide care by taking these cultural differences into consideration in health service delivery.

Long Term Follow up COVID-19 Patients

Zülfer OBUZ , Gamze KIRKIL — Sat, 03 Feb 2024 00:00:00 +0300

This study aimed to investigate the presence of symptoms that persist after discharge in patients with COVID-19 and their effects on quality of life.

Ninety COVID-19 patients who were hospitalized between January and April 2021 were included in the study. Demographic data, comorbidities, imaging and laboratory findings of the patients were recorded. During the follow-up visits, the patients' symptoms were questioned, quality of life questionnaires were filled out, laboratory findings were recorded, and radiological examinations were performed.

It was determined that 28 of the patients did not require O2 (Group 1), 46 required O2 (Group 2), and 16 required IMV-NIMV (Group 3). There was no difference between the 3 groups in terms of gender. It was determined that the average age and comorbidity rate of Group 3 was higher than Group 1 and Group 2. Among the thorax CT findings, ground glass opacity and consolidation were the most common findings. Since all patients in Group 3 died during hospitalization, they could not be included in post-COVID evaluation. In the 3rd month post-COVID, the reticular pattern and ground glass ratio were determined to be higher in Group 2 than in Group 1. In the 6th month post-COVID, only 2 patients in Group 2 had pathological findings on Thorax CT. It was determined that 88.6% of all patients had symptoms in the 3rd post-COVID month, and the most common symptoms were fatigue and myalgia. It was determined that none of the cases had symptoms in the 6th month post-COVID. In the surveys evaluating the quality of life conducted in the 3rd and 6th months of post-COVID, it was determined that there was no difference between the groups, and the majority of patients in both groups returned to their pre-COVID health status.

In conclusion, patients diagnosed with COVID-19 should be followed after discharge, because symptoms and signs may persist for up to 6 months. It can be thought that the risk of post-COVID sequelae is low in patients who do not need intensive care during hospitalization.

Investigation of The Efficacy of the Relaxation Technique on Primary Dysmenorrhea and Menstrual Symptoms: A Randomized Controlled Longitudinal Trail

Emir İbrahim IŞIK, Elif DAĞLI , Neşe ÇELİK — Wed, 28 Feb 2024 00:00:00 +0300

Aim: The aim of this study is to examine the effectiveness of Mitchell's relaxation technique applied to young women with primary dysmenorrhea (PD) on dysmenorrhea and menstrual symptoms in long-term follow-ups.

Methods: This is a randomized-controlled intervention trial. A total of 76 students, 37 in the intervention and 39 in the control group, were included in the study. Data collection tools were a Descriptive Information Form, the Visual Analog Scale (VAS), and the Menstrual Symptom Scale (MSS). The intervention group was followed during five menstrual cycles, four of which were consecutive. During a total of three menstrual cycles, 30-minute educational video lessons were given every day on menstrual days or at least three times a week. It was determined that the groups were independent and homogeneous in terms of the specified characteristics.

Results: There was no statistically significant difference between the groups in terms of VAS and MSS scores in the first follow-up, but differences were found in the 2nd, 3rd, 4th, and 5th follow-ups (p<0.05). It was determined that the 2nd, 3rd, 4th, and 5th follow-up VAS and MSS scores of the intervention group were significantly lower than those of the control group.

Conclusion: Mitchell's relaxation education has positive effects on dysmenorrhea and menstrual symptoms. Women can receive this education and include it in their daily life.

Evaluation of Nursing Students' Perceived Self-Efficacy in Physical Examination

Neşe KISKAÇ, Mahruk RASHIDI — Wed, 28 Feb 2024 00:00:00 +0300

Objective: This study set out to assess nursing students' reported levels of self-efficacy when doing physical examinations.

Methods: This research is descriptive in nature. Data were collected from 69 nursing students taking internal medicine courses by face-to-face questionnaire. The Undergraduate Nursing Students' Perceived Self-Efficacy in Physical Examination Scale and the Students' Personal Data Identification Form were utilized as data collection instruments. The statistical software SPSS 26.0 was used to examine the data.

Results: In this study, the total score of nursing students' perceived self-efficacy in physical examination was 1.83±0.50 (very unsure). Gender and other sub-dimensions did not significantly correlate with the mean total score of the Perceived Self-Efficacy in Physical Examination Scale (p>0.05), although there was a significant correlation between the students' gender and self-confidence in the physical examination of their face and neck (p<0.05). The status of getting education was found to be significantly correlated with students' self-confidence in performing physical examinations of patients' eyes, cardiovascular systems, and other skills (p<0.05). Self-confidence in performing physical examination of the patient was higher in nursing students who received education.

Conclusion: Nursing students' low perceived self-efficacy in physical assessment may require a review of both educational programs and clinical practice. These low self-efficacy perceptions may prevent students from developing their clinical skills and effectively assessing patients. As a result, efforts should be made to identify nursing education's shortcomings and put more effective solutions into practice.

Evaluation of Cases Applicable To Adnan Menderes University Between 2018-2019 Alleged That They Have Been Exposed To Sexual Abuse

Cihangir IŞIK, Şeyda ÖZTUNA, Musa DİRLİK — Wed, 28 Feb 2024 00:00:00 +0300

Objective: In this study, the sexual abuse cases that applied to Aydın Adnan Menderes University Faculty of Medicine, Department of Forensic Medicine between 2018-2019 were evaluated, and their age, gender, nature of the event, education status, parental living/dead and living together/separated, anamnesis of the victims. The data on the comparison of the examination findings and the time intervals between exposure to sexual abuse and applying to the hospital were examined. Our findings are discussed with similar studies in our country and in the world. Current risk factors related to sexual abuse have been defined and evaluated and it is aimed to benefit the forensic medical process.

Methods: The data of 56 cases obtained as a result of retrospective examination of archive files in Aydın Adnan Menderes University Faculty of Medicine, Department of Forensic Medicine, were analyzed with IBM SPSS V23 according to the relevant literature review and review.

Results: Of the total cases, 11 were men and 45 were women; It was determined that the mean age of male cases was 20.27, and the average age of female cases was 23.42. 47.8% of female cases under the age of 18 were high school graduates or continuing their high school education, 8.7% received special education, and were 18 years old. It was found that the rate of cases who received special education in women over the age of 22 was 22.7%.

Conclusion: We think that the data on the age, gender, educational status, family characteristics, examination findings and the time intervals to apply to the hospital after the event are necessary in order to minimize the possible problems that may arise later during the legal process and to establish the infrastructure for the necessary legal regulations. In addition, it is thought that appropriate psychosocial support interventions are important in order to raise awareness of the risk factors for sexual abuse in the society and to ensure and maintain the mental well-being of individuals who have been exposed to sexual abuse.

Vestibular System Physiopatology

Büşra ARSLAN, Füsun SUNAR — Wed, 28 Feb 2024 00:00:00 +0300

The vestibular system plays a role in maintaining balance through head movements via the proprioceptive system. It is a sophisticated sensory system for detecting both angular and linear movements of the head. The semicircular canals are sensitive to angular movements of the head. When the head moves, the endolymph fluid within them also moves, causing deflection in the cupula. As a result of head movements, the membranous labyrinth moves towards the cupula. When the hair cells in the cupula bend towards the kinocilium, K⁺ channels open, leading to cell depolarization. Calcium channels then open in depolarized cells, resulting in the release of neurotransmitters (glutamate) into the synaptic cleft. Stimulation of afferent nerves transmits signals to the central nervous system. Otolith organs are sensitive to linear movements of the head. One of the most important functions of the vestibular system is to maintain balance. Additionally, it plays a role in ensuring visual clarity during sudden head movements, regulating postural posture, adjusting muscle tone, and providing autonomic reflexes. Pathologies affecting the vestibular system can arise due to various factors such as infection, injury, or aging, leading to disruptions in the balance system. These disruptions significantly impact patients' daily activities. The etiologies of vestibular disorders can be determined through multidisciplinary studies. Diseases leading to vestibular disorders sometimes manifest as severe vertigo or loss of balance. Other accompanying symptoms may include nausea, vomiting, a feeling of fullness in the ears, hearing loss, tinnitus, blurred vision, and a sensation of fainting. In diagnosing vestibular pathologies, medical history is crucial. Since vertigo accompanying these pathologies is a symptom, not a disease, providing detailed descriptions of the nature of dizziness can lead to appropriate diagnosis. Vertigo resulting from the disruption of this system is evaluated to determine whether it is of peripheral or central origin. This review evaluates types of peripheral vertigo, including benign paroxysmal positional vertigo, Meniere's disease, semicircular canal dehiscence, labyrinthitis, and perilymphatic fistula. The physiology of the vestibular system, general symptoms observed in vestibular pathologies, differential diagnostic tests, and their results have been evaluated.

Recent Developments in Patients with Thalassemia; Comparison of Antioxidant and Cytokine Levels and Possible Measures

Naci Ömer ALAYUNT, Emrah YERLİKAYA, Osman ÖZÜDOĞRU — Wed, 28 Feb 2024 00:00:00 +0300

Objective: It is aimed to investigate the underlying causes of thalassemia, which has widespread and negative effects around the world, and to create solutions. For this purpose, antioxidant and anti-inflammatory cytokine levels of thalassemia patients were investigated in our study.

Methods: In our study, experimental and control groups were formed with 40 people in each group. The experimental group consisted of patients with thalassemia followed up at Siirt Training and Research Hospital, and the control group consisted of healthy individuals who came for routine control. After informing the participants in the research and taking their consent, their blood was taken. In serum samples taken from participants in the research, catalase, superoxide dismutase, glutathione reductase, glutathione peroxidase, enzyme activities and malondialdehyde, Vitamins A, E, C, cytokines, total oxidant capacity, and total antioxidant capacity levels were measured. Analyzes were performed on ELISA and HPLC instruments using appropriate kits. The data were analyzed in the IBM SPSS 21.0 statistical package program.

Results: When the results were examined, it was seen that thalassemia patients had lower antioxidant levels and increased anti-inflammatory cytokine levels compared to the control group.

Conclusion: It is possible to say that thalassemia is effective on cytokine and oxidant systems. These harmful effects can be eliminated with food supplements or drugs to be used. We believe that this study will shed light on the preparation of more comprehensive and new treatment protocols in the future.

Effect of Postoperative Edema on Proprioception in The Early Period After Total Knee Arthroplasty

Mahmut BEŞLİ, Ayşe Neriman NARİN — Wed, 28 Feb 2024 00:00:00 +0300

Introduction: Osteoarthritis is the most common degenerative joint disease, with symptoms such as pain, joint stiffness, edema, limitation of range of motion, muscle weakness, and proprioception losses. Total knee arthroplasty (TKA) further increases edema and proprioception losses. We aimed to investigate the effect of postoperative edema after TKA on the loss of proprioception, which adversely affects the quality of life and levels of independence.

Material and Method: Postoperative edema and proprioception measures were taken on 35 volunteer participants one month after TKA. Circumference measurements were converted to volumetric form using the Frustom formula. An Angle-Reproduction test was used for the measurement of proprioception at 40° and 60° knee flexion.

Results: The postoperative edema and proprioception loss in the participants were statistically determined (p<0.05). Volumes above the patella and total volume both had an effect on knee proprioception at 40° knee flexion (p<0.05). Nevertheless 60° knee flexion proprioception was not affected by postoperative edema (p>0.05).

Discussion: Proprioception is processed by stimuli from the bone periosteum, skin, and muscle fibers. Surgical techniques and postoperative edema cause autogenic inhibition in muscles, especially by triggering the spinal inhibitory mechanisms of motor neurons in the Quadriceps Femoris muscle, reducing muscle activity. Periarticular structures located above the patella due to postoperative edema affect proprioception of 40° knee flexion, while postoperative edema below the patella may not have an effect on proprioception.

Conclusion: This study reveals that postoperative edema affects proprioception in early period after TKA. Reducing postoperative edema is of primary importance in physiotherapy programs planned after TKA.

Investigation of the Relationship between Body Awareness and Physical Activity Level and Music Performance Anxiety in Musicians Playing Different Instruments

Özlem GÖRGÜLÜ GÖKSU, Aycan ÇAKMAK REYHAN — Wed, 28 Feb 2024 00:00:00 +0300

Objective: The study aimed to examine the relationship between physical activity level, body awareness, and music performance anxiety in musicians playing different instruments.

Materials and Methods: Eighty musicians included in the study. Individuals had been evaluated pain intensity with the "Numeric Pain Scale"; physical activity levels with the "International Physical Activity Questionnaire Short Form"; musculoskeletal system complaints with the "Scandinavian Musculoskeletal System Questionnaire"; body awareness using the "Body Awareness Questionnaire"; and music performance anxiety using the "Kenny Music Performance Anxiety Inventory."

Results: According to instrument type, pain intensities (p=0,675), playing attitudes despite the pain (p=0,846), physical activity level (p=0,898), body awareness (p=0,686), and music performance anxiety levels (p=0,395) had been compared. The results are similar according to the instrument type (p> 0.05). While those who play string instruments have the highest body awareness, percussion instruments have the lowest body awareness. Body awareness measurement" and "age" had been examined, a statistically significant positive and weak association has been found (r= 0,254; p=0,023). When the relationship between "No pain no gain" and "age" had been examined, a statistically significant negative and weak association have been found (r=-0,267; p=0,017). When the relationship between "music performance anxiety" and "age" had been examined, a statistically significant negative moderate correlation have been found (r=-0,433; p=0,00). When the relationship between "physical activity level" and "body awareness" had been examined, a statistically significant positive and low-level correlation have been found (r=0,263; p=0,018). There have been found no significant relationship between "music performance anxiety" and "body awareness" (r=-0,193; p=0,085).

Conclusion: As a result of study a positive significant relationship was found between body awareness and physical activity level in individuals playing different instruments, but the relationship between body awareness and music performance anxiety was not significant.

Determining The Attitudes and Behavıors of University Students Towards The Fear of Covid-19 and The Covid-19 Vaccine

Safiye GÖÇER, Didem ŞİMŞEK KÜÇÜKKELEPÇE, Zehra GÖLBAŞI, Mehmet DOĞANAY — Wed, 28 Feb 2024 00:00:00 +0300

Objective: The research was carried out to determine university students' fear of COVID-19 and their attitudes and behaviors towards the COVID-19 vaccine.
Methods: This descriptive-cross-sectional study was conducted with 696 students at a foundation university in Ankara between 1-30 November 2021. The data were collected using the Introductory Information Form, Coronavirus Fear Scale and Attitudes Towards COVID-19 Vaccine Scale.
Results: It was determined that the average age of the students was 22.48  2.56. 76.6% were female and 48.1% were first grade students. It was found that 98.7% of the students had the Covid-19 vaccine, 83.1% of those vaccinated had the Biontech vaccine, and 81.3% did not have COVID-19. Students' fear of Covid 19 scale score average is 18.19  6.09, the total score average of the Attitude Towards Covid 19 Vaccine scale is 3.09  0.31, the positive attitude sub-dimension mean score is 3.84  0.88 and the negative attitude sub-dimension is 3.84  0.88. The average score was found to be 2.49  0.72. The regression analysis performed to determine the cause and effect relationship between fear of COVID-19 and attitude towards the COVID-19 vaccine was found to be significant (F=192.002; p=0.000<0.05). The total change in the level of attitude towards the COVID-19 vaccine is explained by fear of COVID-19 by 21.6% (R2 = 0.216).
Conclusion: It was determined that students' fear of COVID-19 affected the attitude towards the COVID-19 vaccine and that students exhibited positive attitudes towards the COVID-19 vaccine, although it varied according to the characteristics of the individuals in their families.

Sexual Myths between Genders

Zeynep Dilşah KARAÇAM YILMAZ , Ezgi ŞEN, Gizem ERGIN, Ece HASGUL, Eda TOKMAN — Wed, 28 Feb 2024 00:00:00 +0300

Purpose: This study was conducted to reveal the sexual myths and false beliefs that women and men believe in today.

Material and Method: This descriptive and comparative study was conducted between December 2022 and February 2023. The population of the study consisted of men and women within the borders of Turkey. The sample of the study consists of 483 people who were selected using simple random sampling method, which is one of the probability sampling methods. Data were collected using the Personal Information Form and the "Sexual Myths Scale" on Google Forms.

Results: The mean age of the participants was 23.8±7.2 years and 62.3% (n=301) were female. When the participants' previous sexual relationship status was analyzed, 44.7% (n=216) of them had a sexual relationship before. The mean total score of the sexual myths scale was 56±19.6. The total score of the sexual myths scale was higher in males than females (p<0.05).

Conclusion: Men included in the study were found to have a higher level of belief in sexual myths than women. In male-dominated societies, men may be expected to believe sexual myths more than women because men are seen as authoritative and sufficient in matters related to sexuality, which may prevent them from accessing accurate information.

Total Knee Arthroplasty Complications

Serhat YILDIRIM, Recep MEMİK — Wed, 28 Feb 2024 00:00:00 +0300

(TKA) and to evaluate the clinical and radiological outcomes of TKA patients.
Methods: A total of 376 knees from 319 patients who underwent Total Knee Arthroplasty (TKA) at our hospital were included in the study. The patients' medical histories, preoperative examination findings, X-rays, laboratory data, surgical informations, postoperative follow-up period, complications, and postoperative antero-posterior and lateral radiographs were evaluated. Preoperative and postoperative varus-valgus alignment angles, postoperative alpha, beta, gamma, sigma and omega angles were measured on the radiographs. The patients were evaluated using the Knee Society Score (KSS) for the clinical and radiological evaluation of knee arthroplasty.
Results: The mean age of the patients was 67.7 (35-87) and 252 (79%) were women. Mean follow-up duration was 32.6 months (4-92). Both the KSS knee score and the function score significantly improved after surgery (p < 0.0001). The mean preoperative range of motion was 108.3° (70-135°), and the mean postoperative range of motion was 113.2° (70-140°) (p=0.014). Early infection was the most common complication (3.4%). Other complications included chronic infection (1.2%), wound complications (1.5%), peroneal nerve injury (0.6%), infrapatellar branch of the saphenous nerve neuroma (0.3%), deep vein thrombosis (1.5%), extensor mechanism complications (0.6%), limited range of motion (0.6%), aseptic loosening (0.6%), and supracondylar femoral fracture (0.3%). Radiographic measurements showed that most patients achieved proper alignment.
Conclusion: Total knee arthroplasty (TKA) is an effective treatment method for pain and functional impairment. The most common complication of TKA is early infection. In most cases of early infection, there was no evidence of bacterial growth. We found that the second most common complication was deep vein thrombosis (DVT). In order to reduce these complications, further research is needed to improve infection prevention strategies and perioperative care.