Theses supervised by Dr. Öğr. Üyesi Hale Arık Taşyıkan
10 theses · Yeditepe University
Effects of the use of technological devices by secondary school students during pandemic process on different health variables
This study was conducted to examine the Effects of Technological Device (Mobile Phone, Computer, Tablet, Television, Game Console) Use of Secondary School Students in the during Pandemic Process on Different Health Variables. The population of the research consists of 320 secondary school students. In addition, the sample of the study consists of 208 secondary school students who voluntarily agreed to answer this questionnaire during the 2020-2021 academic year. The students consist of students studying at a private school located in Beşiktaş district of Istanbul. The questionnaire includes socio-demographic variables as well as musculoskeletal pain scale (back, waist, neck, hand, wrist and shoulder), Eye health status, and technological average such as mobile phone, computer, tablet, television and game console regarding daily average sleep time. includes health problems in device use. This research is a quantitative research and a descriptive, cross-sectional study. Chi-square and t-test analyzes were used for the existence of the relationship between the dependent and independent variables used in the study. According to the findings obtained; Findings about the usage period, purpose and device ownership of technological devices have been determined. During the pandemic process, a significant finding was obtained on the variables of neck pain, hand pain, wrist pain and average sleep duration of mobile phone use. It was found that computer use has a significant relationship on hand pain, neck pain, back pain, waist pain, BMI and eye health problem variables. In addition, a significant difference was observed on the variables of back pain, neck pain, wrist pain, average sleep duration and BMI of television use. It was observed that there was a significant relationship with the variables of neck pain, waist pain and hand pain variables in tablet use. Finally, there were significant results on the finding of significance of game console use on back pain, waist pain, neck pain, shoulder pain and BMI variables.
COVID-19 pandemisi döneminde, pandemi hastanesinde görevli sağlık çalışanlarının; psikososyal etmenleri ve stresle baş etme yöntemlerinin değerlendirilmesi
Coronavirus Anxiety Scale were filled out. The chi-squared test, Mann-Whitney U test, and logistic regression analysis were conducted to evaluate these questionnaires. When the variables of sociodemographic data, job information, and active duty in COVID-19 areas were examined, the anxiety levels of those who took more duties in COVID-19 areas were found to be significantly higher. Furthermore, while the anxiety and psychosocial risk levels of those who exhibited a self-confident and optimistic approach in ways of coping with stress were found to be lower, these risks were revealed to be significantly higher in those who exhibited a desperate approach and a submissive approach. Healthcare workers' ways of coping with stress determine how much they will protect themselves against psychosocial risks during the pandemic. It can be stated that participants who define their general health risk levels as low are more resistant to the psychological effects of COVID-19 disease.
Al-kenaniah ortaokul ve lisedeki ergenler için COVID-19 sağlık protokolüne uyum ile bilgi ve davranış arasındaki ilişki, Doğu Jakarta, Endonezya 2022
COVID-19 has the potential to be dangerous both individual health and the health of other communities. COVID-19 has affected nearly the entire human population since its emergence. Adolescents and young adults have been identified as a potentially low-compliance group with preventative measures aimed at curbing the virus's spread especially with social distancing measures. The purpose of this study evaluate the socio-demographic characteristics, knowledge, and behaviour of adolescent COVID-19 health protocol compliance. This study also to investigate whether there is correlation between adolescents sociodemographic characteristic, knowledge and behaviour with health protocol compliance. This research is a cross-sectional study with univariate and bivariate analysis between independent and dependent variables using the Chi-Square test. A total of 327 students follow this study. In this study, adolescents were interviewed on sociodemographic (age, gender and education), knowledge and behaviour related to preventive behaviour and COVID-19 health protocol compliance. Most of adolescents in this study seem to to have low knowledge and behavior in terms COVID-19 prevention. Majority of adolescents not following COVID-19 health protocols. The data were analyzed by using SPSS 26 program. The result of this study shows that three of the five independent variables have a significant correlation with health protocol compliance, with gender (Pvalue 0.002), knowledge (Pvalue 0.001) and behaviour (Pvalue 0.000). Key Words : COVID-19, Adolescents, Behaviour, Health Protocol Compliance
The effect of noise, illumination, and electromagnetic field exposure on the neurodevelopment of newborns in a neonatal intensive care unit: A randomized controlled trial
This study aims to compare the illuminate, noise, and electromagnetic field exposure caused by the physical and operational conditions of neonatal intensive care units (NICU) and analyze how these factors on the neurodevelopment of prematurity According to the Occupational Hygiene and Safety regulations, the legal conformity of NICU was evaluated by these standards. It was ensured that the consent form was read by 68 volunteer preterm mothers actively receiving a treatment a university hospital authorized by the Ministry of Health. The Mann-Whitney U test, p value, crosstabs and logistic regression analysis were conducted to evaluate these questionnaires. In this study, the environmental factors of the NICU were carried out by an accredited laboratory. Serving as a calibration and test laboratory authorized by the Ministry of Labor and Social Security and TÜRKAK (TR MINISTRY OF FOREIGN AFFAIRS TURKISH ACCREDITATION AGENCY). Data collected according to regulations and standards. It was observed that, the content of the standards was examined, they were prepared for adult intensive care and healthcare professional. It contains a very high risk for premature infants' population and a low risk for health professionals. The standards should improve, the neonatal intensive care is been spesific and privatizied. Keywords: Neonatal Intensive Care Unit, Electromagnetic Field, Noise, Light, ROP, Development of the Newborn
Impact of COVID-19 pandemic on glycemic regulation in type 2 diabetes mellitus patients and evaluation of diabetes distress scale
Diabetes and COVID-19 have significant impacts on healthcare, with worse outcomes for individuals affected by both conditions. The study design is an observational before and after study design used to assess the effect of Covid-19 pandemic on glycemic regulation in patients with type 2 diabetes mellitus in Turkey. Data were collected through medical records and structured questionnaire over telephone interviews. A total of 70 patients were interviewed, and data from 42 patients were analyzed. The majority of participants were males (61.4%), married (80.6%), with a mean age of 58.2 years, 48.6% had completed high school education or higher. 24.3% were employed. The majority (79.1%) demonstrated a high level of compliance with medication-taking behavior. The majority of the participants (92.7%) reported low stress. The analysis revealed no statistically significant relationship between exercising and HbA1C levels, both before and after the COVID-19 pandemic (p = 0.128, p = 0.869, respectively). No significant association was found between contracting COVID-19 and HbA1C levels (p = 0.846). Additionally, no significant relationship was observed between COVID-19 infection and compliance with medication (p = 0.543). Moreover, no significant differences were found in HbA1C and fasting blood glucose levels between the pre-pandemic and pandemic periods (p = 0.883, p = 0.513, respectively). These findings highlight the need for ongoing support and interventions for individuals with diabetes during health crises. Keywords: Diabetes, COVID-19, Type 2 diabetes mellitus, Glycemic regulation, Pandemic impact
Effects of pre-hospital management of diarrheal dehydration by a first responder on infant mortality
Dehydration has been one of the major causes of death in children under the age of five till date. According to the World Health Organization, dehydration takes the lives of approximately 525,000 children each year. Pakistan, a developing country, has the fourth highest child mortality rate worldwide. This thesis is a case-control study conducted in rural areas of Islamabad. The research population consists of 100 patients who died as a result of dehydration or who were hospitalized in a critical condition, and 100 control groups who also had less episodes of diarrhea. The data of the study were collected between February 2021 and February 2022. To determine the importance of rehydration therapy and its role in infant mortality, a comprehensive questionnaire was prepared and administered to the participants' primary caregivers. In the findings, a significant relationship was found between the administration of oral rehydration at home and the course of the disease, and improvement was observed in 92% of these infants (p value < 0.05). The most severe manifestations of dehydration were seen in the presence of convulsions, sunken fontanel, or a combination of significant symptoms. On the other hand, no relationship was found between demographic characteristics such as age, gender, caregiver's relationship with the baby, the region of residence and family type, and the course of the disease. In conclusion, the findings of this study are important to promote the use of oral rehydration therapy for children under 5 years of age and raise awareness about it.
Effects of coronavirus (COVID-19) pandemic on food security in Nigeria
The purpose of this study was to evaluate the difficulties caused by the COVID-19 pandemic and comprehend how they impact food security and policies. A web-based survey was used in this cross-sectional investigation. The staff of the Ministry of Agriculture in Abuja (FMARD), Nigeria were chosen as the study population since they represent a significant part of the population and are well-informed about implemented food policies in the country (n=630). Data were analyzed using Inferential and Descriptive methods. OLS regression analysis was used to estimate COVID-19 effects on Food Security and Food Policy. Most respondents were between ages 26-35 with a mean income of N172,000. For the food security model, the results revealed that Covid-19 had a significant negative impact (β = -0.111, 95% CI, -0.173 to -0.049, R2= 60.1%, F-ratio=5.9, p < 0.001), indicating that the pandemic was associated with decreased food security. Of the demographic factors, only age and years of experience (p < 0.05) were also significant predictors. In the food policy model, Covid-19 was found to have a significant negative association (β = -0.037, 95% CI, -0.051 to -0.023, R2= 57.1%, F-ratio=18.755, p < 0.001) among FMARD members. Only age and level of education (p < 0.001) were significant predictors, indicating that older members with higher education levels had a greater influence on food policy decisions. In summary, these findings reveal the negative impact of Covid-19 on food security and policy decisions within this group. It also contributes to a deeper understanding of the complexities surrounding food security and policy, emphasizing the need for targeted interventions and policies to address these challenges. Keywords: Covid-19, Pandemic, Food security, Food Policy, Agriculture.
Assessing environmental health literacy and related factors among university students
ABSTRACT AGHA, M. 2024. ASSESSING ENVIRONMENTAL HEALTH LITERACY AND RELATED FACTORS AMONG UNIVERSITY STUDENTS. YEDITEPE UNIVERSITY, INSTITUTE OF HEALTH SCIENCE, DEPARTMENT OF PUBLIC HEALTH. MASTER OF SCIENCE. ISTANBUL, TURKEY. The main aim of the study is to assess knowledge, attitude, and behavior in relation to three environmental health factor, assess the consciousness and awareness level of students towards Environmental Health terminology, and highlight the importance of surrounding environmental hazards. Moreover, to highlight and spark a discussion about EHL. The study involving 206 students aged between 18-36 years old. who are studying in the Spring semester of the 2022-2023 and Fall Semester of 2023-2024 academic year. The research study is a cross-sectional study applying convenience sampling method and it is conducted at the Yeditepe University in Istanbul, Turkey. Four faculties were considered in the study. Faculty of Medicine, Faculty of Health sciences, Faculty of Engineering, and Faculty of Law students. In data collection method all participants have been informed that they have accepted to participate in the study voluntarily by filling out the online form. They have completed an online questionnaire by (google form) prior to the study after seeking the (instructors and lecturers) permission. The questionnaire is divided into two parts: the first part aimed to collect socio-demographic characteristics (e.g., age, gender, education level, and faculty..), the second part evaluated the EHL level based on the "core questions for assessment" of knowledge, attitude, and behaviour of students. All obtained data analyzed with IBM SPSS statistical 26.0. program. numeric variables; with mean, categorical variables represented as numbers (n) and percentages (%). Normality tests were applied and data was not normally distributed. Therefore, non-parametric Independent T-tests were applied, Mann-Whitney test for two groups and Kruskal Wallis test for three groups and more to analyze the data. Additionally, Spearman correlation was used to find associations between variables. Median values were used to estimate high and low scores for Knowledge, Attitude, and Behavior. Scores below the Median were classified as low, while those above the Median were classified as high. The translation and back translation process were performed for the scales that are being used. A panel of two expert doctors of "Native Turkish" with a knowledge of the Turkish language, translated both instruments from English into Turkish and reversed the process and form the Turkish version of the instrument. The reliability of the questionnaire were assessed either. Cronbach's alpha has been used to assess the reliability of the scales that are being used in this study. The results of the study highlight the benefits of understanding the concept of Environmental Health Literacy among Turkish adult students, understand the importance of potential risk of the exposures, decrease of the exposure, and better health of individuals and community. Generally, the study provide valuable insights into the factors that impact on EHL among university students. While there are consistent levels of knowledge and attitudes across age groups and educational levels, significant gender differences and faculty-specific variations highlight the need for targeted educational strategies. By addressing these disparities and promoting comprehensive EHL education, universities may significantly contribute to developing environmentally literate and responsible individuals. The study on Environmental Health Literacy among university students provides valuable insights into the factors influencing their knowledge, attitudes, and behaviors towards environmental issues. It reveals consistent levels of EHL across different age groups and educational backgrounds, suggesting a universal baseline of concern for environmental issues among students. Keywords: Literacy, Health Literacy, Environmental Health Literacy, Environmental Literacy, Environmental risks, knowledge, attitudes, behaviors, air, food, water, communication.
Knowledge, attitudes, and practice of oncology health care providers in promoting healthy eating habits among oncology patients in Nigeria
Abubakar, A (2024). Knowledge, attitudes, and practice of oncology health care providers in promoting healthy eating habits among oncology patients in Nigeria. Yeditepe University, Institute of Health Science, Department of Public Health. MSc Thesis Diet plays a crucial role in cancer prevention, with research suggesting it can prevent 30-50% of all cancer cases. However, dietary guidelines may only sometimes apply due to different eating habits and food availability. Traditional African diets in Sub-Saharan Africa (SSA) are rich in starches and local foods, unlike Western diets, which are high in processed animal products, refined sugars, and saturated fats. Despite the rising cancer incidence in SSA, few studies have explored the link between diet and cancer risks. A cross-sectional survey of 200 Nigerian healthcare providers in oncology departments examined their dietary knowledge, attitudes, and practices. The participants, averaging 32 years old, mostly held undergraduate degrees (69.2%), some held graduate degrees (30.2%), and over 84% were employed by government organizations. This study aimed to evaluate healthcare policies and provide quantitative insights into the dietary knowledge and practices within oncology departments, identifying challenges in implementing dietary recommendations and the effectiveness of educational resources. In Nigeria, cancer care faces numerous challenges, including uncoordinated data, lack of trained staff, poor health infrastructure, political apathy, and inadequate procurement systems. Despite these issues, cancer registries are improving. Early diagnosis, population screening, and managing symptomatic patients are vital for better outcomes, with nutritional interventions being critical for cancer prevention and treatment. Key Words: Cancer, Diet, Sub Saharan Africa, Healthcare providers, Diagnosis, Health care, Knowledge, Attitudes, Practice, Oncology, Nutritional interventions.
Effect of childhood trauma on health in adulthood
Introduction and Aim: It is thought that childhood experiences of the individual have an effect on his/her behavior and attitudes in adulthood. Although many studies have been carried out about the effects of childhood experiences on adulthood, especially in developed countries, it is seen that there is a limited number of studies in developing countries. This study aims to examine the effect of childhood traumas of the healthcare providers of Karamursel State Hospital in Kocaeli province on their health and understanding of health in adulthood. Method: The sample of this cross-sectional analytical study consists of the healthcare providers of Karamursel State Hospital. Data collection were performed between April-May, 2019, by sealed questionnaire method. In descriptive statistics, while frequency and percentages were calculated for categorical variables, their means and standard deviations were taken for continuous variables. On the other hand, chi-square, t-test and logistic regression analysis were used for the presence of the relationship between the dependent and independent variables used in the study. Results: When the questionnaires used for the purpose of the study are evaluated, depression was found in 68.9% of the participants. When it comes to subscales of the healthy lifestyle scale, the following results were found to be low or absent in the specified percentage of participants: moral development in 46.2% of the participants; health responsibility in 45.8%, physical activity status in 52.8%, nutritional habit in 48.6%, interpersonal relationships in 49.1%, and stress management in 51.4%. When the subscales of the Childhood Trauma Questionnaire are examined, the results are as follows: physical abuse in 26.8% of the parcipants was high, while emotional abuse in 48.8%, physical neglect in 55.5% and emotional neglect in 55.0% was high. The overall result of the Childhood Trauma Questionnaire was found to be high at a rate of 51.7%. Conclusion: It was found that childhood trauma has a negative effect on the presence of depression and a healthy lifestyle in adulthood. Key words: childhood, trauma, addiction, depression, healthy lifestyle