Theses supervised by Dr. Öğr. Üyesi Yaşar Kemal Yazgan
10 theses · Çankırı Karatekin Üniversitesi
Irak'taki Helicobacter pylori enfeksiyonlarında bazı biyolojik ve sosyo-coğrafi parametrelerin değerlendirilmesi
Helicobacter pylori, sarmal şeklinde, kavisli çubuklu bir bakteridir ve yaklaşık 0.5 mikrometre çapında yaklaşık üç mikrometre uzunluğunda ölçülen gram negatiftir. Konakçı mideyi kolonize eder ve özellikle erişkinlikte peptik ülser, gastrit ve mide kanserinin başlıca nedenidir. H. pylori dünya çapında insanların% 50'sinden fazlasını kolonileştiriyor. Helicobacter pylori (H pylori), dünya çapında milyonlarca insanda bulunan yaygın bir bakteridir. Amerika Birleşik Devletleri'nde, 60 yaşından büyük kişilerin% 50'sinden fazlası etkilenir. Helicobacter pylori midenin mukoza astarında bulunur. Gastrik ülserlerin %60-80'inden ve duodenum ülserlerinin %70-90'ından sorumlu olduğu bilinmektedir. Kısa süre sonra, bu bakterinin, deneklerin bir alt kümesinde, özellikle peptik ülser hastalığı, distal gastrik adenokarsinomlar ve gastrik lenfomalar olmak üzere diğer koşullara ilerleyebilen kronik aktif gastrite neden olduğu anlaşıldı. Bu araştırmanın temel amacı, Helicobacter pylori ile biyolojik (vitB12 ve vitD3) ve sosyo-coğrafi parametreler arasındaki ilişkileri anlamaktır Çalışma tasarımı laboratuvar tabanlı bir çalışma olup, amaçlı örnekleme tekniği kullanılmıştır. Katılımcılar, Helicobacter pylori enfeksiyonu semptomları olan ve farklı yaş gruplarında bulunan tüm hastaları içeriyordu.Hastalardan 100 serum kan örneği toplandı ve demografik bilgileri kaydedildikten sonra anketler verildi. Serum kan örnekleri üzerinde yapılan H. pylori kan tecavüzü testi ve risk faktörleri için analiz edilen anketler. Ve bundan sonra laboratuarda vitD3 ve vitB12 testi yapın. Sonuç olarak, h.pylori'nin p değerine (0.05) bağlı etkisini göstermektedir. Bu çalışmanın bulguları, sağlık sektöründeki yetkililere H. pylori enfeksiyonuna karşı yeterli önleyici tedbirleri almak için iyi bir şans verecektir. Ve Vit D3 ve Vit B12 ve H. pylori enfeksiyonunun rolü ile ilişkili daha fazla parametrenin incelenmesi ve Vit D3 ve Vit B12 polimorfizminin genetik etkisi ve H. pylori enfeksiyonu ile ilişkili daha fazla hormonal ve mineral incelenmesi. Önemli olarak, doğrulanmış tüm H. pylori enfeksiyonları vakaları, bulaşma şansını ve sakinlere sürekli temiz su teminini önlemek için tedavi edilmelidir.
Acil servis ünitesinin hemşireler üzerindeki psikolojik etkilerinin incelenmesi
Acil servis, kesintisiz sağlık hizmeti ve acil sağlık hizmeti veren bir birimdir. Acil servis hemşireleri diğer birimlerde çalışan meslektaşlarına göre daha yoğun iş stresine maruz kalmaktadır. Bu araştırma, Irak'ta bir Devlet Hastanesi Acil Servisinde çalışan hemşirelerin yaşadıkları iş stresi ve buna bağlı psikolojik sorunları incelemek amacıyla tanımlayıcı olarak yapılmıştır. Araştırma kapsamında 120 hemşire ile görüşülmüştür. İş stresinin hemşireler üzerindeki psikolojik etkilerini incelemek amacıyla araştırmacılar tarafından 56 soruluk bir veri toplama formu hazırlanmıştır. Bu formdaki sorular hemşirelere sorulmuştur. Hemşireler, acil servisin çalışma koşullarından, çalışma saatlerinden, mesleki beklentilerin karşılanmamasından, ekonomik koşullardan, hasta ve hasta yakınları ile iletişim sorunlarından, şiddete maruz kalmaktan şikayetçidir. Bu çalışmada Irak'ta bir Devlet Hastanesinde çalışan acil servis hemşirelerinden acil servislerin psikolojik etkilerine ilişkin soruları yanıtlamaları istenmiştir. Araştırmadan elde edilen verilerin sunumunda frekans (sayı, yüzde) analizleri kullanılmıştır. %68,3'ünün ruh sağlığının bozuk olduğu, %87,5'inin depresyon ilacı ihtiyacı olduğu ve %46,7'sinin acil serviste çalışırken hasta ve yakınlarından sözlü veya fiziksel şiddete maruz kaldığı belirlenmiştir. Hemşirelerin %75'i kişinin işi nedeniyle zihinsel bir bozukluk geliştirebileceğine inanmakta, %90'ı acil servisteki çalışma koşullarından memnun, %84,2'si acil serviste yaptıkları iş için takdir edildiklerine inanmakta olup %95'i işteçok stresli hissetmektedir. Araştırmada hemşirelerin çalışma koşullarının iyileştirilmesi, çalışma saatlerinin kısaltılması, hemşire sayısının arttırılması, hemşirelik mesleğinin kurumsallaşması, uzmanlık eğitimine önem verilmesi, ekonomik koşulların iyileştirilmesi, gönüllülüğe önem verilmesi gibi önerilere yer verilmiştir. Anahtar Kelimeler: Acil Servis, Hastane, Hemşire, İş Stresi, Psikolojik Etkiler, Şatrah
Nurses' knowledge about giving chemotherapy to cancer patients in Al-Diwaniyah Teaching Hospital
The nurse has played a significant part in the care of cancer patients and survivors throughout the course of human history. In addition to physical exams and treatment of the patient's symptoms, these treatments often included counseling and education on the disease's symptoms. Oncology nurses are responsible for giving chemotherapy to cancer patients.The study's goal is to evaluate the knowledge of oncology nurses in Al-Diwaniyah city on safe chemotherapy administration. Descriptive research was carried out from February 15th to May 15th of 2022 An outlandish case study (appropriate example). The sample was chosen by the use of sampling. One hundred and ten oncology nurses from Al-Diwaniyah city are included in the study. A questionnaire was devised for the study's purposes. In this study, participants self-administered the survey instruments. The data was gathered between the dates of February 15th, 2022, and March 1st, 2022 for this study. The SPSS program version was used to examine the data.The results showed that 49% of the participants were between the ages of 24 and 29; 56.9% were men; 65.1% had earned a nursing diploma; 37.6% had 1 to 6 years of experience; and 50.5% had no training sessions. According to the findings of the study, nurses' knowledge of safe chemotherapy delivery and general information on chemotherapy drugs was lacking. Nurses working in oncology centers should be subject to special safety and administration regulations when administering chemotherapy. 2022, 102 pages Keywords: Knowledge, chemotherapy drug, safe chemotherapy administration, oncology.
Assessment of the nurses knowledge about hepatitis b disease and vaccination at Al Diwaniyah Teaching Hospital in iraq
The hepatitis B virus infects the liver; it can cause a potentially fatal infection (HBV). An enormous public health issue. It can lead to chronic liver disease and illness, increasing the risk of liver cirrhosis and liver cancer. This study aims to assess the knowledge of nurses' about hepatitis B vaccination at Al-Diwaniyah teaching Hospital, to find the relationship between demographic data and nurses' knowledge about hepatitis B disease and vaccination at Al-Diwaniyah teaching Hospital, and to assess the understanding of nurses' about hepatitis B disease at Al-Diwaniyah teaching Hospital. A descriptive design study was conducted at Al-Diwaniyah Teaching Hospital. The study population was selected among nurses of a Diwaniyah teaching hospital. A total of 200 nurses were included in the study. Data was collected by using a self-administered questionnaire. The study included 200 nurses aged 20 to 29 (32%). Male nurses outnumber female nurses by more than half (53%). Nurses were married and comprised most of the study sample (59%). At the same time, only 34% have less than five years of nursing experience. Finally, most participants (60.5%) did not attend training courses. The findings show that 61% of nurses do not know about hepatitis B. Then those who said yes (33%) and those who said no (6%). The findings show that most nurses (78%) did not know the Hepatitis B vaccine, followed by those who said yes (12.5%). And who said no (9.5%). The study confirmed that most nurses do not have sufficient knowledge due to a lack of training courses. 2022, 107 pages Keywords: HBV, Knowledge, Vaccination, Assessment, Nurses.
Assessment of mothers' knowledge, attitudes, and practices regarding the national immunization programme in Al-Diwaniyah city in Iraq
Background: Vaccination is a cost-effective public health strategy that reduces morbidity, death, and disability in children. However, many children do not receive the required immunizations. Understanding, the attitudes, and actions of mothers are crucial to vaccinating infants by their first birthday. Accordingly, successful immunization depends on parents' knowledge and attitude. Objective: To assess the knowledge, attitudes, and practices of mothers in Al-Diwaniyah city about child immunization, and the link between these factors and the demographic characteristics of the mother. Methods: The study was conducted on 390 mothers using the G.Power program. It took from 15 to 20 minutes to fill out the questionnaire, From reluctant mothers to health care centers in the Iraqi city of Diwaniyah during the period 2021-2022. Results: The results showed that mothers with higher educational levels had better knowledge, attitudes, and practices towards vaccination. 58.7 of the mothers had poor knowledge and the majority had good attitudes and bad practices toward vaccination. Conclusion: Study results show that mothers who, hesitate to go to primary health care centers have poor knowledge, positive attitudes, and rather poor practices. The most important proposal was to create an educational program taking into account the educational level of the mothers. 2022, 135 pages Key Words: Assessment, Mothers, Knowledge, Attitudes, Practices, Immunization Programme.
Nurses opinion toward coronavirus vaccine at kirkuk city
Arka plan: İnsanlar ne kadar durdurmaya çalışırsa çalışsın, aşılar virüsün yayılmasını durdurmanın tek yoludur. Öte yandan bazı insanlar aşılanmaya çok karşıdır. Aşı olmaktan korkanlar COVID-19 aşısını erteleyebilir veya yaptırmayabilir. Amaç: Bu çalışma Kerkük şehrinde hemşirelerin coronavirüs aşısına yönelik görüşlerini değerlendirmeyi amaçlamaktadır. Ayrıca Kerkük kentindeki koronavirüs aşılarına ilişkin hemşire görüşleri ile demografik özellikleri arasındaki ilişkiyi bulmaya çalışılıyor. Yöntemler: Tanımlayıcı kesitsel araştırma deseni, Kasım 2021 ile Nisan 2022 tarihleri arasında Irak'ın Kerkük kentinde gerçekleştirilmiştir. Çalışma Kerkük Genel Hastanesi'nde çalışan 850 hemşireden 200'ü olasılık dışı (amaçlı) örneklem kullanılarak gerçekleştirilmiştir. 22 numaralı ankette yer alan maddeler. Veri toplama süresi ortalama 20 dakikadır. Çalışmada verilerin analizi SPSS versiyon 22 ile tamamlanmıştır. Bulgular: Tüm çalışma örneğinin sosyo-demografik özellikleri gösterilmektedir. Sonuç, hemşirelik personelinin koronavirüs aşısı hakkındaki görüşünü ve yüksek önem ve orta derecede anlamlı olduğunu göstermektedir. Hemşirelik personelinin koronavirüs aşısı hakkındaki görüşleri arasında önemli farklılıklar vardı. Sonuç: Sadece birkaç hemşirenin koronavirüs aşısı hakkında kötü bir tutumu var. Hemşirelerin çoğunluğunun aşı konusunda iyi bir tutumu vardır. Anahtar Kelimeler: Hemşire görüşü, Corona virüs, Aşı, Kerkük şehri.
Assessment of clients' knowledge concerning COVID 19 at primary health care centers in Baghdad city
Background: COVID-19 is a dangerous virus that affects the respiratory system and sometimes leads to death. And it appeared in the Chinese city of Wuhan, and soon infected millions around the world, especially in Iraq. It became necessary to conduct a study on the virus. Objectives: This study aims to assess customer knowledge about COVID-19 in primary health care centers and to know the relationship between customer knowledge regarding COVID-19 in primary health care centers. Method: The descriptive study was designed using a studied sample of (n = 200) clients. Rusafa Baghdad Health Departments. This sample was distributed to the health departments of Baghdad, Al-Rusafa, and Al-Karkh. The questionnaire includes a total of 16 cognitive items. Data were collected using self-report and questionnaire and analyzed using descriptive and inferential statistical methods. Results: Recent results indicate that more (90.5%) of clients have a good level of knowledge. When age is related to their knowledge, gender, education level, marital status, occupation, and economic status are not ranked according to their knowledge. Conclusions and Recommendations: The result appeared in the presence of good knowledge of the participants, while the relationship between age and knowledge of the participants was found only. Therefore, we recommend the Ministry of Health invests this knowledge from participants in reducing infection while urging them to get a vaccine. We also recommend researchers study the practical and psychological aspects of COVID-19 and its impact on clients. Keywords: Clients' Knowledge, COVID 19, Primary Health Care Centers
Assessment of primary care providers' knowledge about tetanus vacci̇ne in diwaniyah governorate, İrak
Background: Tetanus is an extremely dangerous infection that is brought on by the Clostridium tetani bacterium. The spores of the bacteria that cause tetanus are dispersed throughout the environment. The bacteria cause the muscles to tighten more than normal, which results in spasms, stiffness, and an arching of the spine. In the end, it becomes more difficult to breathe, and spasms occur with an increased frequency. Objective: To Assess of primary care providers' knowledge about tetanus vaccine and Determining the relationship between demographic characteristics of primary care providers and their knowledge about tetanus vaccine in Diwaniyah Governorate, Iraq. Methods: The study was conducted on 200 primary care providers using the G.Power program. It took 15 to 25 minutes to fill out the questionnaire from primary care providers in the Iraqi Diwaniyah governorate during the period from December 27th 2021- February 26th 2022. Results: The results showed a statistically significant relationship between nurses' knowledge of tetanus vaccine, their age and education level, as it was found that education, years of practice and continuing education are closely related to the levels of experience of healthcare professionals. Conclusion: The results show that there is a statistically significant relationship between the nurses' knowledge about the tetanus vaccine and their age and education level. The study recommended that it is important to initiate training session to improve nurses knowledge about communicable diseases, especially tetanus. Key Words: Assessment, primary care providers, knowledge, tetanus vaccine.
Prevalence hepatitis C virus and contributing factors in the elderly patient in hemodialysis unit in lraq
Objectives: Identification of hepatitis C virus prevalence and associated risk factors among hemodialysis patients. Methodology: A descriptive cross-sectional study was conducted at Between February 22, 2022, and May 22, 2022, data was collected from two dialysis center in Thi-Qar/Al-Hussein Teaching Hospital and Al-Nasiriya Teaching Hospital. sample size were 130 patients on hemodialysis included 103 were negative and 27 were positive for hepatitis C virus, Data were Research data were collected by using of questionnaire composed of 3 parts: Socio-demographic form: The form has 10 questions to establish age, gender, marital status, educational level, financial situation, resident, smoking, alcohol, duration of hemodialysis weekly, and duration of hemodialysis hours, Second part :investigation :AST ,ALT , Albumin level and GGT. Third part: questions about risk factors of prevalence of hepatitis C the Response options are based on a two-point Cronbach-type scale ranging from 1 (No) to 2 (Yes). Data were analyzed through the application of descriptive and inferential statistical approaches by using Statistical Package for Social Science (IBM SPSS) version 25.0. Results: The findings indicated that age are (60-64) years within age groups account for (51.5%) from total study sample and male 72.3%, So and majority of study sample were marriage also have primary school related to level education accounted for 43.1%. Recommendations: The study recommended to Encouraging educational training sessions intended at enhancing hemodialysis patients' awareness of factors that can increase their likelihood of getting the hepatitis C virus. Keywords: Hemodialysis Patients, Prevalence of Hepatitis C Virus, Risk Factors, elderly.
Isolation and molecular identification of some types of soil bacteria, testing its ability to produce silver nanoparticles and investigating their effectiveness against leishmania tropica and molecular analysis of this parasite
This study was designed to synthesize AgNPs from supernatant-free cellcultures of some soil bacteria. Three bacteria (Pseudomonas aeruginosa (strain ALK320), Bacillus cereus (strain HNB5), and Corynebacterium striatum (strain 1910I14)) have been isolated and confirmedby PCR with universal primers. Then, the sequence results aligned with National Center for Biotechnology Information (NCBI) to ensure the species. These three bacteria were grown in nutrient broth to produce nanoparticles. Many approachesareusedtoverifytheproduction of AgNPs. Theystartwithcolorchanges, UV-visible, TEM, Scanning Electron Microscope, and end with EDX. The polymerase chain reaction (PCR) was used to identify Leishmania tropica (L. tropica); in which two primers were used to amplifythe 18sRNA gene, and they are a specific primer of gene LITSR/L5.8S, which gave an amplification product of 450bp, and a specific primer of gene mkDNA, which provided an amplification product of 120bp. The sequencing results showed a matchof 100% for L.tropica in the NCBI using the Basic Local Alignment Search Tool (BLAST). The maximum antileishmanial activity of extracellular AgNPs on L. tropica is recorded as growth inhibition (64.72%)at 400 μL /mL after being suppressed following 24 h of incubation by AgNPs synthesized using P. aeruginosa, B. Cereusand C. Striatumassays.The MTT assay revealed incredible results for AgNPs as Leishmania antiparasitic activity, to sum up, our novel approach to leishmaniasis treatment opens up new possibilities. Also, these AgNPs synthesized from natural materials can be used to treat a wide range of pathogenic bacteria and parasites.