2020 - Cilt 2 - Sayı Supplement 1 (Congress issue)
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Öğe Digital planning and mucosa-supported guided implant surgery: A case report(Altınbaş Üniversitesi, 2020) Kılıç, Erdem; Doğanay, ÖzgeGuided implant surgery simplifies the execution of implant placement procedures and provides optimal clinical outcomes. The aim of this report was to demonstrate digital implant surgery process and to evaluate implant deviations at apex and platform. Case: A 55-year-old man with no relevant medical history and having an edentulous maxilla referred to the department of oral and maxillofacial surgery. Mucosa-supported guide and implant locations based on the desired prosthetic design was planned via Codiagnostix® software. Six implants were inserted and immediate provisional prosthesis was adapted to the maxilla. To analyze implant deviations, pre-planned image and post-operative cone beam computed tomography were superimposed. Digitally guided implant surgery is a beneficial and minimal invasive method for providing pre-treatment prosthetic evaluation and reducing intraoperative human error and surgery time. Although implant deviations were diagnosed in all implants with different degrees, final prosthetic rehabilitation was successfully achieved.Öğe Selective retreatment of a three-canalled mandibular premolar using cone beam computed tomography: 5-year follow-up(Altınbaş Üniversitesi, 2020) Çırakoğlu, Neslihan YılmazRoot canal retreatment is traditionally considered an “all or none” treatment approach. However, the use of three-dimensional imaging such as cone-beam computed tomographic imaging allows for a more accurate evaluation of the periapical status of individual roots associated with multi-rooted teeth. This information has introduced a novel and conservative treatment alternative for previously endodontically treated teeth with multiple roots presenting with post-treatment disease. This new approach is termed selective root retreatment. This case report presents the selective retreatment by using CBCT and 5-year follow-up of the lower second premolar tooth, which has been previously treated with canal treatment but has recurrent infection symptoms. The patient was followed up for 6 months, 1 year and 5 years. At control appointments, the patient was asymptomatic and radiographic evaluation showed that periapical infection had healed. This case report shows that the selective retreatment method can be successfully applied to multi-rooted teeth with symptoms of recurrent infection after root canal treatment.Öğe Using theory to nursing research(Altınbaş Üniversitesi, 2020) Bahar, ZühalIn recent years, the interest in the use of models in nursing research is gradually increasing. Nursing theories are important in the synthesis of the relationship between research process and nursing knowledge. In addition, improving and testing nursing knowledge and initiatives make it possible to present study results within a scientific framework. In this review, there are some doctoral theses made using theory.Öğe The importance of antimicrobials in the public health(Altınbaş Üniversitesi, 2020) Yavuz, Burçak; Bıyık, HalilAs in the past, today, antimicrobial products remain important in public health. Antimicrobial products used to protect against epidemic during the pandemic attracted the attention of the public. Antimicrobial agents stops or decelerates the spread of microorganisms. Microorganisms include bacteria, viruses, protozoans, and fungi. Increasing the effectiveness of antimicrobial products against microorganisms is very important today. Antimicrobial products we can see in every area of our daily life in house, workplace, or at school. In this review, we aimed to give brief information under the headings impact mechanisms of antimicrobials, production sources of antimicrobials new generation antimicrobials; what is safe antimicrobial in public health?Öğe Precautions taken in radiotherapy clinics in covid-19 pandemic(Altınbaş Üniversitesi, 2020) Şenışık, Ahmet MuratIt has been shown that cancer patients may have a higher risk of Covid-19 than non-cancers, and cancer patients are affected more rapidly than Covid-19. Covidien Turkey as well as in all the world-pandemic period 19 measures taken urgently in the radiotherapy clinic and has been implemented. The scope of measures and applications taken in this study was evaluated. One-to-one interviews with radiotherapy clinics have determined the precautions taken in the clinics. The measures proposed by the Ministry of Health and the Turkish Radiation Oncology Association and the measures applied by the American Radiation Oncology Association were compared. Hygiene, which is the first precaution for Covid-19, has been emphasized in all clinics and measures have been taken regarding the use of necessary protective equipment. By making arrangements in the patient hours, the confrontation of patients in the waiting rooms is minimized. Before each treatment, the risk of transmission in the clinics was reduced by asking for additional tests from those with suspected Covid-19 by measuring the fever of the patients and monitoring the patient. Patients who were diagnosed with Covid-19 were discontinued from their general condition by stopping their treatment until they recovered. The measures taken are similar to those taken worldwide. It is pleasing that the number of patients decreases day by day and the number of cases seen in clinics is low. It should be taken into consideration that additional measures will be needed in case of new attack periods.Öğe Evaluation of the content of national news reflected on the internet about Covid-19 pandemic(Altınbaş Üniversitesi, 2020) Ekinci, Nazmiye; Aksan, Emin; Taş, Merve ÖzzeybekThe coronavirus, which started in China and spreads almost all over the world, and whose source is not known exactly, but is regarded as illegally sold, can have a fatal effect on humans. Today, the number of people caught with coronavirus (Covid-19) is rapidly increasing. In order to eliminate this disease caused by the coronavirus, quarantine applications are carried out in many countries, curfews, curfews out of the country or out of the city, wear a mask, etc. Health professionals work day and night. However, the vaccine of the coronavirus has still not been found. In response to this situation, the World Health Organization has declared the Covid-19 epidemic as a pandemic. This study was carried out with the aim of evaluating the national news published in digital media regarding the coronavirus, which is declared as a pandemic worldwide. For this purpose, the keywords “Coronavirus, Koronavirüs, Covid-19, Pandemi, Covid 19, Kovid-19” were entered into the Google search engine. January 1, 2020- May 1, 2020 during the ten newspaper archives can be accessed on the number of the highest circulation national news website in Turkey, 150 news content was evaluated. In the study, content analysis, one of the qualitative research techniques, was used to analyze the data. As a result of the research, it has been determined that the most handled issues regarding Covid-19 in the news sites of the related newspapers are general information about Covid-19, about the current situation in Turkey coronavirus, the effects of coronavirus and that the coronavirus in the world, respectively. It has been determined that the least discussed issues in the news sites of the related newspapers are: the statements of the World Health Organization (WHO) regarding the coronavirus, the criticisms about the corona virus, post-pandemic life and coronavirus data presented in famous individuals.Öğe The relationship mechanism between covid-19 and renin-angiotensin system(Altınbaş Üniversitesi, 2020) Çanak, Asuman; Yavuz, BurçakCoronaviruses (CoVs) are a group of ribonucleic acid (RNA) viruses that can cause respiratory, intestinal and central nervous system infections in humans and animals. Especially two strains caused severe acute respiratory syndrome coronavirus (SARS-CoV) and Middle East respiratory syndrome coronavirus (MERS-CoV). In addition to these strains, SARS-coronavirus 2 (SARS-CoV-2), appeared in Wuhan, China in December 2019. It soon affected the whole world and was declared a pandemic by the World Health Organization. The disease caused by the SARS-CoV-2 virus is called coronavirus disease (Covid-19). There are studies in the literature, infection mechanism of Covid-19, is binding of the virus to the receptor of angiotensin converting enzyme-2 (ACE2) and subsequently internalization of the complex by the host cell. The recognition of ACE2 as a co-receptor for SARS-CoV-2 suggest that there is cellular entry in ACE2 expressing tissues, including lung, heart, kidney, brain and intestine. The studies, have extensively studied the RBDACE2 complex, spike protein, and free RBD systems of SARS-CoV-2 and SARS-CoV using protein-protein docking and molecular dynamics simulations. The free binding energy of SARS-CoV-2 to RBD-ACE2 has been shown to be lower than the free binding energies of other coronavirus types. It was emphasized that this situation could be related to the more contagious SARS-CoV-2. While it seems such as clear that SARS-CoV-2 infects with binding mechanism the human ACE2 receptor of the RBD domain, the molecular mechanisms still remain mysterious. The present findings are expected to be useful for the disease prevention and control as well as drug and vaccine development of Covid-19.Öğe The role of cardiopulmonary rehabilitation in patients with infected COVID-19(Altınbaş Üniversitesi, 2020) Kunduracılar, Zuhal: The 2019 new type of coronavirus, or 2019-nCoV (with new name is SARS-CoV-2), is closely related to the coronavirus (batSL-CoVZC45 and bat-SL-CoVZXC21), which have similar characteristics like as severe acute respiratory syndromes. Spread of the virus happens from person to person with droplets or direct contact. The average incubation period of the infection is 5-6 days (2-14 days). In patients recovered from Covid-19 pneumonia and acute respiratuar disstress sendrome (ARDS). However, post-acute physiotherapy and rehabilitation needs for the patients are not completely known. According to the informations from other viral infections such as H1N1 and SARS, respiratory and physical function losses (muscle mass and muscle function loss, myopathy, contractures, neuropathy and/or weakness acquired in intensive care) are observed after acute illness, ARDS and intensive care processes. Furthermore cognitive and emotional dysfunctions (anxiety, depression, post traumatic stress syndrome) may affect participation and quality of life. Rehabilitation interventions should be started as early as possible in mild and moderate cases. The short-term goal of cardiopulmonary rehabiliation is to alleviate dyspnea, anxiety and depression, the long-term goal is to maximize the funcutionality of the patient, improve the quality of life and facilitate her return to society. Cardiopulmonary rehabilitation programme should be done mainly via videos, brochures, remote consultations or online to prevent cross infection for the patients with Covid-19. Guidelines for Covid-19 show that physiotherapy and rehabilitation practices should practised an individual basis, based on the results of multidisciplinary evaluation, when clinically necessary. Current guidelines and protocols state that applications using airway cleaning techniques, breathing exercises and assistive devices, exercise training and respiratory muscle training should not be applied in the acute period.Öğe The use of therapeutic ultrason in control of biofilm infections(Altınbaş Üniversitesi, 2020) Sezgin, Selma: The purpose of this study is to evaluate the effectiveness of the antibiofilm feature of ultrasound by compiling researches on the use of therapeutic ultrasound in biofilm removal. The literature was scanned with the keywords “biofilm removal”, “therapeutic ultrasound”. Therapeutic ultrasound application can generate two possible bacterial responses, in the form of inducing bactericidal and bacterial growth. The bactericidal effect has been reported in different studies where high intensity occurs at low frequency, induction of bacterial growth occurs at low intensity and low frequency. For bactericidal effect with antibiofilm properties, ultrasound should be applied at high intensity and low frequency. The combined use of ultrasound with other methods, especially antimicrobials, ensures effective destruction of biofilms and prevents the development of antibiotic resistance.Öğe Gender mainstreaming in health(Altınbaş Üniversitesi, 2020) Işık, Fikriye; Kıyak, Mithat; Işık, MustafaThe study aims to evaluate gender inequality faced by women working at healthcare services sector and to create awareness. The term “gender” expresses the socially determined roles and responsibilities of women and men and it may vary among populations and over time. Gender equality can be ensured not only through access to healthcare services, professional equality, justice and equity, but also by equal distribution of responsibilities and income between men and women. The study reviewed the literature particularly by screening the recently printed papers on gender mainstreaming, especially in association with the health sector. According to World Economic Forum Global Gender Gap 2020, Turkey is ranked 130 among 153 countries in terms of gender equality. This fact may be secondary to low engagement of women in the labor force. Although working hours of men and women are equal in Turkish health sector, the monthly wage equals to 201.9 hours for men and 200.5 hours for women. Another indicator of gender gap is the gender-based violence against women. According to a study conducted by Ministry of Health in 2018, women are mostly exposed to violence in health sector by 62.5%; 48.1% of healthcare professionals are exposed to verbal violence and 64.9% of crimes of violence are committed by men. Women account for majority of professionals employed in health sector. Considering their health professions, approximately 70% of nurses are women, while the figure is 100% for midwives and approximately 50% for medical doctors. In conclusion, gender-based discrimination may occur in terms of taking advantage of the opportunities, allocation and use of resources and access to services. Women are far worse affected by aforementioned discrimination, as they are more disadvantageous and have lower social status than men. This study advises a perspective that focuses on “gender parity” better regarding policies, strategies and processes in the delivery of healthcare services.Öğe Importance of medical imaging methods in medicine(Altınbaş Üniversitesi, 2020) Yıldırım, Özlem; Aydın, İrfan; Kökkülünk, Handan TanyıldızıMedicine, it is a multidisciplinary science. It is based on the principle of obtaining clearer information about diseases through the cooperation of many branches. In the medical field, radiology science has an important place especially in diagnosis and treatment of diseases. With the development of radiology science, in other words, medical imaging methods, the diagnosis of diseases has become easier. Imaging techniques are mainly based on the process of making the invisible parts of the human body visible by various methods. Radiology; It can basically be classified under two titles: diagnostic radiology and interventional radiology. For diagnosis, there are seven basic methods in radiology and nuclear medicine clinics: x-ray, mammography, computed tomography (CT), magnetic resonance (MR), ultrasonography (US), single photon emission computed tomography (SPECT) and positron emission tomography (PET). While ionizing radiation sources such as X-ray and gamma-ray are used in some of these methods, radiation is not used in some, instead there are methods that use radio waves and supersonic waves. In terms of interventional radiology, biopsies, and ablation treatments samples can be shown. Apart from these methods, there are various devices for special use with the developing technology. In this study, basic imaging methods will be mentioned. It is very important for both patients and healthcare professionals to know the devices containing radiation and to have information.Öğe Evaluation of preoperative tests in elective surgeries of asymptomatic patients during covid-19 pandemic(Altınbaş Üniversitesi, 2020) Kepekçi, Ali Bestemi: With the Covid-19 pandemic, some changes have been made in health practices. In this study, the action plan applied in the preoperative evaluation of patients with no symptoms and contact history planned during the pandemic was presented in light of the Ministry of Health communique and the literature. Preoperative Evaluation Action Plans were determined in each hospital. The first aim is to distinguish patients who are asymptomatic and have no contact history. Then, these patients are evaluated before the operation with the tests and physical examination. Various changes were made in the tests used in preoperative evaluation during the pandemic process. Initially, the first preferred test was thorax computed tomography, while the polymerase chain reaction test is now recommended. Accurate information and compliance with determined action plans are of great importance in the planning of elective surgeries. It is evident that preoperative evaluation criteria may change according to the characteristics of the pandemic process.Öğe Application of tramadol hydrogel as a transdermal drug delivery with sonophoresis device to rats(Altınbaş Üniversitesi, 2020) Şahin, Sitem Merve; Duman, Gülengül; Genç, Ece; Yaman, Alper; Altunok, Elif ÇiğdemTransdermal drug delivery offers an appealing alternative to injections and oral medications. However, applications of transdermal drug delivery are constrained to only a few drugs due to low skin permeability. Application of low‐frequency ultrasound enhances skin permeability, a phenomenon called as low‐frequency sonophoresis. The skin consists of two important layers called epidermis and dermis, which are on the fatty layer called hypodermis (subcutaneous tissue). The epidermis is the outermost layer of the skin. It consists mainly of cells called “keratinocytes”. This is caused by the evolution of cells formed in the lower layer and their accumulation on top of each other. At the top is the stratum corneum epidermidis layer from almost completely dead cells. Stratum corneum acts as a primary barrier to drug delivery, transdermal drug delivery technique precedes to conventional drug delivery process. In this study, tramadol hydrogel is an opioid-like analgesic with much less adverse impact was carried out to rat skin. The tramadol hydrogel was applied on rat skin by using a novel developed sonophoretic device. There were 4 groups of Sprague Dawley male rats that were examined to evaluate analgesia. The first group was control group, the second was intraperitoneal (i.p.) application group, the third was tramadol hydrogel without sonophoresis application and the last group was tramadol hydrogel with sonophoresis application. It was shown that tramadol used with sonophoresis increased analgesic effect three-fold than tramadol hydrogel group 30 minutes later. Hotplate analgesia meter was used and the efficacy was measured on 16 rats. Tramadol dosage was 28 mg per kilogram for each rat. Low frequency sonophoresis device transducer was adjusted to 40 kilohertz (kHz) frequency for up to 60 minutes. Measurements were carried out at 0, 10, 20, 30, 40 and 60 minutes. There was a statistically significant difference between tramadol hydrogel and tramadol hydrogel with sonophoresis groups (p 0.05, by Kruskal Wallis test). Moreover, the developed sonophoretic device application was successful and application low frequency 40 kHz was safe. Neither burn nor erythematous streaks were observed on rat skin by using low frequency sonophoresis. The administration of tramadol hydrogel and tramadol hydrogel with sonophoresis groups were examined, the absorption of tramadol increased by 2-3 times transdermally.Öğe Investigation of knowledge and behaviour of adult individuals in terms of sustainable nutrition(Altınbaş Üniversitesi, 2020) Garipoğlu, Gökşen; Çakır, BüşraThe objective of this study was to evaluate the knowledge and behaviour of individuals aged 18 years or above on the subject of sustainable nutrition. The study was conducted between April and May 2019 and involved a total of 202 adult individuals (85 female, 117 male), all of whom are resident in Istanbul and over 18 years of age. The socio-demographic characteristics of the participants, their knowledge on sustainable nutrition, nutritional behaviours and food preferences were determined using a questionnaire. 64,40% of the participants with an average age of 32,60 ± 13,20 had not heard of the concept of sustainable nutrition concept before. While there was no statistically significant difference between gender and being aware of the concept of sustainable nutrition, it was found that women exhibited more sustainable nutrition behaviours compared to men (p 0.05). It was observed that the participants learned the concept of sustainable nutrition mostly from health professionals (31.9%) and social media (26.3%). 39.1% of the participants responded that they agreed with the statement “I consume vegetables and fruits grown during the season” and 36,60% of them agreed with the statement “I consume fish caught during the season with appropriate methods”. Most of the respondents (44.50% and 34.60% respectively) agree with the statements “I’m careful about not wasting the food” and “I use economic foods”. 44.50% of the respondents agreed with the statement “I have less food waste”. In conclusion, studies on public awareness campaigns can be beneficial.
