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Article Surgical Treatment of a Patient With Recurrent Bleb Leak and Glaucoma: Bleb Excision Combined With Gonioscopy-Assisted Transluminal Trabeculotomy(Galenos Publ House, 2022) Boluk, Ceyda Eristi; Aktas, ZeynepHere we present a case of intermittent bleb leakage with increased intraocular pressure (IOP) during recovery periods that was treated with gonioscopy-assisted transluminal trabeculotomy (GATT) combined with avascular bleb excision. A 60-year-old woman exhibiting simultaneous leaking bleb and glaucoma underwent GATT and bleb revision. At her final visit, the bleb leakage had resolved and IOP was under control without any further antiglaucoma medication. GATT may be useful for glaucoma patients exhibiting intermittent bleb leakage after failed trabeculectomy.Article Citation - WoS: 10Citation - Scopus: 9The Randomized Controlled Study of Low-Level Laser Therapy, Kinesio-Taping and Manual Lymphatic Drainage in Patients With Stage Ii Breast Cancer-Related Lymphedema(Galenos Publ House, 2023) Yılmaz, Sedef Selçuk; Ayhan, Fikriye FigenObjective: To compare the effects of low-level laser therapy, kinesio-taping and manual lymphatic drainage (MLD) on the affected arm volume, quality of life, arm function, neuropathic pain and shoulder mobility in patients with stage II breast cancer-related lymphedema. Materials and Methods: Forty-five breast cancer patients with stage II lymphedema were included. The patients were randomized to three groups and treated with MLD, kinesio-taping or low-level laser therapy. After these different therapeutic modalities, all patients received multilayer compression bandaging, lymphedema remedial exercises, skin care, and a patient education program by the same lymphedema therapist. All treatments were applied 5-days a week for three weeks. The lymphedema compression garments were prescribed to all patients and follow-up visits were planned at the end of the treatment, and at four and 12 weeks. The efficacy of the treatments was evaluated by volumetric calculations based on circumferential measurements using the formula for a truncated cone, in addition to goniometric assessments for shoulder joint ROM, and questionnaires: Quick-disability of arm, shoulder and hand for arm disability; pain-detect for neuropathic pain; and quality of life for arm lymphedema (LYMQOL-arm). Results: The baseline patient and disease characteristics, and outcome measures were similar between groups. All treatment modalities were found to be effective in decreasing arm volume, and improving quality of life, upper extremity disability and neuropathic pain. The percentage of decreased arm volume or treatment success was better in kinesio-taping group than in the MLD group at the end of the treatment, and at four and 12 weeks after treatment (p = 0.009, p = 0.039, and p = 0.042, respectively). Conclusion: Kinesio-taping led to better results than MLD and was similarly effective compared with low-level laser in stage II breast cancer-related lymphedema at the twelfth week of follow-up. Kinesio-taping and low-level laser should be considered as alternative treatments in early-moderate stages of lymphedema. After these modalities, multi-layer compression and compression bandaging remain cornerstones of lymphedema treatment.Article Identification of Bacterial Vaginal Microbiota Via Metagenomic Approach(Galenos Publ House, 2022) Ucak, Samet; Sudagidan, Mert; Yurt, Mediha Nur Zafer; Tasbasi, Behiye Busra; Acar, Elif Esma; Tuna, Bilge Guvenc; Ozalp, Veli CengizAim: The aim of the current study was to identify vaginal bacterial microbiota of 38 Turkish women using the high -throughput next -generation sequencing and metagenomic approach at different taxonomic levels from the kingdom to the species level. Materials and Methods: Vaginal swab samples (n=38) were collected in the DNA/RNA shield collection tubes at Yeditepe University Hospital, Department of Obstetrics and Gynecology in June 2021 and DNA extraction was performed by ZymoBIOMICS DNA miniprep kit. The information related to age, marital status, preliminary diagnosis and anamnesis status of patients were collected. To determine the vaginal microbiota, a metagenomic approach was applied using 16S rRNA amplicon sequencing. Results: The dominant phylum Firmicutes was followed by Proteobacteria, Actinobacteria, Tenericutes, Fusobacteria, and Synergistetes in the vaginal samples. Lactobacillus was the most abundant genus followed by Prevotella, Enterobacter, Gardnerella, and Dialister. Lactobacillus iners was dominant at the species level in vaginal swab samples, followed by Gardnerella vaginalis, Enterobacter tabaci, Prevotella timonensis, Prevotella bivia, and Lactobacillus jensenii. Canonical correspondence analysis (CCA) showed that Proteobacteria and Fusobacteria were mainly related to married/single variable with the highest percentages, whereas Actinobacteria and Tenericutes were related to age variable at the phylum level. Campylobacter , Atopobium , Enterobacter , and Lactococcus were mainly found in married/single variable with the highest percentages, whereas Anaerococcus, Streptococcus, Sutterella , and Veillonella were related to age. Moreover, CCA showed that Campylobacter ureolyticus, Lb. jensenii , and Atopobium vaginae were associated with married/single variable, whereas Lactobacillus johnsonii and G. vaginalis were found in age variable with the highest percentages at the species level. Conclusion: Vaginal diseases are still a major public health concern. The vaginal microbiota, which has been studied in more depth in recent years, has been discovered to be more complicated than previously imagined thanks to technological developments. More patient investigations are needed to confirm and develop these findings.Article Citation - WoS: 1Evaluation of Patient Safety Culture of Nurses in Northern Cyprus(Galenos Publ House, 2022) Kaymakci, Senay oezen; Dikmen, Burcu Totur; Bayraktar, Nurhan; Dal Yilmaz, Uemran; Aydin, NidaBACKGROUND/AIMS: Patient safety culture is the outcome of values, perceptions, attitudes, skills and behaviors of an individual or group that determine the style, competence and promises of an institution in health and safety management. Nurses play an important role in improving quality in health care through initiatives and strategies for patient safety. This study was conducted to evaluate patient safety culture in nurses working in a university hospital in Northern Cyprus.MATERIALS AND METHODS: This survey was planned as a cross-sectional descriptive study and 130 nurses were included in the sampling. The survey data were collected using the Personal Information Form and the Patient Safety Culture Scale (PSCS).RESULTS: In this study, the total mean score of the nurses from the PSCS was 2.82 +/- 0.44. The mean scores of the nurses' subscales related to PSCS were determined as follows: 2.88 +/- 0.54 in the "care environment", 2.83 +/- 0.56 in the "employee behavior", 2.83 +/- 0.59 in the "employee training", 2.81 +/- 0.50 in the "management and leadership", and 2.68 +/- 0.54 in the "unexpected incident and error reporting" subscales. The total Cronbach's alpha reliability coefficient of the scale was 0.963 and between 0.807-0.963 for the subscales.CONCLUSION: It was determined that the nurses' PSCS scores were above the average level. Developing a patient safety culture in institutions is important for quality improvements which are rapidly advancing in healthcare services nowadays.Article Citation - Scopus: 1Determination of the Knowledge Levels of Nurses Regarding Central Venous Catheter Care(Galenos Publ House, 2022) Turkkan, Hicran; Ayyildiz, Tulay Kuzlu; Sonmez, MunevverIntroduction: It is important that pediatric nurses have sufficient knowledge in the prevention of central catheter-related blood circulation infections. This study was carried out to determine knowledge levels of the nurses, who were working in pediatric clinics, regarding central venous catheter care.Methods: The universe of the study was composed of 118 nurses, who were working in pediatric clinic of a public hospital (n=50) and a training hospital (n=68) between May-June 2019. No sample was selected; and 88 nurses, who were eligible for the sample and study criteria and approved to participate during the dates of data collection (May-June 2019) were included in the study. 75% of the universe was reached. Personal information form for the identification of demographic characteristics and working lives of the nurses and the form for the knowledge levels of the nurses regarding central venous catheter care were used to collect data.Results: At the end of statistical assessment, central venous catheter care mean score of nurses was found to be 8.35+2.36 (0-12). In addition, it was determined that no significant differences were found between central venous catheter scores of the nurses based on age, sex, marital status, working institution, working department, working year and their states of providing central venous catheter care (p>0.05). A significant difference was detected between nurses' states of having knowledge and education regarding central venous catheter and their central venous catheter scores (p<0.05). Conclusion: It was found that the knowledge points of the nurses for central venous catheter care were insufficient. It is recommended to increase in-service training in line with the protocol/procedure/ instructions regarding central venous catheter care.Article Citation - WoS: 1Ouas’li ve Koah’li Hastalarla Sağlıklı Kişiler Arasında Solunum Fonksiyonları, Fonksiyonel Kapasite ve Uyku Kalitesinin Karşılaştırılması(Galenos Publ House, 2020) Kütükçü, Ebru Çalık; Çalışkan, Hakan; Kılıç, Kübra; Yağlı, Naciye Vardar; Ertürk, Nurel; Sağlam, Melda; Arıkan, HülyaAmaç: Bu çalışmanın amacı Obstrüktif Uyku Apne sendromu (OUAS) ve Kronik Obstrüktif Akciğer hastalığı (KOAH) olan hastalarda solunum fonksiyonları, egzersiz performansı ve uyku kalitesini sağlıklı bireylerle karşılaştırmaktır. Gereç ve Yöntem: Bu kesitsel çalışmaya 17 OUAS’li hasta (12 erkek, 5 kadın), 24 KOAH’li hasta (20 erkek, 4 kadın) ve 20 sağlıklı birey (15 erkek, 5 kadın) katıldı. Solunum fonksiyonu ve kas kuvvet testleri yapıldı. OUAS ve KOAH’li hastalarda diz ekstansörleri, omuz abduktörleri ve el kavrama kuvveti dijital el dinamometresi kullanılarak ölçüldü. Egzersiz performansı 6 dakika yürüme testi (6DYT) kullanılarak, uyku kalitesi Pittsburgh Uyku Kalitesi indeksi (PUKİ) ile değerlendirildi. Bulgular: KOAH’li hastaların 6DYT mesafesi, 6DYT mesafesi (%), omuz abduktörleri kas kuvveti ölçülen ve yüzde değerleri OUAS grubuna göre anlamlı olarak düşüktü (p<0,05). PUKİ kayıtlarına göre OUAS hastalarının %58,8’inin, KOAH hastalarının %58,3’ünün ve sağlıklı bireylerin %15,0’inin uyku kalitesi zayıftı (p=0,006). OUAS ve KOAH grubunda PUKİ-uyku bozukluğu, gündüz fonksiyon bozukluğu, alışılmış uyku etkinliği alt boyutları ve toplam PUKİ skorları sağlıklı bireylerden daha yüksekti (p<0,05). Sonuç: Bu çalışma, hem OUAS hem de KOAH hastalarında uyku kalitesinin olumsuz etkilendiğini ve sağlıklı bireylere göre OUAS ve KOAH hastalarında uyku bozukluğu ve gündüz fonksiyon bozukluğunun arttığını ve alışılmış uyku etkinliğinin azaldığını göstermiştir.Article Workaholism and Sleep Disorders in Employees: The Moderator Roles of Workaholism in the Relationships Between Insomnia and Affective Symptoms(Galenos Publ House, 2025) Nalbantoglu, Yagmur; Turkarslan, Kutlu KaganObjective: Sleep disorders are a growing concern in occupational health due to their strong associations with emotional distress and impaired functioning. Employees with severe insomnia symptoms are at increased risk for affective symptoms such as anxiety and depression. However, this relationship may vary depending on work-related behavioral patterns. Workaholism, a compulsive drive to work excessively, may act as a moderator, intensifying the impact of sleep disturbances on affective symptoms and vice versa. This study aimed to assess sleep disorder risk among employees, examine differences in the severity of sleep disorders based on workaholism levels, and investigate the moderating roles of workaholism in the relationships between insomnia severity and affective symptoms. Materials and Methods: The sample consisted of 459 day-working employees (68.41% female, Mage =41.14, standard deviation =10.90) who completed measures of demographics, workaholism, and sleep disorders. Results: Results showed that 40.31% were at risk for at least one sleep disorder, and 28.98% for multiple. Compared to employees with lower workaholism, those with higher workaholism had significantly higher scores of breathing-related sleep disorder, insomnia, narcolepsy, restless legs/periodic limb movement disorder, and circadian rhythm sleep disorder. Moderation analysis revealed that workaholism significantly moderated the relationship between insomnia severity and affective symptoms, but not vice versa. As workaholism increased, the relationship between insomnia severity and affective symptoms became stronger. Conclusion: These findings suggest a high prevalence of sleep disorders among employees and that workaholism can exacerbate the affective burden of insomnia. Targeted interventions addressing both sleep health and workaholism may be critical for improving employee wellbeing.
