E-ISSN: 2148-4570 • ISSN:2148-4570
ANKARA MEDICAL JOURNAL - Ankara Med J: 24 (1)
Volume: 24  Issue: 1 - 2024
ORIGINAL ARTICLE
1.Blue Light and Protection Awareness Among University Students: A Survey Study
Nilüfer Yeşilırmak, Razan Eid, Günel Mahmudova, Gülsüm Akdeniz
doi: 10.5505/amj.2024.02800  Pages 1 - 13
INTRODUCTION: Our study aimed to evaluate the awareness levels of university students about the harmful effects of blue light and protection methods.
METHODS: A cross-sectional survey study consisting of 20 questions was conducted online to university students in Ankara. After obtaining basic information about the participants, questions related to the hazardous effects of blue light, blue light sources, blue light filters and protectors were directed.
RESULTS: A total of 387 participants were included in the study. 75.1% of the students thought of vision problems as the most harmful effect of blue light and phones, computers and televisions as blue light sources (93.8%). 58.8% of the students were using the blue light filter, 67.6% knew about blue light protective glasses, and only 26.9% were wearing them. The average daily computer, smartphone and television usage time was 3.18 hours, 5.2 hours and 0.5 hours, respectively. 71.5% of the students were taking breaks when using electronic devices, while 28.5% were not. 56.2% of the students were experiencing tired eyes, 49.7% headaches, 31.9% blurred vision, 30.8% dry eyes and 30.3% insomnia. 95.1% of the students were adjusting their settings to reduce the brightness. Students in medical fields were more aware of blue light-related sleep problems and blue light protective glasses than students in other fields.
DISCUSSION AND CONCLUSION: Awareness of blue light was moderate among university students; however awareness of protective methods was lower. This study will contribute to increasing awareness on this issue in terms of protecting the health of young people, and subsequently general society.

2.Determinant factors affecting adolescent fruit and vegetable consumption in Indonesia
Yoyok Bekti Prasetyo, Sri Sunaringsih, Feny Alya Farera
doi: 10.5505/amj.2024.82609  Pages 14 - 27
INTRODUCTION: Adolescence is a critical period for getting used to eating fruit and vegetables for their health because it can affect health in adulthood. The behavior of adolescents in Indonesia who eat vegetables and fruit is still not in line with expectations. This study examined the factors influencing adolescent fruit and vegetable consumption in Indonesia.
METHODS: The cross-sectional study used secondary data from the Indonesia Global School-Based Student Health Survey (IGSHS). The IGSHS sample comprises 75 schools, with 11.142 students representing three regions (Sumatra, Java-Bali, Outer Sumatra, and Java-Bali) in 26 provinces and 68 districts/cities in Indonesia.
RESULTS: Age, soft drinks, and identified fast food consumption as determinants of fruit and vegetable consumption (p=0.001). Sex also affected fruit consumption (p=0.023). Adolescents who did not consume fast food were three times more likely to consume fruit than adolescents who did (OR=3.087, 95% CI=2.508-3.800). Meanwhile, adolescents who did not consume fast food were twice as likely to consume vegetables as those who did (OR=1.723,95% CI=1.395-1.731).
DISCUSSION AND CONCLUSION: Age, soft drinks, and fast food consumption are determinants of fruit and vegetable consumption. These findings may provide meaningful recommendations for developing policies and health promotion programs to improve community nutrition by increasing the consumption of fruits and vegetables among adolescents to achieve a better nutritional status.

3.Awareness adult syrian refugee women on family planning methods
Abide Aksungur, Gülsüm Özturk Emiral, Hamit Harun Bağcı
doi: 10.5505/amj.2024.59265  Pages 28 - 39
INTRODUCTION: Refugees remain among the most vulnerable groups regarding access to family planning services due to language barriers, lack of social support, and family planning services being left behind in crisis intervention programs. We aimed to evaluate the awareness of adult Syrian women regarding family planning.
METHODS: This cross-sectional study was conducted on adult Syrian women who applied to Immigrant Health Centers (IHC) in September 2022. The sample size was calculated as 357 (95%confidence interval, 5% margin of error, and 50% frequency of not using family planning). A questionnaire designed by investigators, translated into Arabic, was applied to the participants. The Chi-Square Test was used to analyze the nominal data, and logistic regression analysis was performed.
RESULTS: The ages of participants ranged from 18-65, with a mean of 30.9±9.3 and a median of 29. The frequency of using a Family Planning Method (FPM) was 40.3% (n=146). The frequency of using FPM was found to be lower in women younger than 25 years old and primary school graduates (p<0.05 for each). The age of marriage was between 13-35, and 40.3% of the women (n=146) were married under 18 years old. It was determined that 343 (94.8%) of the participants were pregnant at least once, 157 (45.8%) of the pregnant women had at least one miscarriage, and 18 of the participants (%63.6) experienced an unplanned pregnancy. Those who have information on FPM (Chi-square= 17.721; p<0.001) and those who received counseling services regarding FPM (Chi-square=13.362; p<0.001) were found to have a higher frequency of FPM usage.

DISCUSSION AND CONCLUSION: We found that those with higher education levels and those who had received counseling regarding FPM had a higher frequency of using an FPM. Therefore, consultancy services should be expanded according to the education level of immigrants.

4.Investigation of Birth Anxiety That May Develop in Nulliparous Female Health Workers Working in the Delivery Room and the Factors Affecting It- A Cross Sectional Descriptive Study
Büşra Nur Gürdağ, Hilal Ozkaya, Sibel Baktır Altuntaş
doi: 10.5505/amj.2024.56750  Pages 40 - 51
INTRODUCTION: Birth anxiety is defined as a negative evaluation of the prepartum, partum and postpartum period and an anxious approach to labor. In our study, it was aimed to reveal the prevalence of birth anxiety among nulliparous health workers working in the delivery room and to investigate some factors that may be effective in the development of birth anxiety and the relationship between these factors.
METHODS: The study, which was planned to be based on a cross-sectional descriptive questionnaire, involved 160 nulliparous female health personnel who were working in the delivery room of Başakşehir Çam and Sakura City Hospital Gynecology Clinic between 01.10.2022 and 01.11.2022. The study used the 19-question Sociodemographic Data Form and the 13-question Scale of Traumatic Childbirth Perception (STCP) prepared by the researcher as data collection tools.
RESULTS: 160 nulliparous female health personnel participated in our study. It was found that half of the patients had moderate birth anxiety. A statistically significant negative relationship was found between the total score of the STCP and the age (years). Those who witnessed a complicated birth had higher overall scores of the STCP compared to those who did not. Participants who preferred cesarean delivery had higher overall scores of STCP compared to those who preferred normal birth.
DISCUSSION AND CONCLUSION: The study findings suggest that nulliparous female health personnel experience birth anxiety, and several factors contribute to the development of birth anxiety. Therefore, it may be recommended that professional support is provided to female health personnel before and during pregnancy.

5.Prospective Analysis of E-Scooter Accidents in Diyarbakır city, located in southeastern Türkiye
Öner Avınca, Mahmut Taş
doi: 10.5505/amj.2024.50375  Pages 52 - 60
INTRODUCTION: Although the use of e-scooters is new, e-scooter traumas have also increased as they began to be used. Our aim in this study is to draw attention to the increasing number of e-scooter accidents and to contribute to the measures that can be taken in this regard.
METHODS: We planned the study when we started to receive scooter injuries that we had never encountered in the emergency department of our hospital. As a result of our research, we learned that the use of scooters in our province started in the first quarter of 2022. After creating the study plan and obtaining the approval of the ethics committee, we started collecting cases. From the scooter accidents admitted to the emergency department of our hospital, we included all patients with complete information, including those who agreed to participate in the study and who gave parental consent from accident victims under the age of eighteen. Patients who provided false and incomplete information and refused to participate in the study were not included.
RESULTS: While the total number of patients admitted was n=247, n=205 patients were included in our study. Of the patients admitted to the emergency department, 39% (n=80) were female and 61% (n=125) were male. When the trauma sites of the patients were analyzed, it was found that 78.05% (n=160) had extremity trauma, 19.51% (n=40) had head-neck trauma, and 2.44% (n=5) had vertebral trauma.
DISCUSSION AND CONCLUSION: We are of the opinion that serious injuries can be prevented and e-scooters can be made a safer means of transportation by making the necessary legal arrangements, eliminating the infrastructure problem of the cities, building appropriate roads and expanding the use of personal protective equipment.

6.Analysis of The Relationship Between Blood Gas Parameters and Electrocardiography in Patients with Dyspnea
Göknur Yıldız, Şeyhmus Kaya, Özge Turgay Yıldırım, Fatih Alper Ayyıldız, Can Gökay Yıldız
doi: 10.5505/amj.2024.89725  Pages 61 - 71
INTRODUCTION: Dyspnea, a frequently encountered life-threatening symptom in Emergency Department admissions, prompts the utilization of various diagnostic tests such as blood gas analysis, complete blood count, and electrocardiography (ECG) to ascertain its cause and severity. This study aims to assess the association between blood gas parameters, complete blood count results, and electrocardiographic parameters. Additionally, the investigation focuses on identifying malignant arrhythmias and abnormalities in repolarization parameters (PR interval, QRS interval, QTc interval, Tp-e interval, and Tp-e/QTc ratio) in patients admitted to the Emergency Department with dyspnea.
METHODS: The study includes individuals aged 18 and above who were admitted to the emergency department due to dyspnea. Upon admission, the patient's electrocardiographic parameters, blood gas results, complete blood count values, and other relevant laboratory findings were documented.
RESULTS: Among the 385 patients studied, with a mean age of 64.6±17.7 years, 52.7% (n=199) were male. Analysis of the ECG results revealed a statistically significant prolongation of the QRS interval in acidotic and hypercapnic patients with dyspnea (p=0.041 and p=0.015, respectively). Similarly, the QTc interval was found to be significantly longer in acidotic and hypoxic patients presenting with dyspnea (p=0.011 and p=0.026, respectively).
DISCUSSION AND CONCLUSION: Acidotic, hypoxic, and hypercapnic patients with dyspnea exhibited significantly prolonged QRS and QTc intervals. These findings suggest an elevated probability of ventricular arrhythmias in these patients.

7.Assessment Of Peripheral Nerve Injuries By Electroneuromyography After Kahramanmaras Earthquakes (On February 6, 2023)
Talha Yamak, Duygu Engez, Şadiye Gümüşyayla, Gönül Vural
doi: 10.5505/amj.2024.97957  Pages 72 - 83
INTRODUCTION: This study aimed to assess the peripheral nerve injuries among survivors after the two consecutive Kahramanmaraş Earthquakes with magnitudes of 7.7 Mw and 7.6 Mw.
METHODS: In the study, the medical records and electroneuromyographic findings of 94 earthquake victims who referred to Ankara City Hospital and underwent electroneuromyography analysis were analyzed.
RESULTS: Peripheral nerve damage was most common in the lower extremities. The presence of crush syndrome was closely associated with peripheral nerve damage (p=0.049).
DISCUSSION AND CONCLUSION: Peripheral nerve injuries require special attention as they may cause serious disability.

8.Effects of Pirfenidone on Ischemia-Reperfusion Injury in Rat Epigastric Island Flap Model: Experimental Study
Mehmet Sönmez, Canan Yılmaz, Nuran Sungu, Ebubekir Karakaş, İpek Allı
doi: 10.5505/amj.2024.97455  Pages 84 - 95
INTRODUCTION: Pirfenidone is a non-peptide synthetic low molecular weight substance with anti-inflammatory, antioxidant and antifibrotic effects. Its positive effects have been shown on ischemia-reperfusion injury in various tissues such as testis, kidney, liver, lung and small intestine. Our aim is to investigate the effects of Pirfenidone on ischemia-reperfusion injury in skin flaps.
METHODS: Eighteen Wistar male rats were divided randomly into three groups: Sham, Ischemia-Reperfusion (IR) and Pirfenidone plus Ischemia-Reperfusion (IR+Pirf). The epigastric island flap was elevated and returned to its place in the Sham group. In the second group (IR), the flap was elevated, and flap perfusion was interrupted with an avascular clamp for eight hours. In the third group (IR+Pirf), 300 mg/kg Pirfenidone was given orally before ischemia. Tissue samples were taken to evaluate biochemical substances (1st day) and histopathologic examination (7th day). On the seventh day, standardized photographs were taken to calculate the viable areas of the flap and all animals were sacrificed.
RESULTS: Tissue MPO levels were statistically higher in the IR+Pirf group than in the Sham and IR groups (p=0.006). Tissue MDA levels were statistically higher in the IR+Pirf group than in the IR group (p=0.026). The lymphocyte count was lower in the Sham group than in the IR and IR+Pirf groups (p=0.002). The reepithelization ratio was higher in the IR+Pirf group than in the IR and Sham groups p=0.010). Flap survival areas showed no significant difference between groups (p=0.194).
DISCUSSION AND CONCLUSION: As a conclusion, single dose treatment of Pirfenidone in rat skin flap ischemia-reperfusion model enhanced significantly re-epithelization and has no significant effect on flap survival.

LETTER TO EDITOR
9.Evaluation of the Relationship Between Frailty, Polypharmacy, and Depression in People 65 Years of Age and Older
Deniz Mut Sürmeli
doi: 10.5505/amj.2024.64022  Pages 96 - 97
Abstract |Full Text PDF

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