Determine the efficiency of program for adolescents predisposed to crime to developing positive interpersonal relationship [Suça yatk?n ergenlerde olumlu kişileraras? ilişkiler geliştirme program?n?n etkinliginin incelenmesi]

Objective: This is a semi-experimental study designed with control-experimental groups aiming to determine the efficiency of program dealing with help adolescents predisposed to crime for developing positive interpersonal relationship. The universe of the study includes 95 adolescents who were registered to the child bureau of Ödemiş County Police Center and the entire universe was decided to be included in the sample. Research was carried out with 60 adolescents who accepted the study. Methods: Adolescents were applied information form, Strength and Difficulties Questionnaire and Interpersonal Relationship Scale at first. Adolescents were divided into control and experiment groups (each groups has 30 adolescents) according to the scores they obtained from scales, age, gender, family type, school attendance status and the classes they attend. Interviews were made for adolescents in the experiment group according to their needed. Interviews that made with each of adolescent were completed in around three weeks, 180 hours. The adolescents whose interviews were finished were applied scales again. The adolescents in the control group were applied the same scales three weeks later. Findings: It was found that all of adolescents were subjected to disciplinary punishment due to fighting. 38.4% expressed that they share their problems with their mothers, 68.4% stated that their relations with their families were 'good' and %3.4 of them stated that they are misunderstood. When the determine the scores of the adolescents in Strength and Difficulties Questionnaire and Interpersonal Relationship Scale total difficulty score was found to be 13.26±4.56, nourishing interpersonal score 30.45±7.23, and poisoning interpersonal relationships score 13.06±6.34. If we consider that the cutoff point of scale, it may be said that adolescents received scores within 'normal' range. In the adolescents in the experiment group, after intervention, statistically significant decrease was found in total difficulty score and poisoning interpersonal relationships style compared to their previous scores (p0.05). No significant change was observed in the control group as no intervention was made (p>0.05).When the relation between the socio-demographic characteristics of the adolescents and their rate of benefiting from the program was investigated, it was found those girls and adolescents who share their problem with friends were benefited more from the program. Discussion: The positive means of changing in score that obtained by experiments groups adolescent shows that program was benefit. The result corrected the opinion that was enlisted to professional helping, support, and safe environment can be help them to solve their problem in spite of living problems in childhood, attaining negative behavior

Striae gravidarum in primigravid women: prevalence, risk factors, prevention interventions and body image

Objectives: The study was conducted to identify the striae gravidarum (SG) prevalence in primigravid women, the influencing risk factors and the preventive interventions, and also to investigate its effect on body perception. Methods: This cross-sectional and descriptive study was conducted on 421 primigravid women who presented to a training and research hospital to have a nonstress test during routine follow-up. The data of the study were collected with the “Data Collection Form”, “Fitzpatrick Skin Type Scale”, “Davey’s Severity Score of Striae Gravidarum” and “Body Image Scale (BIS)”. Results: SG was found to be present in 67% of primigravid women. According to the results of the logistic regression analysis conducted, the presence of social security, sleep duration, BMI in pregnancy, and a history of striae in the mother and/or sister were found to be associated with SG presence (p < 0.05). A very weak positive relationship was found between SG severity in primigravidas and the score obtained from BIS (p < 0.05). The body perception of the pregnant women worsened in the presence of SG and a very weak negative relationship was found between the number of interventions used for prevention and the BIS score (p < 0.05). Conclusion: SG is seen in 7 of 10 women and affects body perception negatively. We recommend providing training and consultancy services both before and during pregnancy on the interventions and lifestyle changes required and topical preparations that can be used to prevent or decrease the severity of SG while taking the risk factors causing the problem into account. © 2019, © 2019 Informa UK Limited, trading as Taylor & Francis Group

Suicide Risk and Depression in Individuals with Chronic Illness

PubMed ID: 30848413The study aims to determine the suicide risk and depression in individuals diagnosed with chronic illnesses. The sample of the study comprised of 286 persons. The Information Form developed by the researchers on the basis of the models available in previous research, Suicide Probability Scale (SPS) and Beck Depression Scale (BDS) were used to collect data. Mann Whitney U-test, Kruskal Wallis test and Pearson correlation analysis were used to evaluate the study data. The mean score of the individuals participating in the study with reference to Suicide Probability Scale were found to be 68.80 ± 9.94 and that with reference to Beck Depression Scale 15.68 ± 9.91. Also, a significant positive relationship was found between the mean scores regarding SPS and BDS scales (r: 0.601, p: 0.000 < 0.05). The SPS and BDS mean scores of individuals who said they had poor mental health, low quality of life and low economic status and that of those who had no support from their families were found to be high in respect of statistical significance. In accordance with these findings, chronic illness is a risk factor that might induce depression and suicide ideation and attempt. According to the statistical analysis, the results of this study shown that people with poor mental health, poor quality of life and low economic status and those who had no support from their families especially had more vulnerable to depression and suicidal behaviours compared with other people. © 2019, Springer Science+Business Media, LLC, part of Springer Nature

Cost of Alzheimer's disease in a developing country setting.

PURPOSE: To evaluate the economic impact of AD in Denizli, Turkey. DESIGN AND METHODS: This observational study was conducted with 42 AD patients and their primary caregivers. During the initial interview, demographic data and medical histories were collected with questionnaires. For an observational period of 15 days, data on time spent for patient care were collected using standard forms. Calculations on direct cost (e.g. per day medication, outpatient physician visits during the last 3 months), indirect cost (e.g. time spent for care by caregiver for daily living (ADL) and instrumental activity of daily living (IADL)) were made by summing up and taking averages of the appropriate items. ANOVA, and linear regressions were the methods for comparisons. RESULTS: The primary caregivers of the patients mainly were their children and/or spouses. The maximum mean time spent (h/week) was 21.0 (17.5) for severely damaged cognition. The average annual cost per case was between $1,766 [95$4,930 (95% CI; 3.3714-6.147). The amount of caregiver cost was the most significant item in the overall cost and it showed an increase with the declining cognitive function of patients. Daily medication cost reflected the same pattern. In contrast, cost of outpatient physician was the lowest among the patients with the worst cognition. CONCLUSIONS: These results suggest that recently AD has become a significant cost for developing countries. This pilot study gives an idea of the cost of AD in developing countries where determining the actual cost can be difficult

Effects of a comprehensive educational program on quality of life and emotional issues of dementia patient caregivers.

The aim of this community-based pre-post interventional study was to investigate the effectiveness of a comprehensive educational program reinforced by an individualized component (CEPRIC) on problems likely to be experienced by caregivers of persons with Alzheimer's disease, as defined by the North American Nursing Diagnosis Association (NANDA). The Beck Depression Scale, Beck Anxiety Inventory, and the Duke scales were used to measure depression, anxiety, and quality of life, respectively. Sixty-four participants (32 caregiver-patient pairs) took part in the program. This study suggests that caregiver problems (disturbed sleep and eating patterns, trauma risk, anxiety) were reduced and caregiver depression and anxiety scores were diminished; quality of life of caregivers was increased by the intervention. In conclusion, the CEPRIC is a viable option for Alzheimer's caregivers' education programs, particularly in an environment with limited respite care options

Age and Body Size of the Mediterranean Chameleon, Chamaeleo chamaeleon (Linnaeus, 1758) (Lacertilia: Chamaeleonidae) Specimens Collected from Adana, Türkiye

Age structure and body size of the Mediterranean Chameleon, Chamaeleo chamaeleon (Linnaeus, 1758) specimens collected from Akyatan, Adana Province (Türkiye) were investigated using the skeletochronology method and the demographic structure was revealed. The mean age was 3.07 years in females and 2.93 years in males. Derived from the LAG configuration, the age at sexual maturity was 1 year in males and 2 years in females. There was no significant correlation between the SVL and age. Moreover, the mean age and SVL were not statistically different between sexes. Results obtained here indicate that C. chamaeleon is one of the short-living lizard species when compared to other lizards. © 2022, ABADER (Adıyaman Bilimsel Arastırmalar Dernegi). All rights reserved.Acknowledgements: This work was supported by Dokuz EylülDokuz Eylül Üniversitesi: KB.FEN.002This work was supported by Dokuz Eylül University Scientific Research Coordination Unit. Project Number: 2017.KB.FEN.002

Mental health need and psychiatric service utilization patterns of refugee children in Turkey: A comparative study

Objective: Turkey is hosting three and a half million of refugee people from Syria and it is the leading refugee hosting country. Despite previous study findings indicating high rates of psychiatric morbidity among refugee children, little is known about the mental health service utilization patterns of refugee children in Turkey. We aimed to investigate psychiatric service utilization pattern and clinical profiles of refugee children and compare the findings with non-refugee children who applied to the same child psychiatry service in Istanbul. Method: We determined sociodemographic characteristics, psychiatric diagnoses, and the number of visits among refugee children in comparison to non-refugees. Predictors of early dropout in refugees were analysed using logistic regression. Results: Our sample comprised 91 refugee children (31.9% female, mean age = 9.02 years) and 82 non-refugees (34.1% female, mean age = 9.32 years). A broad range of war-related traumatic events was reported by the refugee children. The most prevalent traumatic events were hearing shootings or blasts (87.3%), witnessing clashes or bombardment (68.8%), and exposing to corpses or mutilated bodies (33.3%). Even though depression (28.6%) and posttraumatic stress disorder (PTSD) (22%) were more common among refugee children, ADHD (36.3% in refugee vs. 47.6% in non-refugee) was the most common disorder in both groups. Refugee children were attended fewer appointments for mental healthcare than non-refugee children (p &lt; 0.05). Logistic regression analysis revealed that the lower likelihood of early dropout from mental healthcare service were associated with having ADHD (OR 0.229, 95%C.I: 0.066–0.798) and PTSD (OR 0.125, 95%C.I:0.030–0.520) diagnoses in refugee group. Conclusions: Our findings highlighted that clinicians and service providers should be aware of refugees&apos; complex mental health needs and social difficulties. To provide effective mental health services for refugee children, it is crucial to develop policies facilitating the access to the services and increasing the treatment adherence. © 2021 Elsevier Lt

Evaluation of the relationship between emotional and behavioral problems and quality of life of adolescents in school

Bilgin, sonay/0000-0003-2229-3820WOS: 000502486800001PubMed: 31835908This study was conducted to determine the quality of life and difficulties of adolescents in school age. This descriptive study was conducted in a city center three secondary School. Similarly from each school 114,114,116 people participated in the study, 4 students could not be included in the study due to insufficient data and the study was completed with 344 students. Questionnaire developed by the researcher, the Strengths and Difficulties Questionnaire (SDQ), and the Pediatric Quality of Life Inventory (PedsQL) were used for data collection. Research was completed in line with the ethical principles. According to the evaluations, it was observed that 50.6% of the students was 13 years old, 52% was male, and 53.5% was in the seventh grade. The total score average for PedsQL was 81.58 +/- 13.65, and the mean total score for SDQ was 25.02 +/- 4.813. A positive and significant correlation was found between "behavioral problems" subscale score of the SDQ and all subscales of PedsQL except the "physical health" subscale as well as the positive and significant correlation between the mean total scores of PedsQL and SDQ. It was observed that the quality of life of the students is affected negatively as the difficulties experienced during adolescence increase. Some recommendations were made to reveal the problems experienced by school-age adolescents and to increase their quality of life

Barriers and Facilitators to Breast Cancer Screening Among Migrant Women Within Turkey

Aim: The purpose of this study was to examine facilitators and barriers that migrant women in Turkey identified related to breast self-examination, clinical breast examination, and mammography. Design: Focus group method was conducted with 39 women. An interview guide based on the Health Belief Model (HBM) and the Health Promotion Model (HPM) was used. Results: Three main themes became apparent as a result of data analysis: (a) knowledge and awareness about breast cancer, (b) personal factors, and (c) medical service provider and social environment. Conclusions: Focus groups conducted in line with HBM and HPM were effective in explaining barriers and facilitators toward participation of women in screening behaviors. Lack of information, indifference, and cultural factors are the most important barriers of women. Recommendations for Practice: The study will shed light on health care professionals working in primary health care organizations for developing the health training programs and consulting strategies in order to increase breast cancer screening practices of migrant women