BEYKENT 1ST
INTERNATIONAL
HEALTH SCIENCES
RESEARCH DAYS CONGRESS
- Nutrition, Diet, Healthy Life and ıllness
- Health Care and Nursing
- Innovation and Health Management
- Clinical Health Care and Physiotherapy
- Medical and Dental Health in the Future
Laboratories and Health Care Facilities
i
BEYKENT 1ST INTERNATIONAL HEALTH
SCIENCES RESEARCH DAYS CONGRESS
16-18 JUNE 2019 ISTANBUL/TURKEY
ABSTRACT BOOK
Edited by
Prof. Dr. Aysegul Yildirim Kaptanoglu
ISBN: 978-975-6319-35-2
e-ISBN: 978-975-6319-36-9
Beykent Üniversitesi Yayınları, No: 132
Baskı: Toprak Grafik Reklamcılık Matbaacılık San. ve Tic. Ltd. Şti.
0212 430 77 75 / 0212 430 99 92
info@toprakgrafik.com
2019
ISTANBUL
ii
Beykent 1st International Health Sciences Research Days Congress
16-18 June 2019 Istanbul/Turkey
This book is subject to copyright. All rights are reserved, whether the whole or part of
the material is concerned. Nothing from this publication may be translated, reproduced, stored
in a computerized system or published in any form or in any manner, including, but not
limited to electronic, mechanical, reprographic or photographic, without prior written
permission from the publisher.
The individual contributions in this publication and any liabilities arising from them
remain the responsibility of the authors. The publisher is not responsible for possible
damages, which could be a result of content derived from this publication.
Published, June 2019
www.beykent.edu.tr
anilaydin@beykent.edu.tr
iii
MONDAY 17 JUNE 2019
SUNDAY 16 JUNE 2019
BEYKENT 1ST INTERNATIONAL HEALTH SCIENCES RESEARCH DAYS CONGRESS SCIENTIFIC PROGRAMME
Time Theme
13.00-17.00 Opening Ceremony and Registration
20.00-22.30 Welcome Reception and Opening Cocktail
Time Theme Speakers
9.00-9.45 Opening Ceremony
Prof. Dr. Murat Ferman (Rector, Beykent University)
Prof. Dr. Aysegul Yildirim Kaptanoglu (Beykent University)
9.45-11.15
Future Of The Health Care
Chair: Prof. Dr. Aysegul Yildirim Kaptanoglu (Beykent University) Trends in Healthcare
Assist. Prof. Dr. Hassan Salman Mirza (Sultan El Qaboos University)
Palliative Care: Raising Question
Prof. Dr. Lyubima Despotova-Toleva (Plovdiv Medical University)
Economic Side of Healthcare
Dr. Dan Sava (Romania Former World Bank Consultant)
Cooking With AI: A Recipe for implementing Artificial Intelligence in Healtcare
Dr. Gabriel Catan (Hebrew University of Jerusalem)
11:15-11:30 Coffee Break
11.30-12.30
Sports Health and Management
Chair: Assist. Prof. Suheyl Pozanti (Beykent University) Rehabilitation in Sports Injury: How Do
We Do in the Football Club?
Dr. Armagan Arslan (Basaksehir Football Club)
Sports Management
Prof. Dr. Oguz Ozyaral and Team (Istanbul Rumeli University) Population of Patient Presented in Sports
Medicine Polyclinic
Dr. Sertac Yakal (Istanbul University)
Physiotherapy in Sports
Msc PT. Armad Gozbek (Turkish Football Federation)
12.30-13.30 Lunch Time
13:30-14:50
Complementary Treatment Applications in Nursing Chair: Assist. Prof. Hatice Dilek Dogan
Complementary Alternative Treatment Practices in Chronic Diseases
Assist. Prof. Hilal Uysal (Istanbul University – Cerrahpasa)
Complementary Alternative Treatment
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TUESDAY 18 JUNE 2019
Complementary Alternative TreatmentPractices in Women's Health
Assist. Prof. Hulya Erbaba (Beykent University)
13:30-14:20 (D-317)
Workshop: Artificial Intelligence and Big Data in Health
Chair: Prof. Dr. Aysegul Yildirim Kaptanoglu (Beykent University), Assist. Prof. Dr. Hassan Salman Mirza (Sultan El Qaboos University) and Rustu Altili
Dr. Gabriel Catan (Hebrew University of Jerusalem)
and Dr. Dan Sava (Romania Former World Bank Consultant)
14:50-15:00 Coffee Break
15:00-17:00 (D-318-319)
Parallel Session: Oral Presentation
Dr. Anwar Khan (University of London) and
Assist. Prof. Ismail Secer (Beykent University)
15:00-17:00
(D-313) Poster Walk
Res. Asst. Furkan Cakir (Beykent University)
15:00-15:30 Trauma and Health Prof. Scott Giacomuzzi (Penn State University)
15:30-16:00 Eating Disorders in Children Assist. Prof. Tuba Kayan Tapan (Demiroglu Bilim University)
16:00-17:00
Changing Paradigms in Health Care Systems and New Trends Chair: Prof. Dr. Aysegul Yildirim Kaptanoglu (Beykent University) New Trends and Health Management
According to Paradigms
Health and Trends
Assoc. Prof. Birkan Tapan (Demiroglu Bilim University)
Prof. Dr. Aysegul Yildirim Kaptanoglu Assist. Prof. Suheyl Pozanti (Beykent University)
Time Theme Speakers
09:00-09:40
New Trends and Applications in Physiotherapy Chair: Assist. Prof. Suheyl Pozanti (Beykent University) Physical Therapy And Rehabilitation On
Low Back Pain
Assoc. Prof. Esra Erkol Inal (Beykent University)
Management of Far-Lateral Disc Herniation
Prof. Dr. Cetin Ayhan Evliyaoglu (Beykent University)
09:40-10:00 Coffee Break
10.00-12.00
New Trends in Health Care Management
Chair: Prof. Dr. Ibrahim Halil Cankul (Arel University)
Innovation and Process Management Assoc. Prof. Emre Isci (Marmara University) Geriatric Health Care Management in
Turkey
Assist. Prof. Suat Peker (Arel University)
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Management Trends Assist. Prof. Abdulkadir Guclu (Istanbul Aydin University) Social Consciousness and Health Literacy
in Health
Assist. Prof. Ismail Secer (Beykent University)
and Lec. Emir Hasan Olmez (Beykent University)
How has the human genome project changed our treatment approach in cancer patients?
Prof. Dr. Berrin Pehlivan (Altinbas University)
12.00-13.00 Lunch Time
13:00-14:30
Nutrition and Diet
Chair: Assist. Prof. Muhammet Turabi Yerli (Beykent University)
Eating Behaviours In Children Assist. Prof. Nihan Cakir Bicer (Kultur University) Psychodrama – About Food and Dıet Prof. Dr. Kylyvnyk Anatoly (Ukrainian
State University)
Changing Behavior Using Psychodrama Prof. Dr. Horshkova Maria (Khmelnytskyi National University)
14:30-14:45 Coffee Break
14:45-17:20 (D-318-319)
Parallel Session: Oral Presentation
Prof. Dr. Lambrini Kourkouta
(Alexander Technological Educational Institute of Thessaloniki) and
Assist. Prof. Ismail Secer (Beykent University)
14:45-17:20
(D-313) Poster Walk
Res. Asst. Okan Anil Aydin (Beykent University)
14:45-16:20 (D-317)
Workshop: Current Trends in Health Care and
Psychodrama and Behavioral Food Consumption
Chair: Assist. Prof. Muhammet Turabi Yerli (Beykent University)
Prof. Dr. Kylyvnyk Anatoly (Ukrainian State University) and
Prof. Dr. Horshkova Maria
(Khmelnytskyi National University)
Current Trends in Health Care Innovation in Nursing Chair: Assist. Prof. Hulya Erbaba (Beykent University) 14:45-16:00
Activating Innovations in Nursing and Innovation Product Examples
Assist. Prof. Yeliz Dogan Merih (Health Sciences University) Innovative Approaches in Health
Education
Lec. Hamiyet Kizil (Beykent University)
16.00-17:00
Microbiota
Chair: Assoc. Prof. Esra Karaca Ciftci (Beykent University)
An Overview of Human Microbiota Lec. Meryem Yildiz Ayvaz (Beykent University)
Chronic Diseases and Microbiota
Assist. Prof. Hatice Dilek Dogan (Beykent University)
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Beykent 1st International Health Sciences Research Days Congress
16-18 June 2019 Istanbul/Turkey
ORGANIZATION COMMITTEE
CONGRESS HONORARY PRESIDENT
Prof. Dr. Murat Ferman - Beykent University Rector
CONGRESS PRESIDENT
Prof. Dr. Aysegul Yildirim Kaptanoglu - Beykent University
MEMBERS OF THE ORGANISATION COMMITTEE
Prof. Dr. Aysegul Yildirim Kaptanoglu
Assoc. Prof. Esra Karaca Ciftci
Assist. Prof. Ismail Secer
Assist. Prof. Suheyl Pozanti
Assist. Prof. Turabi Yerli
Asst. Res. Cisem Bastarcan
Asst. Res. Funda Gargaci
Asst. Res. Furkan Cakir
Asst. Res. Okan Anil Aydin
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ADVISORY COMMITTEE
Prof. Bulent Katipoglu, Beykent University, Istanbul /Turkey
Prof. Burak Omur Cakir, Beykent University, Istanbul /Turkey
Prof. Cetin Ayhan Evliyaoglu, Beykent University, Istanbul /Turkey
Prof. Rehat Faikoglu, Arel University, Istanbul / Turkey
Prof. Metin Ates, Arel University, Istanbul / Turkey
Assoc. Prof. Emre Isci, Marmara University, Istanbul / Turkey
SCIENTIFIC COMMITTEE
Prof. Ahsen Sirin, Retired Faculty Member, Istanbul / Turkey
Prof. Aysegul Yildirim Kaptanoglu, Beykent University, Istanbul / Turkey
Prof. Cengiz Yakinci, Inonu University, Malatya / Turkey
Prof. Cetin Ayhan Evliyaoglu, Beykent University, Istanbul /Turkey
Prof. Dalila Maria Lino, Instituto Politécnico de Lisboa, Lisbon / Portugal
Prof. Despina Sapountzi-Krepia, Frederick University, Nicosia / Cyprus
Prof. Ed Jacobs, West Virginia University, West Virginia / United States of America
Prof. Elizabeta Popova-Ramova, University “St. Kliment Ohridski”, Bitola / Republic of
Macedonia
Prof. Ferda Ozbasaran, Zaim University, Istanbul / Turkey
Prof. Halil Ibrahim Cankul, Arel University, Istanbul / Turkey
Prof. Haluk Hayri Oztekin, Beykent University, Istanbul / Turkey
Prof. Lambrini Kourkouta, Alexander Technological Educational Institute, Thessaloniki /
Greece
Prof. Lyubama Despotova Toleva, Medical University, Plovdiv / Bulgaria
Prof. Metin Ates, Istanbul Arel University, Istanbul / Turkey
Prof. Musa Ozata, Ahi Evran University, Kırsehir / Turkey
Prof. Nuran Komurcu, Istanbul Aydin University, Istanbul / Turkey
Prof. Oguz Ozyaral, Istanbul Rumeli University, Istanbul / Turkey
Prof. Ramazan Erdem, Suleyman Demirel University, Isparta / Turkey
Prof. Rehat Faikoglu, Arel University, Istanbul / Turkey
Prof. Stela Georgieva, Medical University Pleven, Pleven / Bulgaria
Prof. Suzan Yildiz, Istanbul-Cerrahpasa University, Istanbul / Turkey
viii
Assoc. Prof. Diler Aydin, Bandırma On Yedi Eylul University, Balikesir / Turkey
Assoc. Prof Emre Isci, Marmara University/ Istanbul / Turkey
Assoc. Prof. Erkut Altindag, Beykent University, Istanbul / Turkey
Assoc. Prof. Esra Erkol Inal, Beykent University, Istanbul / Turkey
Assoc. Prof. Esra Karaca Ciftci, Beykent University, Istanbul / Turkey
Assoc. Prof. Isam Denna, Bingazi University, Bingazi / Libya
Assoc. Prof. Mahmut Akbolat, Sakarya University, Sakarya / Turkey
Assoc. Prof. Sedat Bostan, Ordu University, Ordu / Turkey
Assoc. Prof. Selma Altindis, Sakarya University, Sakarya / Turkey
Assoc. Prof. Sevgi Sevi Yesilyaprak, Dokuz Eylul University, Izmir / Turkey
Assoc. Prof. Silviya Aleksandrova-Yankulovska, Medical University Pleven, Pleven /
Bulgaria
Assoc. Prof. Taskın Kilic, Ordu University, Ordu / Turkey
Assoc. Prof. Volkan Ongel, Beykent University, Istanbul / Turkey
Assoc. Prof. Yunus Emre Ozturk, Selcuk University, Konya /Turkey
Assist. Prof. Ali Yilmaz, Kirikkale University, Kirikkale / Turkey
Assist. Prof. Azize Nilgun Canel, Marmara University, Istanbul / Turkey
Assist. Prof. Cem Dikmen, Cyprus International University, Nicosia / Cyprus
Assist. Prof. Hassan Salman Mirza, Sultan Qaboos University, Muscat / Oman
Assist. Prof. Ismail Secer, Beykent University, Istanbul / Turkey
Assist. Prof. Necati Findikli, Beykent University, Istanbul / Turkey
Assist. Prof. Rebecca Spirito Dalgin, Scranton University, Scranton / United States of
America
Assist. Prof. Suheyl Pozanti, Beykent University, Istanbul / Turkey
Assist. Prof. Tuba Kayan Tapan, Demiroglu Science University, Istanbul / Turkey
Assist. Prof. Turabi Yerli, Beykent University, Istanbul / Turkey
Assist. Prof. Ulku Demirci, Gedik University, Istanbul / Turkey
Dr. Gabriel Catan - Hebrew University of Jerusalem, Isreal
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KEYNOTE SPEAKERS
Prof. Horshkova Mariia - Master Of Psychology - The Vinnytsia School Of Modern
Psychotherapy, Teacher. Psychodrama Practitioner, Ukraine
Prof. Kylyvnyk Anatoly - Trainer of the Vinnytsia School of Modern Psychotherapy in the
direction of psychodrama, Ukraine
Prof. Dr. Lambrini Kourkouta - Professor at Alexander Technological Educational Institute of
Thessaloniki, Greece
Prof. Dr. Lyubima Despotova Toleva - Plovdiv Medical University, Bulgaria
Prof. Scott Giacomucci - Executive Council - American Society of Group Psychotherapy and
Psychodrama, Clinical Social Work Doctoral Candidate, Penn State University, USD
Assist. Prof. Hassan Salman Mirza - Professor at Sultan Qaboos University | SQU · Department
of Behavioural Medicine, Muscat, Muscat, Oman
Dr. Anwar Khan - Professor at Chair of North East London Joint Commissioning Committee
University of London, England
Dr. Dan Sava. - Professor at Health specialist consultant at The World Bank. Bucharest,
Romani
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WELCOME TO BHSRDC 2019
Dear Colleagues;
We are honored to announce that the Beykent 1st International Health Sciences Research Days
Congress will be held at
Beykent University Buyukcekmece Campus – Istanbulbetween June
16-18 2019 and invite you to this scientific meeting.
Beykent 1st International Health Sciences Research Days Congress provides an ideal academic
platform for health researchers to present the latest developments, research findings, ideas and
applications about all aspects of health science and health culture. The purpose of this
conference is to come together with scientific studies scholars working in different health care
disciplines, to exchange knowledge and experiences and thus to prepare the ground for
multidisciplinary health care studies. The conference will bring together leading health
academic scientists, researchers and scholars in the domain of interest from around the world.
You are kindly invited to participate and take advantage of the opportunity to present your
unpublished abstracts or/and full length health scientific papers.
We invite you to the scientific and social program Beykent 1st International Health Sciences
Research Days Congress with the your valuable contributions.
Your submissions will be most welcome and your particular contributions highly appreciated.
The hosts shall spare no effort in making your participation scientifically rewarding and
meaningful and your stay in Istanbul as enjoyable as possible. We are confident that you will
carry pleasant memories of this occasion. So just reserve your dates; we are looking forward to
welcoming you in Turkey.
Kind Regards…
Prof. Dr. Aysegul Yildirim Kaptanoglu
Congress President
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CONTENTS
ORAL
PRESENTATION
NURSING...……….1 OP-01 Behice Belkıs CALISKAN, Yasemin Eda TEKIN - Mental Problems of Childhood Survivors and Prevention Practices……….…..1 OP-02 Burcu KURALAY, Yagmur ISIT, Rabia MUHAN, Ozan OZKOL - In the 65 Years of Age, The Importance of the Insurmountable……….2 OP-03 Cisem BASTARCAN, Esra KARACA CIFTCI - Investigation of Researches on Postpartum Breastfeeding Problems………....3 OP-04 Cisem BASTARCAN, Gunes BOLATLI - History and Anatomy of Cesarean Section………..4 OP-05 Hamiyet KIZIL, Meryem YILDIZ AYVAZ, Gunes BOLATLI, Esra KARACA CIFTCI - Attitudes of Health Education Students About Artificial Intelligence……….………...5 OP-06 Hatice Dilek DOGAN - Bibliometric and Qualitative Analyses of Nursing Doctoral Theses on Traditional and Complementary Medical Practices Used for Pain Management………...6 OP-07 Hatice Dilek DOGAN, Kadir CALISKAN - Why Rational Drug Management in the Elderly?..8 OP-08 Hulya ERBABA - Narcotic Analgesics: Opioids……….………...10 OP-09 Hulya ERBABA - Thermal Based Contraceptives, Female Condoms………….….…...…….11 OP-10 Irem KAYIK, Seyda SAYDAMLI, Merve BAT TONKUS - Istanbul Yeni Yuzyil University Leadership Behavior of the 3rd and 4th Class Nursing Students………..………….12 OP-11 Kimya KILICASLAN, Cansu Polat DUNYA, Zeliha TULEK - Unhealthy Gut, Unhealthy Brain: Microbiota in Neurodegenerative Diseases The Reflection of Education Technology on Evidence Based Nursing Practices……….13
OP-12 Koukourıkos KONSTANTINOS - Autism Spectrum Disorder and Animal-Assisted Therapy.14 OP-13 Kourkouta LAMBRINI - Asclepieion: a Total Healing Environment…….………..………….15 OP-14 Meryem YILDIZ AYVAZ, Melike Merve URLU, Pelin CANSAP - Cancer and Microbiota..16 OP-15 Meryem YILDIZ AYVAZ, Yunus Emre AKYOL, Melek DEMIRAL - Innovation in Nursing and Innovative Attitudes of Nurses……….………...17 OP-16 Tsaloglidou ARETI - Nurses Ethical Issues and Dilemmas in Intensive Care Unit: Working in a Multicultural Environment……….18 OP-17 Yasemin Eda TEKIN, Behice Belkıs CALISKAN - Prevention and Treatment of Incontinence Associated Dermatitis……….19
HEALTH MANAGEMENT…...……….20 OP-18 Aysegul YILDIRIM KAPTANOGLU - Leadership Perception At Primary Healthcare Centers………20 OP-19 Basak INAN, Selma ALTINDIS, Cigdem UGAN - The Effect of Organizational Stress on Work Performance in Hospital Employees…….………....……...21 OP-20 Canan METINOGLU - Marketing Strategies in Health Tourism; A View From Our Country Perspective……….……….23
xii
OP-21 Davut CELALI, Suheyl POZANTI - Examining the Economics and Management of Osteoporosis………24 OP-22 Emir Hasan OLMEZ - Measurement of Patients 'Perception Levels on Physician Empatics and Physician Empatics: Case of Special Hospitals……….……….25 OP-23 Halil DEMIR, Oguz OZYARAL - Evaluation of Sports Services in Terms of Health Services Management………26 OP-24 Hulya ERTURK, Aysegul YILDIRIM KAPTANOGLU - How To Manage Health Tourısm Byusıng Heybeliada As A Health Island……….………..……….27 OP-25 Huseyin ARI - The Effects of Public Budget to Capacity of Health Financing; an Example of Turkey……….28 OP-26 Idil YILDIRIM ARI - Health Care Labor Force Knowledge of Turkish Occupational Legislation and Related Health and Safety Hazards………...29
OP-27 Melek ESKI, Suheyl POZANTI - The Use of Effective Communication Techniques in Family Medicine, The Effect of IT on Reducing Patient Complaints, and the Examination of Applications to Sabim Bimer Cimer in 2017 in Besiktas Region and the Proposal of Solution……..………...30 OP-28 Muhammet Alperen YAVUZ, Selma ALTINDIS, Cigdem UGAN - Comparison of the Contents of Hospital Mission Expressions……….31
OP-29 Mutlu URAL, Oguz OZYARAL - Lifelong Sports Approach After Professionalism in Elite Athletes an Evaluation on..……….………32 OP-30 Nuray ERKURT, Selma ALTINDIS, Cigdem UGAN - Investigation of Quality Perception in Health Workers: A Case of Yalova……….………...33 OP-31 Okan Anil AYDIN - Is There a Relation Between Five Factor Personality Features and Advertising Allowed in Health? ……….………...34 OP-32 Olebeng Mpho MACKENZIE , Nezihe TUFEKCI - Access to Healthcare Services for People With Disabilities: A Research in the Republic of Botswana………...…….………..35 OP-33 Seyhan BULAN KARAN - Examination of Occupational Health and Safety Awareness of Health Sciences School Students……….……….………..…………36 OP-34 Songul ILKBAS, Fulden DEMIR, Suheyl POZANTI - Event Reporting System at A University Hospital………...37 OP-35 Tugba SOZEN, Ismail SECER - Evaluation of the Relationship Between Quality of Life of Nurses Working in Children Clinic and Satisfaction of Nursing in Patients………..………..…..39 OP-36 Zeynep OZBEKLER, Ismail SECER - Private Hospital and Nurses Working in University Hospitals Quality Studies and Quality Assessment Awareness of Forms………..………..…..40
PHYSIOTHERAPY……..……….………..……….………41 OP-37 Ebru SEKER ABANOZ, Fahri KOROGLU, Ozge TAHRAN, Tugba CIVI KARAASLAN, Goksen KURAN ASLAN, Ozge UNAL BAYRAKTAR, Esen KIYAN - Investigation of Physical Activity and Healthy Lifestyle Behaviours of Individuals Applied to Hospital for Respiratory Distress - Pilot Study……….………...41 OP-38 Feyzanur SENEL - Relationship Between Pain and Balance………...……..…42 OP-39 Furkan CAKIR, Neslihan KARABACAK, Zubeyir SARI - Technological Rehabilitation Philosophy……….……….43 OP-40 Hilal BUGACAYIR - Fibromyalgia Syndrome……….……….……44 OP-41 Hilal Ulku DOGRUYOL - Mirror Therapy in Hemiplegia Rehabilitation………….…………45
xiii
OP-42 Ibrahim GURAN, Oguz OZYARAL - Kinematic Effect Analysis Of Mobile Phones On Spine
Health………..46
OP-43 Mahsum EREN, Filiz CAN - Investigation of The Effects of Acupressure Application in Addition to Manuel Treatment in Physiotherapy-Rehabilitation of Patienst With Chronic Low Back Pain……….47
OP-44 Mehmet Eren UCUZOGLU, Yasemin KARAASLAN, Ozge TAHRAN, Furkan CAKIR, Cetin Ayhan EVLIYAOGLU - The Effect of Internet Addiction on Physical Activity Levels, Body Awareness and Anxiety Levels in University Students……….……….48
OP-45 Yaren AKSAR - Urinary Incontinence and Pelvic Floor Muscle Training in Pregnancy……..49
OP-46 Yasemin SAHBAZ, Goksen KURAN ASLAN - The Effect of Smoking on Exercise Capacity in Young Adults………...….………..50
NUTRITION AND DIETETIC………...………51
OP-47 Dilsad OKUDUR, Tuba KAYAN TAPAN, Cetin ORDU - Determination of Nutritional Status in Different Oncologic Cases Receiving Chemotherapy……….…………51
OP-48 Esin BASKAYA, Fatih KALKAN - Fetal Programming of Obesity and Metabolic Dysfunction: Review……..………52
OP-49 Esra SIK - In the Light of Nutri-Omic Sciences “Are We Really What We Eat?”…….……...53
OP-50 Funda GARGACI, Rabia Iclal OZTURK - Determination of Nutritional Status, Nutrition Habits and Prognosis of the Disease and the Investigation Anxiety State of Parents in Cystic Fibrosis Children...54
OP-51 Irem DURCEK, Muhammet Turabi YERLI - Do Midwives Have Sufficient Knowledge About Pregnant Nutrition? Who Should Give Nutrition Training to the Pregnant?...55
OP-52 Sehriban Gul OZCELIK - Changes of Nutritional Values During Frying………..………56
CLINICAL HEALTH SCIENCES AND LABORATORIES……….……….57
OP-53 Cemil KARAKUS - Is the Popularity of Intrauterine Insemination (IUI) Decreasing?...57
OP-54 Cemil KARAKUS, Erkan ERDEM - Evaluation of the Efficacy of Microscopic Varicocelectomy in Primary and Recurrent Varicocele Treatment………58
OP-55 Merve KOSEOGLU, Tugba AYHANCI, Elif Tugce NACAR, Aysu KELLE, Hacer COSKUN, Melike AKYOL, Mine KESKIN, Selma ALTINDIS - Investigation of Toothpaste Selection Criteria of Adults………..59
OP-56 Merve KOSEOGLU, Ozge BAL, Ozgur SANCAR, Selma ALTINDIS - Determination of Adults’ Awareness About Dental and Oral Health………...……….….60
OP-57 Muhsin BALABAN, Aysegul YILDIRIM KAPTANOGLU - Endoscopic Management of Vesicoureteral Reflux in Transplanted Kidney: Experience of 50 Cases………...61
OP-58 Necati FINDIKLI - The Role of Mitochondria in Reproductive Medicine: Science or Fiction?...62
PANEL PRESENTATION………...63
PP-01 Abdulkadir GUCLU, Ismail SECER - Fashions in Management……….…..……….63
PP-02 Armad GOZBEK - Physiotherapy in Sports……….……….…..64
xiv
PP-04 Aysegul YILDIRIM KAPTANOGLU - Vanguard in Health Care Management in The
Future………..……66
PP-05 Aysegul YILDIRIM KAPTANOGLU, Anwar KHAN -
Future of Primary Care:
Commissioning to Reduce Inequity, Improve Outcomes and Support Patient Centered Palliative
Care in East London. Lessons Learned and Planning Ahead
………..67PP-06 Berrin PEHLIVAN - How Has The Human Genome Project Changed Our Treatment Approach in Cancer Patients?...68
PP-07 Birkan TAPAN - The Current Situation of Private Health Care Sector in Turkey- Problems and Suggestions for Solutions……….……….………….69
PP-08 Cetin Ayhan EVLIYAOGLU - Management of Far Lateral Lumbar Disc Herniations…….…70
PP-09 Dan SAVA - The Medical Proletarian……….……….…...71
PP-10 Emre ISCI - Innovation and Process Management in Health Care…….……….72
PP-11 Esra ERKOL INAL - Physical Therapy and Rehabilitation on Low Back Pain……..……...…73
PP-12 Esra KARACA CIFTCI - Complementary and Alternative Medicine Children……...……..…74
PP-13 Gabriel CATAN - Cooking with AI: A Recipe for implementing Artificial Intelligence in Healthcare………...75
PP-14 Hamiyet KIZIL - Innovative Approaches in Health Education……….……...76
PP-15 Hassan Salman MIRZA - Trends in Healthcare……….…..………..………….….…...77
PP-16 Hatice Dilek DOGAN - Chronic Diseases and Microbiota…….………..…………..……..…..78
PP-17 Hilal UYSAL - Complementary Alternative Treatment Practices in Chronic Diseases……….80
PP-18 Hulya ERBABA - Traditional and Complementary Medicine Applications in Women's Health………...….…..81
PP-19 Ibrahim Halil CANKUL, Suat PEKER - Geriatric Health Services Management and Organization in Turkey…..………..….………..82
PP-20 Ismail SECER, Mustafa Onder TURA - Social Consciousness and Health Literacy in Health..83
PP-21 Kylyvnyk ANATOLY - Psychodrama – About Food and Diet……….…….……….…………84
PP-22 Lyubima DESPOTOVA-TOLEVA - Palliative Care: Raising Questions….………..…85
PP-23 Maria HORSHKOVA - Lovehunger Is Stronger Then Foodhunger ………..………86
PP-24 Nihan CAKIR BICER - Eating Behaviours in Children….………....….87
PP-25 Meryem YILDIZ AYVAZ - An Overview of Human Microbiota………..…………88
PP-26 Oguz OZYARAL - Sports Management……..……….……….………….89
PP-27 Salih INAL - Diagnosis and Epidemiology of Chronic Kidney Disease…………...…..….…90
PP-28 Sertac YAKAL - Population Of Patient Attending in Sports Medicine Polyclinic...…………..91
PP-29 Suheyl POZANTI - New Trends in Health and Healthcare Management...……….….92
PP-30 Scott GIACOMUCCI - Bio-Psycho-Social-Spiritual Integration Through Experiential Trauma Therapies……….………..………..………93
PP-31 Tuba KAYAN TAPAN - Eating Disorder in Children………….………...94
PP-32 Yeliz DOGAN MERIH - Activating Innovation in Nursing and Examples of Innovative Products……….….95
1
ORAL PRESENTATION
NURSING
OP-01: MENTAL PROBLEMS OF CHILDHOOD SURVIVORS AND PREVENTION
PRACTICES
Behice Belkıs CALISKAN1, Yasemin Eda TEKIN1
1Istanbul Aydın University, Health Sciences Faculty, Nursing Department
Based on data collected by the International Agency for Research on Cancer (IARC) in more than 100 population-based cancer registries in 68 countries, between 2001 and 2010, approximately 215,000 cancers are diagnosed annually in children under 15 years of age and around 85,000 in young people aged 15-19 years. IARC Director According to Christopher Wild; The proportion of children who die of cancer, especially in poor countries, is considerably higher than in rich countries, due to the difficulties in accessing treatment and care. End of cancer treatment and especially 5 years without disease is considered to be an indication of the end of treatment and complete recovery. However, even after the end of cancer treatment, further effects continue to be seen in children. Advanced effects; defined as continuous changes caused by disease, treatment, or both. Physical, psychosocial and neuro-cognitive late effects and related problems are seen in children whose cancer treatment is terminated. Cancer causes anxiety, fear, helplessness, depression, uncertainty and hopelessness in individuals of all ages with its diagnosis, disease process and treatment due to struggle with an uncertain future. Even after the end of the treatment, these problems adversely affect the quality of life of the child and the family. Some programs have been developed to provide psychosocial support to children and families. The purpose of psychosocial monitoring programs; careful evaluation of survivors' education, professional progress, social adaptation, mental processes (depression, anxiety, post-traumatic situation, suicidal ideation) every year, psychological counseling considering that physical deformities and developing chronic barriers will create emotional difficulties, appropriate psychotropic drug intake In order to get help from the specialist in terms of post-traumatic stress disorder, to evaluate families, psychologists, social workers, by contacting guidance services to support the child's social life.
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OP-02: IN THE 65 YEARS OF AGE, THE IMPORTANCE OF THE
INSURMOUNTABLE
Burcu KURALAY 1, Yagmur ISIT 1, Rabia MUHAN 1, Ozan OZKOL 2
1Acıbadem Mehmet Ali Aydınlar University Nursing Department Student 2Marmara University Nursing Department Student
According to the research conducted in the world, it is seen that there is an increase in the population of the human life and, depending on it, the elderly populations. Old age is a natural physiological process, despite the decrease in the body functions in the course of time, nowadays, many people live a quality life and living in a healthy way with advanced age. In order to ensure this quality of life, preventive health services to individuals during old age are of great importance. Immunization is also the leading preventive health care services. Influenza (flu), pneumococcal disorders (pneumonia, meningitis, sepsis), tetanus, hepatitis B and zona zoster disease are the leading diseases that can affect the elderly and can be prevented by immunization. Vaccinations proposed by the Ministry of Health for the elderly; Pneumococcus, influenza, tetanus vaccines every 10 years and according to risk groups measles measles mumps (KKK), meningococcus, hepatitis B, vaccines such as chickenpox vaccines. However, the literature shows that elderly immunization rates and knowledge levels are low. To increase these immunization rates, it is important that healthcare professionals who work in health centres inform individuals and create awareness. The aim of this review is to evaluate the studies on vaccination rates in Turkish literature, noting the importance of immunization in individuals over the age of 65.
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OP-03: INVESTIGATION OF RESEARCHES ON POSTPARTUM
BREASTFEEDING PROBLEMS
Cisem BASTARCAN 1, Esra KARACA CIFTCI 1
1Beykent University, School of Health Sciences, Nursing Department
In this study, Turkey in the postpartum period for mothers breastfeeding problems and solution proposals for addressing these issues of research aimed to evaluate. In the descriptive study, between May and June 2019, the literature was searched using Google Academic, PubMed and National Thesis Center databases using the keywords “breastfeeding”, “postpartum”, “postpartum breastfeeding problems”, “puerperium breastfeeding problems”. In the study, conducted in Turkey between the years 2015-2019, published in Turkish or English and reached full text, studies examining the issue of breastfeeding problems in the postpartum period is taken into evaluation. Reviews, abstracts, case reports and scale development studies were not included in the evaluation. As a result of the screening of the keywords identified in this research, 531 studies (Google academic: 438, PubMed: 13, National Thesis Center: 80) were reached. The 531 studies reached were examined according to their titles and then their abstracts and 519 studies that did not meet the inclusion criteria were excluded. The remaining 12 studies were re-evaluated in terms of the inclusion and exclusion criteria of the full texts and 10 studies that were suitable for the purpose of the study were included in this study. It was determined that researches included in the study 1 of the was quasi-experimental, 1 of them was descriptive comparative and 8 of them were descriptive, 7 of them were conducted in hospital, 2 of them were conducted in Family Health Center and 1 of them were conducted in home environment.
According to the researches, 52.3% and 47.9% of breast and breastfeeding problems were determined, among the problems related to the breast, 58.2% had fullness, swelling and fever in the breast, 57.3% had nipple fractures, 46.7% had breast pain, 12.6% had reverse nipple, 9.7% had nipple bleeding. In another study, problems such as pain in the nipple (32.6%), absence of milk (28.3%), collapse of the nipple (26.1%) were detected.
The results of the research showed that mothers had breast problems and these problems were generally caused by the wrong breastfeeding technique and that the babies could not be breastfeeded adequately, and various traditional practices were used for breast and breastfeeding problems. It is thought that the number of studies including the correct identification of the problems and the evidence-based practices for the problems should be increased.
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OP-04: HISTORY AND ANATOMY OF CESAREAN SECTION
Cisem BASTARCAN 1, Gunes BOLATLI 1 1Beykent University, School of Health Sciences, Nursing Department
According to World Health Organization (WHO) data, caesarean section rates have increased over time in almost all countries of the world and exceeded the recommended rate of 10-15%. This increase in our country in recent years is quite remarkable.
Cesarean section is the delivery process that allows the babies who cannot be born vaginally by opening the abdominal wall and uterus. During the incision in the abdomen to reach the uterus, many layers are intervened. Cesarean section is widely used today. Among the reasons for the rapid increase in cesarean delivery rate, the increase in technical progress in terms of operation technique and anesthesia, the belief that the maternal and infant mortality and morbidity are less, the timing of the birth of physicians and the duration of birth, pregnant women prefer cesarean delivery more, development of technology used to evaluate fetal well-being, desire to avoid malpractice cases in case of intervention, increased risky and advanced pregnancies.
It is known that cesarean operation is as old as human history. The first record of cesarean section in history goes back to 2000 BC. Numerous techniques have been used for Cesarean section surgery, with the discovery of human anatomy and the development of surgical and anesthesia techniques, it has reached today's standards. Because the site is anatomically complicated, it is important for clinicians to know the history of the surgery and the anatomical structure of the region. Our aim is to examine the history and anatomical development of this widely used cesarean section.
Compilation plans for cesarean section are scarce in the literature. In this center, where we talk about the historical development and anatomy of cesarean delivery, we are considering clinicians working in the field of gynecology and obstetrics.
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OP-05: ATTITUDES OF HEALTH EDUCATION STUDENTS ABOUT ARTIFICIAL
INTELLIGENCE
Hamiyet KIZIL1, Meryem YILDIZ AYVAZ 1, Gunes BOLATLI 1, Esra KARACA CIFTCI 1 1Beykent University,School of Health Sciences, Nursing Department
Introduction: Artificial intelligence; It is a set of software and hardware systems that have many abilities such as human behaviors, digital logic, motion, speech and sound perception. In other words, artificial intelligence; makes computers think like people. Although the advantages of artificial intelligence bring convenience to our lives, people worry about the fact that machines can have the ability to think. In this respect, it is discussed whether artificial intelligence will replace the profession of medicine and nursing in the future. The idea that artificial intelligence will replace people and having to bow down to machines reveals the need for further studies of artificial intelligence.
Purpose: The aim of this study was to determine the opinions and attitudes of the students studying in the field of health at Beykent University towards artificial intelligence.
Method: Descriptive research design was used in this study which focuses on the perception of health education students about artificial intelligence applications. The study was conducted between May-June 2019 with 227 students studying at Beykent University School of Health Sciences, Faculty of Medicine, Faculty of Dentistry and volunteering to participate in the study. ‘Structured Student Presentation Form’ and Tut Students' Attitude to Technology Scale” were used as data collection tools. Before applying the questionnaire and the scale, the purpose of the study was explained to the students and they were asked to answer the questions completely and carefully. Data were analyzed using descriptive and inferential statistical techniques in IBM SPSS Statistics 25 program.
Results: 147 (65%) of the students were female, 80 (35%) were male and 68 (30%) were enrolled in the nursing department. It was observed that male students and dental students have more positive attitudes towards technology than other students. It was stated that 111 students (49%) had knowledge about artificial intelligence, 150 (66%) were watching movies or videos about artificial intelligence and 68 (30%) were excited while watching. 153 (67%) of the students think that robots can become human in artificial intelligence applications and 143 (63%) think that artificial intelligence can replace human-specific applications. 132 (58%) students stated that it is advantageous to use machines with artificial intelligence in health services and 129 (57%) students stated that artificial intelligence applications should take place in health services. It was found that more than half of the students had positive attitudes towards the use of artificial intelligence applications in health services and at the same time these students were closely related to technology.
Conclusion: Results; students show a positive attitude towards the use of artificial intelligence in the field of health, but they are worried that artificial intelligence replaces a physician or nurse.
Keywords: Artificial Intelligence, Artificial Intelligence in Health Field, Artificial Intelligence in Nursing Practice, Education, Technology
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OP-06: BIBLIOMETRIC AND QUALITATIVE ANALYSES OF NURSING
DOCTORAL THESES ON TRADITIONAL AND COMPLEMENTARY MEDICAL
PRACTICES USED FOR PAIN MANAGEMENT
Hatice Dilek DOGAN Beykent University, School of Health Sciences, Nursing Department
Introduction: The scientific content of recent doctoral theses in nursing that have been conducted
in Turkey and that affect vocational development have drawn attention. Nurses who rapidly improve their scientific methods are responsible for transforming the information obtained from studies into practical knowledge used in nursing.
Although rapid developments and improvements have occurred in biotechnology and bioinformatics, there are still difficulties with handling pain. Therefore, traditional and complementary medical (T&CM) practices have frequently been used.
Objective: It is important for nurses to guide people about the effective and proper use of T&CM
methods, which can only be achieved using the proven results of scientific studies. This study aimed to determine the current situation and to form a relevant literature by examining the contextual and bibliometric features of doctoral theses on T&CM use for pain management.
Material and Method: This retrospective and descriptive study used the National Thesis Center
of Higher Education Institution to access the theses. First, the researchers reviewed the relevant literature. “Nursing” was used as the search term in the 2000-2019 year range, and “doctoral” was specified as the type of thesis. The filter, pain, was applied to the theses, and the theses about pain in the last years were accessed. These theses were filtered again using the terms: complementary, alternative therapies, and complementary and alternative therapies. The data were analyzed using Microsoft Excel.
Results: The search identified 1275 doctoral theses in nursing in the 2000-2019 year range. Of
them, 102 concerned pain management, and 42 included these subjects concerning pain: developing educational methods, comparing different nursing practices, position changes, the use of theories and models in practice and method development to reduce pain. There were 60 theses that included T&CM methods for pain management and met the search criteria. T&CM studies of pain management have considerably increased since 2011, and the largest number of the theses were written in 2018 (10 theses). This study chose the following pain types: pain caused by invasive interventions, postoperative pain, chronic illness pain and pain during or after birth. The frequently used T&CM methods in the theses were determined to be: cold application (10 theses), aromatherapy (7 theses), breathing and relaxation exercises (7 theses), herbal hot compress applications (5 theses), reiki (4 theses), massage therapy (4 theses), reflexology (4 theses), acupressure (3 theses), music (3 theses), acupuncture (3 theses), transcutaneous electric nerve stimulation (3 theses), touch (1 thesis), yoga (1 thesis), and two traditional methods were both used in five theses. Of the theses, 16.6% had limitations. Of the theses, most (33%) were conducted in departments of internal diseases, and 31% were conducted in departments of surgical diseases. The remainder was conducted in departments of gynecology and obstetrics, and departments of pediatrics. Most of the studies were conducted at state universities. Their results indicated that T&CM interventions caused statistically significant reductions of pain in experimental groups compared to control groups, and recommended that these methods be used as a complementary form of pain management.
Conclusion: The theses indicate that T&CM methods have become increasingly widespread, have
been an interesting subject to nursing studies, and their usefulness for pain management has been examined. most of them were conducted in Ege University, Hacettepe University and Istanbul University, in 2018, and in Internal Medicine and Surgical Diseases. These results can guide other studies. Increasing thesis limitation processes should be limited to reasonable periods. To raise the evidence levels of studies, studies that include these subjects should be re-conducted with larger samples. Nurses in all health disciplines should be supported regarding T&CM methods of pain management so that they can implement the best scientific practices.
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OP-07: WHY RATIONAL DRUG MANAGEMENT IN THE ELDERLY?
Hatice Dilek DOGAN 1, Kadir CALISKAN 2
1Beykent University, School of Health Sciences, Nursing Department
2Beylikduzu State Hospital, Intensive Care Unit
This paper, emphasizes the importance of right choice of drugs that increases with age, and safe drug use in elderly people.
Aging is a physiological process and independent from chronological age. Aging process includes regression in body functions; fall in organ reserves, difficulty in adapting to environment and stressors, and vulnerability towards injury.
Problems regarding drug use in elderly increase mortality and morbidity, and the importance of true drug management is increasing with the growing drug industry. Many factors change the metabolic effects of the drugs in elderly people. Problems such as side effects of the medicine, intoxications, drug-drug interaction, using excessive number of drugs, cognitive problems such as forgetting and difficulty in understanding are commonly seen in the elderly. Therefore, it is hard to distinguish whether the observed symptoms in the elderly are side effects or interactions between drug and illness.
Drug pharmacokinetics and pharmacodynamics change as a result of the systemic and functional transformations in the elderly. With the increasing age, a decrease is seen in saliva, active transport, amount of albumin, mass of liver and blood stream, glomerular filtration rate, fluid volume, baroreceptor, k vitamin synthesis and cognitive functions. Amount of B-12, iron and calcium decrease with increasing age. Albumin plays an active role in transportation of the drugs. Albumin level decreases and free forms of drugs increase due to liver function disorders and malnutrition in the elderly people. Dosage of free drug in the circulation creates drug side effect and toxicity. When warfarin sodium, which are drugs that bound with protein after the decrease in albumin, are used together with oral hypoglycemic drugs, severe bleeding and hypoglycemia, the side effects of the drug, develop.
Decrease in mass of liver and blood supply makes sending toxic substances away difficult. Therefore, side effect risks of drugs such as barbiturate, warfarin sodium (coumadin), diazepam increase as a result of slowing in metabolism and elimination, and increasing in plasma level. Since sensitivity increases in central neural system in the elderly, sedative drugs such as diazepam are used at low-dose.
With increasing age, water, and lean body mass decrease while fat rate increases. This increases plasma concentrations of the water-soluble drugs such as gentamicin, digoxin, teophyphilline, lithium and ethanol. If this process cannot be compensated with excretion through kidneys, it poses a risk, especially for low therapeutic index and causes drug toxicity. Besides, loading dose of drugs such as digoxin should be decreased for this reason. Body water dosage and baroreceptor sensibility decrease with increasing age. Therefore, after using diuretic and vasodilator drugs, orthostatic hypotension may develop.
Most important clinical factor that changes the effect of drug is kidneys. With increasing age, nephron loss occurs, and kidney mass reduces. Nephron loss decreases the glomerular filtration rate and tubular secretion. Therefore, eliminations of water-soluble antibiotics, aminoglycosides, diuretics, digoxin and lithium decrease, and their half-life prolong, and toxicity risks increase. Primarily, creatinine clearance should be taken into consideration in the calculation of drug dose in elderly people.
As a result, aging has its own specific changes. The most important responsibility of medical team and nurse regarding drug treatments is having knowledge regarding pharmacokinetics and pharmacodynamics changes. Patient should be dealt with entirely in this period, in which a number of disorders are seen together. Rationalist drug management of elderly includes start-low, go-slow, continuing with low-dosage as far as possible and preventing unnecessary drug use. In this context, nurse should follow the effects and side effects of the drugs, educate patient and relatives, follow the mental state of the patient closely for the changes at cognitive level.
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OP-08: NARCOTIC ANALGESICS: OPIOIDS
Hulya ERBABA Beykent University, School of Health Sciences, Nursing Department
Opioids are morphine-like analgesics used for the management of severe pain, such as acute pain and cancer pain. They are mostly preferred in cases of acute and chronic severe pain. IASP considers the relief of pain in acute or terminal illnesses as a human right, supporting opioid use in patients of all ages. IASP signed the Declaration of Montreal with other parties in 2010, reflecting its point of view. The aim of this study was to describe opioid analgesics and their adverse effects. Outcomes of a current review of the literature were used in this study. Like all analgesics, opioids should be used at the right time, for the right patient, for the right indication, at the right dose, and with the appropriate mode of administration. The acknowledgment of every healthcare worker seeing patients in all branches in medicine will allow for patient access to analgesics via the appropriate approaches.
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OP-09: THERMAL BASED CONTRACEPTIVES, FEMALE CONDOMS
Hulya ERBABA Beykent University, School of Health Sciences, Nursing Department
Contraceptive methods are closely related to human health and quality of life. It is among the fundamental human rights to use effective contraceptive methods to maintain healthy reproduction and sexuality. Contraceptive methods cannot be used sufficiently due to false beliefs and access. Therefore, the number of unintended pregnancies, curettage and voluntary abortions increases.
In recent years, evidence-based studies have been conducted on “Thermal Based Contraception (TBC)”and “Female Condoms”. TBC: The testes are located in the scrotum in the ideal heat environment for spermatogenesis, which is 2-4°C cooler than body temperature. Thermal based contraceptive methods have been improved with the use of these mechanisms. In the studies; It has been shown that heat causes germ cell losses and disrupts sertoli cell function and reduces sperm motility and number. When the temperature of the testes rises above 35°C, sperm cell deaths begin and the other cells of the body die only above 42°C. Numerous studies have been conducted on testicular / scrotal hyperthermia in animal models. Although heat-induced contraceptive methods are relatively harmless and reversible processes, more specific studies are needed for the safe use of these methods. In a study on underwear with thermal based contraceptive properties in France, participants 'and their partners' opinions about testing and using these products were examined. Participant men and women were given training on the use and effects of contraceptive effective underwear. The special document used in education has visual characteristics. Only 29% of the participants volunteered to try these products. 52% found this method natural, 38% were nonhormonal and 36% had no adverse effects. 39% stated that they would not use it because they found it disturbing and uncomfortable. The stage achieved in women's condoms that are continuously developed; They are quite elegant and disposable designs. The protection of female condoms is 79%. Therefore, researchers advocate the importance of political support for the promotion of female condoms. For this purpose, they conducted an analysis study on soft, highly useful non-latex antiallergic female condoms called cond V condom Guney in South Africa. In the study report; They explained that campaigns for the promotion of V condoms and other women's condoms, and state and media support for the promotion of women's condoms were important. Another study was conducted in Malaysia. A new generation of female condoms (Wondaleaf® (WL) was developed which can be fixed with perineal adhesives to provide a wider contraceptive effect. The acceptability of this product has been tested among Malaysian women. At the end of the study, only 2.60% of the 31 participants gave negative feedback about the product. Researchers recommend that the product be used globally as a contraceptive.
In order to ensure effective protection; It is important to facilitate access to contraceptive methods, to increase alternative solutions, and to provide personalized contraceptive method counseling. Health professionals' knowledge of developments and effective application knowledge related to modern contraceptives will provide many benefits directly and indirectly to public health. Therefore, it is thought that the introduction of alternative new contraceptives to young people, men and women will increase the use of safe contraceptives.
Keywords: Modern Contraceptives, Thermal Based Contraceptives, Female Condom, Community Health
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OP-10: ISTANBUL YENI YUZYIL UNIVERSITY LEADERSHIP BEHAVIOR OF
THE 3RD AND 4TH CLASS NURSING STUDENTS
Irem KAYIK 1, Seyda SAYDAMLI 1, Merve BAT TONKUS 1 1Istanbul Yeni Yuzyıl University
Introductıon and purpose: Nurses play a role in determining the quality of healthcare provided. Nurses, one of the health personel, are responsible for determining the quality of healthcare provided. Therefore, nurses need to be motivated to implement health services. The nurse is the person who fulfills her/his duties and powers and is responsible for the treatment and care practices in the unit where s/he works. The effectiveness and efficiency in nursing services is related to the leadership
behaviors exhibited. Therefore, nurses should have leadership characteristics. The aim of this study was to evaluate the self-perception of leadership of 3rd and 4th year undergraduate students in nursing department.
Method: This study was conducted to investigate the leadership behaviors of 3rd and 4th class undergraduate students in nursing department, as descriptive. At total 90 participants as (N=90) were constituted of the sample of the study. Data was collected by using ‘Student Information Form’ and 'Leadership Approach Scale’. (Cronbach Alpha: 0.95). For analysis of data; Mann-Whitney U test for two dependent groups for two independent groups and Kruskal-Wallis test for comparing groups that more than two were used.
Results: In the leadership orientation scale, the structure-oriented leadership and transformational leadership scores were found to be higher than 4th grade nursing students compared to 3rd grade nursing students and the difference was statistically significant (p = 0.017, p = 0.002). It was found that the nursing students living in Istanbul had higher scores on the Leadership Orientation Scale compared to the students living outside of Istanbul and the difference was statistically significant (p = 0.022).
Conclusıons and recommendatıons: In the study, in the leadership scale scores, it was found that the most exhibited leadership characteristics of nursing students were “Lider Human Oriented Leadership” and the least exhibited leadership characteristics were“ Transformational Leadership” behaviors (respectively; p = 0.017, p = 0.002). In the leadership orientation scale, “Structure Oriented Leadership” and “Transformational Leadership” scores were higher than 4th grade nursing students than 3rd grade nursing students, and the average score of “Leadership for Structure” was found to be higher in nursing students living in Istanbul than students living outside of Istanbul. In order to support transformational leadership behaviors of nursing students, it is recommended to organize in-class activities to improve their knowledge and attitudes about problem solving and conflict management, and to increase the number of studies aimed at identifying and developing leadership behaviors of students. Keywords: Leadership, Leadership in Nursing, Leadership in Nursing Undergraduate Students
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OP-11: UNHEALTHY GUT, UNHEALTHY BRAIN: MICROBIOTA IN
NEURODEGENERATIVE DISEASES
Kimya KILICASLAN 1, Cansu Polat DUNYA 1, Zeliha TULEK 1 1Istanbul University-Cerrahpasa Florence Nightingale Faculty of Nursing, Department of Medical Nursing
When neurodegenerative diseases are considered, the first symptoms that come to mind are impaired memory and learning functions in the central nervous system (CNS). However, the gut contains the largest nervous system that is autonomously active outside the CNS and interacts closely with the microbiota. In this concept defined as gut-brain axis; enteric nervous system may be an indicator of degenerative pathomechanisms affecting CNS.
The human gut is home to a variety of microorganisms such as bacteria, fungi, parasites and viruses; describe all of these microorganisms living in the human gut. Recent research has shown that the effect of microbiology can contribute to the etiopathology of neurodegenerative diseases by affecting the diversity of microscopic organisms that have settled in our bodies, and unhealthy microbiota (dysbiosis) affecting brain metabolism and function. In case of dysbiosis; messages sent to the brain emit unhealthy signals resulting in mild inflammation, with an overall increase in oxidative stress, energy homeostasis and cellular degeneration. Many studies have shown that microbial dysbiosis contributes to the pathology of multiple neurological diseases including depression, anxiety, and neurodegeneration. Studies have reported that constipation problem, which is frequently experienced by patients with Parkinson's disease, is associated with dysbiosis, that Bacteroidetes and Prevotelaceae are reduced in fecal samples of patients, and that in patients with Helicobacter Pylori, the absorption of levodopa from the gut is reported to be caused by the motor. Dysbiosis is reported to cause increased amyloid in the brain in Alzhemier's disease, causing neuroinflammation, affecting blood brain barrier permeability and reducing serotonin secretion.
In conclusion, extensive clinical studies are needed to demonstrate the relationship between gut-brain axis and neurodegeneration in neurodegenerative diseases. It is also important to develop therapeutic strategies (such as prebiotic, probiotic) in the management of neurodegenerative diseases in the relationship between the gut-brain axis.
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OP-12: AUTISM SPECTRUM DISORDER AND ANIMAL-ASSISTED THERAPY
Koukourıkos KONSTANTINOS Alexander Technological Institute of Thessaloniki, Nursing Department
Introduction: Autism Spectrum Disorder (ASD) is a common neurodevelopmental disorder impairing the individual’s capacity of social communication and interaction. This disorder almost affects 1% of children worldwide, creating a need for complementary therapeutic interventions for ASD management, like animal assisted therapy.
This therapy is the integration of goal-directed interactions based in the human-animal bond. Purpose:To provide a brief description of the importance of relation between autism spectrum disorder and Animal assisted therapy.
Methodology:An extensive literary search of relevant articles for the period 2000-2018, was performed via Medline, PubMed and Google databases, using the following keywords: “animal assisted therapy, autism spectrum disorder, Pet therapy, therapeutic riding, and Dog-assisted play therapy”.
Results: This disorder is manifested before the age of three. ASD is a lifelong condition that cannot be cured.The symptoms are different for each child and can be classified into three main groups: behavioral (repetitive behaviors, incontrolled movements, obsession with objects), communicative (delayed speech, lack of gestures), and social symptoms (being alone, no eye contact, inability of playing).
Animal-assisted therapy is based in the interaction between a human and an animal (dog, horse, cat, dolphin) for therapeutical purposes. This therapy can enhance psychosocial wellbeing and can reduce stress, loneliness and isolation. It can also apply to nursing, as AAT can be part of nursing care.The outcomes reported most often are the improvement of irritability and hyperactivity in social, motor and executive skills.
Conclusions: Animal-assisted therapy is a healing method involving a patient, an animal therapist, and a handler, aiming at achieving a specified therapeutic outcome. It is a suggested complementary and integrative therapy that potentially leads to positive outcomes such as increases in social interaction, communicative behaviors and positive emotions.
Keywords: Autism Spectrum Disorder, Animal-Assisted Therapy, Nursing, Dog Assisted Play Therapy, Therapeutic Riding
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OP-13: ASCLEPIEION: A TOTAL HEALING ENVIRONMENT
Kourkouta LAMBRINI Alexander Technological Institute of Thessaloniki, Nursing Department
Asclepieions (Ancient Greek: Ἀσκληπιεῖον Asclepieion; Latin aesculapīum) were healing temples located in ancient Greece (and Rome), dedicated to Asclepius, the first doctor-demigod in Greek mythology. Asclepius was the Grecian God of Medicine. He was born at Trikala (Greek city) in 1247 BC. Through his studies, Asclepius became so deft at medicine, especially the art of surgery, and he was able to return the living from the dead. Asclepius had several children, including: Machaon, Podalirius, Hygeia, and Panacea, who they were regarded as highly effective healers.
In honor of Asclepius over 300 Asclepieia have been discovered throughout ancient Greece. Among the most famous of the temples were Trikala, Epidaurus, and island of Kos, Athens, Corinth and Pergamon in Turkey. Epidaurus was the first place to worship Asclepius as a God, beginning sometime in the 5th century BC.
Asclepieia were built in locations of exquisite natural beauty, with lush vegetation, enchanting views and rich in fresh water, where the temperature, humidity, sunlight and winds were all maintained at the ideal levels. Asclepieia were ideal healing centers.
They possessed all the necessary means for the varied entertainment and to ensure the pleasant stay of the pilgrims. The patients had the opportunity to watch or participate in sport events or musical contests, to attend musical or theatrical performances, to read books and to socialize.
At the Asclepieia, there were physicians and priests who would assist those who sought a session of healing from these professionals. Patients would come pay homage to the gods by making pilgrimages to the site, performing a prayer or a sacrifice, giving monetary gifts or even sleep at the temple.
Asclepieia adopted a holistic approach to treatment: medical intervention was combined with improvement of the psychological condition of sick people, by providing a pleasant and healthy environment for their residence.
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OP-14: CANCER AND MICROBIOTA
Meryem YILDIZ AYVAZ 1, Melike Merve URLU 1, Pelin CANSAP 1 1Beykent University,School of Health Sciences, Nursing Department
Microbiota includes bacteria and other organisms (fungi, protozoa, viruses, etc.) that live on the intestinal and barrier surfaces of our body. Microbiota plays an important role in many physiological events such as hematopoiesis and inflammation, especially in maintaining immunity. Recently, microbiology is perceived as an organ of the body, and its importance is increasingly recognized. Research on the relationship between microbiota and diseases has been increasing, particularly since the emergence of the necessity of microbiata for strengthening, developing or maintaining the immune system. It is important for all health disciplines to reveal the curative or protective role of microbiota in cancer which is one of the most important health problems on nowadays. Prevention from the majority of cancer risk factors can be achieved by optimizing the microbiota. It plays a key role not only in the prevention of risk factors, but also in the etiology, formation process, treatment and side effects of cancer. Intestinal Microbiota affects drug pharmacokinetics, anticancer activity and toxicity at many levels. As a result of degradation or disruption of the microbiota, intestinal barriers containing bacteria or other organisms are destroyed. Therefore, the inflammation process, which is the first stage of carcinogenesis, begins and the disease base is formed. The unique microbiota in every human being should be considered as a potential therapeutic target in cancer. This goal is achieved by the protection of the microbiota. For this reason, understanding the importance of microbiology, supporting it with research, informing and raising public awareness about this issue should be evaluated within the scope of preventive health services and should be one of the primary duties of the nurse.
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OP-15: INNOVATION IN NURSING AND INNOVATIVE ATTITUDES OF NURSES
Meryem YILDIZ AYVAZ 1, Yunus Emre AKYOL 1, Melek DEMIRAL 1 1Beykent University, School of Health Sciences, Nursing Department
In today's world, where scientific studies are increasing and new scientific knowledge is produced almost every day, innovation activities have become extremely important. Adopting, developing and implementing the innovation process and innovative practices will increase the quality of patient care, improve the quality of life and contribute positively to the national economy. As a professional health discipline, it should develop innovative thinking skills in order to keep up with the rapidly changing and developing science in nursing, to manage global competition well, and to benefit from innovative methods especially in health care practices. Compared to other health care professionals, nurses who spend the most time with patients are more likely to recognize inadequacies and deficiencies in patient care and are more likely to develop innovative practices for them. In literature, it is stated that nurses should have creative, equipped, leadership role and risk-taking personality traits in order to produce innovative solutions. In addition, it has been determined that manager support has great importance in the development of innovation culture. It was emphasized that nurses supported and guided by managers were more successful in innovation. Increased workload is one of the leading factors that negatively affect the nurses' innovative attitudes.
Although in recent years innovative ideas and innovation studies in Turkey has increased, a limited number of studies were found for the nursing profession. Nurses' participation in innovation and their innovative attitudes depend on manager's attitude, workload, quality of education and personality traits such as risk taking, enterprising. Nurses should be directed to innovation and supported positively. Academic trainings should be increased, working hours should be reduced, managers should support employees and products should be commercially marketed. The award of the created products / projects by the managers will be an incentive. In this review, it is aimed to draw attention to the importance of nursing innovation and nurses' innovative attitudes.
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OP-16: NURSES ETHICAL ISSUES AND DILEMMAS IN INTENSIVE CARE UNIT:
WORKING IN A MULTICULTURAL ENVIRONMENT
Tsaloglidou ARETI Alexander Technological Institute of Thessaloniki, Nursing Department
Introduction: Nurses are charged with the duty of using ethical concepts in their everyday provision of patient care. Nowadays, in all aspects of health care, they interact with patients from many different cultures. Care planning and provision of holistic care in a multicultural environment is not an easy task, as they have to take into account the existing cultural differences.
Aim: The aim of this review is to highlight the ethical dilemmas arising for nurses working in a multicultural environment during the planning and the provision of patient health care.
Material and Methods: Extensive review of the recent literature was conducted via electronic databases (Pubmed, Google scholar) and scientific journals (English and Greek) using the following key-words: ethical dilemmas, ethical issues, multicultural environment, nursing role.
Results: Culture affects how people value, evaluate, and face health issues, because the members of each cultural group share values and ways of thinking and acting, which are different from those of people who are not included in the group. Many ethical dilemmas are caused due to two major dynamics: ethics and diversity.
The international study of seriously ill patients of different cultural backgrounds has focused mainly on four broad areas: communication with the patient and his family, decision making within the family, patient autonomy and self-determination, palliative care/ care at the end of life. Western ethical concepts of autonomy and truth telling in clinical practice may not be appropriate for different cultural groups and that this may become a source of ethical dilemmas and a challenge for western ethics. The most usual ethical dilemmas are linked to quality of life, diversity of values, active euthanasia, cost - effectiveness in ICU, withhholding or withdrawal of treatment, disagreements in decision – making and difficulties in acceptance of the dying process by the patient’s family.
In order for nurses to be potentially culturally competent, they should obtain four basic characteristics: cultural awareness, cultural knowledge-understanding, cultural sensitivity, cultural competence.
Conclusions: It is important for nurses, who usually are involved at every level of the healthcare system, making decisions, and assisting with policy development, to take into account the cultural differences that exist in everyday clinical practice. They are expected to respect patients rights and advocate for patients, who are not able to advocate for themselves.
