Tropical Rua Da Ju, Portugal

  • Use of Podcast in Nursing Students' Stoma Bag Change

    Stoma is a common procedure used in the surgical treatment of cancers related to the gastrointestinal or urinary system, inflammatory bowel diseases and traumas. Stoma opening increases the survival rates of individuals, but stoma-related complications are considered as negative consequences of living with an ostomy. Negative effects on stoma patients are physical, psychological and social. Physical problems of stoma patients include leakage, skin problems and odor. The most common physical problems related to stoma include leakage, peristomal skin problems and the need for adaptation of stoma devices and the need to adapt clothing to the presence and location of the stoma, which has a significant impact on the patient's daily life. Stoma patient care is included in the curriculum of pre-licensure nursing programs, but the number of studies examining student nurses' knowledge of stoma care is limited. In a study, it was concluded that nursing students had initial knowledge about ostomy care and very limited clinical experience, but they were highly confident in providing ostomy care. Therefore, it is very important to develop the knowledge and skill levels of undergraduate nursing students about stoma and bag change, which plays an important role in the care of stoma patients. In nursing education, there has been a transition from traditional pedagogical models to current methods that use technology for information acquisition. One of the teaching methodologies used in nursing education is Podcast. Podcast emerged as a result of discussions aimed at understanding and learning by listening. The term "podcast" has been in use since approximately 2004. It was originally derived from two terms, "iPod" and "broadcast." A podcast can be listened to on any digital audio listening device, including a computer that supports audio file playback. Therefore, podcasts can be listened to 24/7 and on the go. These combined qualities have significantly increased podcast use over the last 20 years. Over time, podcasts have begun to be used as an effective medical education tool. In a study, it was determined that podcasts did not affect the knowledge level of nursing students, but students were satisfied with this learning experience. Studies determining the effectiveness of podcasts on nursing students are quite limited. Studies conducted have mostly investigated the effect of podcasts on students' knowledge level and satisfaction. This study aimed to determine the effect of podcast use on nursing students' knowledge and skills regarding stoma bag change. There is no study in the literature examining the effect of podcast use on nursing students' knowledge and skills in changing stoma bags. Therefore, the research is original in its field. It is thought that the study will contribute to the literature.

    Phase

    N/A

    Span

    5 weeks

    Sponsor

    Necmettin Erbakan University

    Konya

    Recruiting

    Healthy Volunteers

  • Effects of Core Stabilization Exercises in Children with Acute Lymphoblastic Leukemia

    Acute Lymphoblastic Leukemia (ALL) is a malignancy resulting from the abnormal proliferation of lymphoid cells that can invade the bone marrow, blood, and extramedullary regions, and it is the most common malignancy in childhood. Specific chemotherapy-related problems are frequently observed in children with ALL. These include a reduction in cardiopulmonary fitness, balance, posture, proximal muscle strength, and flexibility, as well as postural control issues and functional mobility impairments, in addition to fatigue. The aim of this study is to investigate the effects of core stabilization exercises, applied in addition to a conventional exercise program, on physical function, functional muscle strength, functional exercise capacity, postural control, and fatigue in children with Acute Lymphoblastic Leukemia undergoing maintenance therapy. Participants will be divided into two groups: the first group will follow a conventional exercise program, while the second group will receive core stabilization exercises in addition to the conventional program. All participants will be randomly assigned to the groups using the software available at http://www.randomizer.org. The exercise sessions will be conducted three times a week for a total of 8 weeks, with 24 sessions in total. Demographic information will be recorded for participants who agree to take part in the study and meet the inclusion criteria. The scales and tests designed to assess the participants' physical function, functional muscle strength, functional exercise capacity, postural control, and fatigue will be administered both before and after the study.

    Phase

    N/A

    Span

    59 weeks

    Sponsor

    Karamanoğlu Mehmetbey University

    Konya

    Recruiting

  • Intertransverse Process Block for Postoperative Acute Pain After Coronary Bypass Surgery

    Coronary artery bypass grafting (CABG) is associated with significant postoperative pain due to sternotomy and tissue manipulation, which may impair recovery, increase opioid consumption, and prolong hospital stay. Regional anesthesia techniques are increasingly used as part of multimodal analgesia strategies to minimize opioid-related side effects. The intertransverse process block (ITPB) is a novel regional technique that targets the dorsal rami of spinal nerves and may provide effective bilateral analgesia in thoracic procedures with a favorable safety profile. This prospective, randomized, triple-blind controlled study aims to investigate the effect of preoperative bilateral ITPB on postoperative acute pain, opioid consumption, and recovery quality in adult patients undergoing elective CABG via median sternotomy. Patients will be randomized to receive either ITPB with 0.25% bupivacaine or a placebo (saline) injection under ultrasound guidance. Postoperative outcomes, including Numeric Rating Scale (NRS) pain scores, rescue analgesic use, total opioid consumption, and Quality of Recovery-15 (QoR-15) scores, will be collected within the first 24 hours following extubation. The results of this study may support the incorporation of ITPB into routine analgesia protocols for cardiac surgery patients.

    Phase

    N/A

    Span

    18 weeks

    Sponsor

    Mustafa Aydemir

    Konya

    Recruiting

  • The Effect of Water Conservation Education on Women's Water Use Behaviours

    The 'water crisis' is consistently one of the top 5 global risks identified in the World Economic Forum's annual Global Risk Reports. As a result, water scarcity is rapidly becoming a global issue. The world is facing a water crisis that has reached proportions that could threaten environmental sustainability. This situation requires urgent action to protect and use water resources efficiently. In the context of water scarcity, the promotion of awareness among individuals to minimise water usage, the modification of water consumption habits, and the enhancement of water use efficiency are of paramount importance from a public health perspective.Initiatives that predominantly advocate sustainable water conservation offer water conservation as a pivotal component of environmental initiatives. Such initiatives represent a substantial advancement for humanity in terms of planning and managing water resources in the future.The sustainable management of water is imperative for maintaining ecological balance and ensuring long-term water security. In considering the role of psychological theories in understanding and explaining human behaviour, the present research aims to examine the effect of an educational programme created using the Health Belief Model and integrated into primary care services on water use and behaviour. The study intervention was meticulously formulated on the basis of the Health Belief Model, encompassing a training programme focused on individuals' water footprints and water consumption habits.The training programme is structured into two sessions, each spanning 30 minutes.The training programme, grounded in the Health Belief Model, encompasses the following subjects: water scarcity, water resource pollution, the ramifications of water pollution, water conservation and sustainable water utilisation. The objective of each topic is to raise awareness of water consumption, prevent water scarcity, increase compliance with water saving, reduce water consumption, and cultivate sensitivity, with the aim of effecting a change in water saving behaviours that is sustainable.The training studies were prepared by taking into account the sub-dimensions of the Health Belief Model (Sensitivity/Sensitivity Perception, Seriousness/Care Perception, Benefit Perception, Barries Perception, Actionables, Self-Efficacy).

    Phase

    N/A

    Span

    22 weeks

    Sponsor

    Selcuk University

    Konya

    Recruiting

    Healthy Volunteers

  • Breastfeeding Evaluation of Puerperal Women Who Had Cesarean Delivery in Our Hospital

    İntroduction The World Health Organisation (WHO) and United Nations Children's Fund (UNICEF) recommends that infants are exclusively breastfed for a minimum of 6 months, with continued breastfeeding recommended until child age of 2 years or over to optimize growth, development, and health. Breast milk shows significant benefits for the physical and mental health of mothers and infants, including the promotion of maternal and infant bonding, the reduction of neonatal mortality, the reduction of maternal postoperative complications, and the development of newborns. Breastfeeding has been associated with improved maternal/infant bonding and increased child intelligence. In addition breastfeeding has many benefits for infant, mother and later child health. The World Health Organization (WHO) and the United Nations Children's Fund (UNICEF) recommend initiation of breastfeeding within the first hour of birth, referred to as "early initiation of breastfeeding." Early initiation of breastfeeding is critical to newborn survival and to establish breastfeeding practice over the long term. When breastfeeding is delayed after birth, the consequences can be life-threatening and the longer newborns are left waiting, the greater the risk. It is also clear that medical interventions during labor and birth, including a caesarean section, impact on women's infant feeding decisions and are a cause for concern given increasing global caesarean birth rates, with woman who have a planned caesarean birth reported as less likely to intend to breastfeed than women who did not have a planned caesarean birth or had a vaginal birth. Infrequent feeding and women's limited mobility in the early days following surgery may impede efforts to provide basic infant care. High levels of postoperative pain, particularly in the first 24 hrs, were also found to have a negative impact on women's breastfeeding experiences. Cesarean delivery is linked with lower rates of early breastfeeding initiation. Pain management after casarean delivery remains challenging. The best-accepted traditional analgesic approach is continuous epidural analgesia. However, epidural analgesia is rapidly being replaced by transversus abdominis plane (TAP) blocks. TAP infiltration is an alternative to epidural blocks for providing postoperative analgesia to the anterior abdominal wall. TAP infiltrations are relatively easy to perform, generally safe, and can be performed in patients who are anti-coagulated. TAP infiltration can be performed as a single injection, or a catheter can be inserted for continuous local anesthetic infusion. We therefore proposed to compare impact of TAP block, epidural analgesia and iv multimodal analgesia after spinal analgesia on maternal comfort in patients with elective caesarean section. We will evaluate the following specific aims, all of which will be assessed over 72 hours, or the duration of hospitalization if shorter: Primary Aim: To compare the effect of pain management after cesarean on the rates of initiation of breastfeeding in the first hour after birth and exclusive breast milk in the first 72 hours in elective cesarean deliveries with spinal anesthesia. Secondary Aim 1: To compare the effect of pain management after cesarean on the rates of the confidence and comfort of breastfeeding mothers after elective cesarean deliveries with spinal anesthesia. Hypothesis. Four quadrant TAP blocks performed after elective inert cesarean section increase the rate of breastfeeding in the first 1 hour and the rate of exclusive breastfeeding in the first 72 hours. 3. Method and Study Design A. Study Overview A randomized double-blind trial is designed comparing TAP blocks , epidural analgesia and ıv multimodal analgesia and placebo in patients having elective inert cesarean deviveries with spinal anesthesia. The study will be performed at Konya City Hospital with IRB approval and written consent from patients. B. Setting and Population Inclusion criteria: - Written informed consent; - 18-45 years old; - ASA Physical Status 1-3; - Scheduled for elective cesarien delivery; - Anticipated hospitalization of at least three nights; - Expected requirement for parenteral opioids for at least 72 hours for postoperative pain; - Able to use IV PCA systems. Exclusion criteria: - Hepatic disease, e.g. twice the normal levels of liver enzymes; - Kidney disease, e.g. twice the normal level of serum creatinine; - Bupivacaine sensitivity or known allergy; - Anticoagulants considered to be a contraindication for TAP blocks; - Surgeries with high port sites; C. Withdrawal Criteria Patients will be free to withdraw from study at any time. Patients will also be removed from study at any time for adverse events, or deemed necessary for patient safety.

    Phase

    N/A

    Span

    78 weeks

    Sponsor

    Konya City Hospital

    Konya

    Recruiting

    Healthy Volunteers

  • Effect of Intranasal Breast Milk Administration in Preterm Infants

    Breast milk is rich in pluripotent stem cells, including pluripotent stem cells that produce neuronal cells in vitro. Therefore, intranasal breast milk administration in neonates may potentially allow the transport of stem cells and other molecules into brain tissue through the nasal vasculature and permeable neonatal blood-brain barrier. In recent years, studies on intranasal breast milk administration in newborns have been published. In studies, there is evidence that intranasal breast milk may be effective in reducing cerebral damage after intracranial hemorrhage in preterm newborns and that the application can be tolerated by preterm newborns.

    Phase

    N/A

    Span

    79 weeks

    Sponsor

    Selcuk University

    Konya

    Recruiting

    Healthy Volunteers

  • Climate Change Education and a Short Animated Film on Pregnant Women's Awareness and Hope

    The population of the study is all pregnant women in the second and third trimesters who present to the antenatal clinic of Konya City Hospital. The sample of the study consists of pregnant women who meet the criteria for inclusion in the study and agree to participate in the study after being informed about the study. G-Power 3.1.9.7, based on the Hope Scale for the Prevention of Climate Change score average (56.14±9.75), of which the study sample size is known. The program calculated the 3-unit difference by choosing a power of 0.85, an effect size of 0.30, an alpha level of 0.05, and a two-sided hypothesis option, and aimed to reach a total of 262 participants, 131 in the intervention group and 131 in the control group. Considering the data loss, it was planned to conduct the study with 276 pregnant women, which is 5% more than the set sample number. Research data: collected on a self-report basis using the "Informed Consent Form"," the "Personal Information Form"," the "Pregnant Awareness Scale for the Effects of Climate Change on Maternal Fetal Health," and the "Climate Change Hope Scale"." Pre-tests with questionnaires will be conducted at the first interview with the pregnant women who were randomly assigned to the intervention and control groups. An educational brochure on climate change will be given to the pregnant women in the intervention group, and a presentation will be given by the researcher. Two weeks after the training, a short animated film will be viewed via WhatsApp as a reminder. Two weeks after watching the short animated film, the link to the survey form will be shared online via WhatsApp, and final evaluations will be conducted. Pregnant women who are part of the control group will not undergo any intervention application. Four weeks after the first meeting, a link to the survey form will be shared via WhatsApp and final evaluations will be conducted. After completion of the study, the educational brochure and the short animated film on climate change will be sent online to the pregnant women in the control group.

    Phase

    N/A

    Span

    40 weeks

    Sponsor

    Selcuk University

    Konya

    Recruiting

    Healthy Volunteers

  • Women's Perception of Respectful Maternity Care, Birth Experiences and Perception of Traumatic Birth

    The research is a randomized controlled trial. The research will conducted with 124 primiparous pregnant women (intervention group n=62, control group n=62) who were hospitalized in the delivery unit of Aksaray Training and Research Hospital between September 2023 and January 2024. The pregnant women in the intervention group will given the intrapartum care model in line with WHO recommendations after cervical dilation reached 5 cm. The control group will received only the standard intrapartum care in the hospital. Data will be collected using the personal information form, birth follow-up form, respectful maternal care scale, birth experience scale, and traumatic birth perception scale.

    Phase

    N/A

    Span

    31 weeks

    Sponsor

    Selcuk University

    Konya

    Recruiting

    Healthy Volunteers

  • The Effect of Breathing Exercises on Pain, Anxiety, Dyspnea, and Insomnia in Patients Undergoing Lung Surgery.

    Surgical treatment is carried out with the aim of reducing, halting the progression of, or treating certain pathological conditions in the human body by removing some tissue or organs from the body. Wedge resection is considered an effective method for the treatment of lung cancer. The wedge resection method is utilized in both malignant and non-malignant pulmonary pathologies (such as bronchiectasis, aspergilloma, non-tuberculous mycobacteria, tuberculosis, fungal infections, inflammatory pseudotumors, hydatid cyst, and benign masses). Following surgical procedures such as VATS and wedge resection, side effects and complications such as atelectasis, pneumonia, acute respiratory distress syndrome, prolonged air leakage, chylothorax, sepsis, pneumothorax, pulmonary embolism, empyema, bronchopleural fistula, pain, anxiety, dyspnea, fatigue, and insomnia can occur.Non-pharmacological methods are observed to increase comfort and control in patients, thereby enhancing their quality of life. Non-pharmacological interventions such as music therapy, hot or cold therapy, hypnosis, aromatherapy, massage, progressive relaxation exercises, deep breathing exercises, pursed lip breathing, yoga, and meditation can be employed in the management of postoperative symptoms such as pain, anxiety, dyspnea, insomnia, and fatigue. Studies involving breathing exercises have shown that they reduce anxiety and pain scores after exercise. Alternate nostril breathing, a yoga practice, is considered one of the best breathing exercises for health and fitness. It has positive effects on dyspnea, anxiety, stress, and sleep disorders. Breathing exercises aim to improve individuals' quality of life and mitigate the effects of the disease, providing inexpensive and side-effect-free practices.Nurses should empower individuals to better manage symptoms such as experiencing less pain, reduced anxiety, alleviation or reduction of dyspnea, insomnia, fatigue, and other symptoms following surgical procedures. No study has been found that examines the effect of alternative nostril breathing exercises on pain, anxiety, dyspnea, fatigue, and insomnia symptoms in patients undergoing lung surgery. Our study aims to contribute to the literature by evaluating the effect of breathing exercises on pain, anxiety, dyspnea, and insomnia in patients undergoing lung resection and VATS procedures.Therefore, this study is planned to determine the effect of breathing exercises on pain, anxiety, dyspnea, and insomnia in patients undergoing lung resection and VATS procedures in a public hospital.

    Phase

    N/A

    Span

    74 weeks

    Sponsor

    KTO Karatay University

    Konya

    Recruiting

  • Recession Coverage Using Modified Coronally Advanced Tunnel(MCAT)

    This study is planned to be conducted with 60 individuals, aged between 18 and 45, who have presented to the Department of Periodontology at Necmettin Erbakan University Faculty of Dentistry for various reasons. Routine initial periodontal examinations and Phase 1 periodontal treatments will be performed on individuals exhibiting gingival recession and associated sensitivity. Standard mucogingival surgical procedures are routinely applied in our faculty to these individuals. In our study, the short- and long-term outcomes of the MCAT technique, a mucogingival approach, will be evaluated. The study will consist of the following three groups: Group 1: Modified coronally advanced tunnel (MCAT) + subepithelial connective tissue graft (n:20) Group 2: Modified coronally advanced tunnel (MCAT) + enamel matrix derivative(n:20) Group 3: Modified coronally advanced tunnel (MCAT) + subepithelial connective tissue graft + enamel matrix derivative(n:20) Our study is designed as a randomized, controlled clinical trial. Measurements will include gingival thickness, the amount of root coverage, and keratinized gingiva parameters, recorded using a Williams probe (Hu-Friedy) and rounded to the nearest millimeter. For gingival recession, plaque index, and gingival index will be obtained from three points: mesial, distal, and midpoints. The plaque index will be calculated according to the criteria defined by Silness and Loe, while the gingival index will be assessed based on the criteria defined by Loe and Silness. Gingival thickness will be measured 3 mm below the gingival margin under topical anesthesia using an endodontic reamer with a stopper. Patients will be asked to complete a chart rating their subjective pain, burning sensation, and discomfort in the surgical area on a visual analogue scale (VAS) ranging from 0 (none) to 100 (very severe) on postoperative days 3 and 7. The clinician will remove the sutures two weeks after surgery and will complete the wound healing index for each tooth individually according to Huang's criteria. This study aims to provide comprehensive insights into the effectiveness and benefits of the MCAT technique and its variations in treating gingival recession.

    Phase

    N/A

    Span

    27 weeks

    Sponsor

    Necmettin Erbakan University

    Konya

    Recruiting

    Healthy Volunteers

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