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Öğe Burnout and anxiety level of healthcare professionals during the COVID-19 pandemic in Turkey(Ios Press, 2021) Dogru-Huzmeli, Esra; Cam, Yagmur; Urfali, Senem; Gokcek, Ozden; Bezgin, Sabiha; Urfali, Boran; Uysal, HakanBACKGROUND: COVID-19 has affected many countries in the world and has been known as one of the fast-spreading viruses in recent history. OBJECTIVE: Our aim is to reveal the level of anxiety and burnout, attitudes, thoughts, and behaviors of healthcare professionals about COVID-19 in Turkey. METHODS: The individuals included in the study answered seven questions containing demographic information, 27 questions determining their views and perspectives on COVID-19. Anxiety level was measured by Beck Anxiety Scale (BAI), and State Anxiety Inventory (SAT); burnout was measured by Maslach Burnout Inventory (MBT). RESULTS: We included 66 health staff (50 female, 16 male) whose mean age was 31.71 +/- 5.18 years (22-46 ranged). Twenty-two (33.3%) of the participants worked on the COVID-19 frontline while 44 (66.6%) of them worked on usual wards. We found that participants' anxiety was at a moderate level in BAI (mean: 14.00 +/- 12.66). The mean of the SAI was 49.93 +/- 13.06. MBI subscales were low. We found that there was a significant difference in BAI between COVID-19 frontline healthcare professionals and those who worked on the usual wards (p = 0.01). CONCLUSIONS: It is important to consider the level of anxiety and burnout in all healthcare professionals and to help them to protect their mental health.Öğe Dancing: More than a therapy for patients with venous insufficiency(Sage Publications Ltd, 2020) Dogru-Huzmeli, Esra; Fansa, Iyad; Cetisli-Korkmaz, Nilufer; Oznur-Karabicak, Gul; Lale, Cem; Gokcek, Ozden; Cam, YagmurObjective This study aims to figure out the effects of dance therapy on patients with chronic venous insufficiency disease. Methods Forty subjects with chronic venous insufficiency were recruited to either the control group or the dance therapy group. As the severity of chronic venous insufficiency was defined with the Venous Clinical Severity Scores (VCSS), patients in control group received only medical treatment. Twenty patients with chronic venous insufficiency in dance therapy group received three times a week, for five weeks, totally 15 sessions of dance therapy in addition to medical treatment. Results There was no significant difference in pre- and post-treatment results of Rivermead Index, VCSS parameters constipation complaint, assistive breath muscle activity, lower limb circumference, strength and range of motion between groups (p > 0.05). The remarkable result of this study was obtaining that the post-treatment quality of life scale's bodily pain score was significantly higher in the dance therapy group than the control group (p < 0.05). Conclusions It was concluded that dance therapy has positive effects on quality of life. There were no barriers to chronic venous insufficiency patients in this form of gentle exercise, showing that it is to meliorate the cardiovascular, physical and psychological benefits of an activity that is enhancing of the self-esteem in addition to the quality of life. Treatment of chronic venous insufficiency should consist of methods that support the patient mentally, physically and psychologically, in addition to the medical treatment. Dance therapy might be a potential exercise intervention for improvements in chronic venous insufficiency patients, so clinicians focusing on them could recommend this form of gentle exercise in addition to the medical treatment.Öğe Differences in steep quality and body mass index in asthmatic children and healthy control group(Codon Publications, 2021) Gokcek, Ozden; Yurdalan, Ufuk; Huzmeli, Esra Dogru; El, CigdemIntroduction: Childhood asthma has become a serious public health problem. Obesity has been determined to be one of the risk factors of asthma. Aim: We aimed to determine the difference in body mass index (BMI) and sleep quality in pediatric asthmatic individuals compared to their peers. Method: Thirty children aged 8-17 years were followed up in the Pediatric Outpatient Clinic for asthma along with 30 healthy children. The BMI percentile values of the children were recorded. The Pittsburgh Sleep Quality Index was used to assess sleep quality. Results: Each group in our study had 10 girls and 20 boys. The mean age was found to be 11.76 +/- 2.69 years in asthma group and 11.33 +/- 2.29 years in the healthy group. The asthma group were found to be more obese than the healthy group (P = 0.033). There was a significant difference between groups interested in a sport (P = 0.028) and steep quality (P = 0.007). Conclusion: It was observed that the asthma group had more obesity and poorer sleep quality than the healthy group. Further, it was determined that in the asthma group, the level of interest in any sport was less than that in the healthy group. We think that high obesity in the asthma group reduces the effect of corticosteroids, and the continuity of nighttime cough symptoms causes deterioration in sleep quality. We conclude that participation in sports activities should be encouraged to reduce the level of obesity in asthmatic children. (C) 2021 Codon Publications. Published by Codon Publications.Öğe Effects of sensory deficits on balance, functional status and trunk control in patients diagnosed with guillain-barre syndrome(Riyadh Armed Forces Hospital, 2018) Huzmeli, Esra-Dogru; Korkma, Nilufer-Cetisli; Duman, Taskin; Gokcek, OzdenObjectives: To investigate the effects of sensory deficits on balance, functional status and trunk control in patients diagnosed with Guillain-Barre syndrome (GBS). Methods: Twenty patients who were diagnosed with GBS and who were in the neurology department of Mustafa Kemal University in 2017, participated in this descriptive study. There were 11 males and 9 females, and the average age was 41.55 +/- 18.49 years. The trunk control of the GBS patients was assessed using the trunk impairment scale (TIS), reaching function was assessed using the functional reaching test (FRT) in the sitting position and body balance assessed using die Berg balance scale (BBS). Light touch was assessed using Semmes-Weinstein monofilament test, proprioception was assessed using the distal proprioception test and disability status was assessed using the Guillain-Barre syndrome disability scale (GBSDS). Results: We found a moderate, positive and significant correlation between proprioception scores and the BBS and between proprioception scores and the TIS. The correlation between proprioception and FRT in the sitting position and between proprioception and the GBSDS was not significant. We found a moderate and negative correlation between light touch and the FRT in the sitting position, TIS, BBS, but a moderate and positive correlation between light touch and the GBSDS. Conclusion: Neurologists and physiotherapists should both take sensory and motor function into consideration in the assessment and rehabilitation program of patients diagnosed with GBS.Öğe Evaluation of Respiratory Function in Patients with Epileptic Seizures(Kare Publ, 2021) Gokcek, Ozden; Huzmeli, Irem; Hallaceli, Hasan; Melek, Ismet; Okuyucu, Esra E.Objectives: Respiratory problems increase the number of epileptic seizures in individuals with epileptic seizures. This study aimed to determine the relationship between the number of seizures, sleep quality, and respiratory problems by evaluating the changes in respiratory parameters of epileptic patients. Methods: Thirty individuals aged 18-40 years with generalized epilepsy were included in the study. Demographic data, number of seizures per week, pulse and blood pressure measurements, age of seizures, and body mass index were recorded. Dyspnea with mMRC; pulmonary function test; level of physical activity (PA) with International physical activity assessment survey (IPAQ); mouth pressure measuring device with respiratory muscle strength; and sleep quality with Pittsburgh Sleep Quality Index (PSQI) were evaluated. Results: Thirty patients with epileptic seizures (mean age: 26.56 +/- 6.64 years) were included in the study. The mean; % maximal inspiratory pressure (MIP) 67.44, %Maximal expiratory pressure (MEP) 35.14, MIP 70.47, and MEP 62.24 cmH(2)O were found.The forced expiratory volumes/ forced vital capacity (FEV1/FVC) (41.01%) and FEV1 (62.50%; 2.56 L) was found lower than the standards. The positive correlation between the MEP, MIP, FEV1 (L), and severe PA was found. FVC with sitting, FEV1 (L) with moderate PA, and FEV1/FVC (%) with PSQI, sitting with educational status were positively correlated (p<0.05). There was a negative correlation between the %MIP and a systolic blood pressure; MIP, MEP (% and cmH(2)O) with diastolic blood pressure (p<0.05), and a positive correlation between the %MEP and SpO(2) (p<0.05). Conclusion: As a result, respiratory function, PA, and the sleep quality of individuals with epilepsy were affected. Respiratory muscle training, PA programs, and behavioral changes should be added to the medical treatment programs of these individuals.Öğe Evaluation of respiratory functions in patients with epileptic seizure(European Respiratory Soc Journals Ltd, 2019) Gokcek, Ozden; Huzmeli, Irem; Hallaceli, Hasan; Melek, Ismet[Abstract Not Available]Öğe Evaluation of the possible effect of inspiratory muscle training on inflammation markers and oxidative stress in childhood asthma(Springer, 2023) Gokcek, Ozden; Yurdalan, Ufuk; Tugay, Baki Umut; El, Cigdem; Dogan, SerdarAirway inflammation characterized as asthma is one of the most common chronic diseases in the world. The aim of this study was to evaluate the possible effect of inspiratory muscle training on inflammation markers and oxidative stress levels in childhood asthma. A total of 105 children (age range 8-17 years), including 70 asthmatics and 35 healthy children, participated in the study. The 70 asthma patients were randomly assigned to the inspiratory muscle training (IMT) group (n = 35) and control group (n = 35), and healthy children were assigned to the healthy group (n = 35). The IMT group was treated with the threshold IMT device for 7 days/6 weeks at 30% of maximum inspiratory pressure. Respiratory muscle strength was evaluated with a mouth pressure measuring device, and respiratory function was evaluated with a spirometer. In addition, CRP, periostin, TGF-beta, and oxidative stress levels were analyzed. The evaluation was performed only once in the healthy group and twice (at the beginning and end of 6 weeks) in asthma patients. In the study, there were significant differences between asthma patients and the healthy group in terms of MIP and MEP values, respiratory function, oxidative stress level, periostin, and TGF-beta. Post-treatment, differences were observed in the oxidative stress level, periostin, and TGF-beta of the IMT group (p <.05). Conclusion: After 6 weeks of training, IMT positively contributed to reducing the inflammation level and oxidative stress. This suggests that IMT should be used as an alternative therapy to reduce inflammation and oxidative stress.Öğe Immediate Effect of Kinesiology Tape on Functionality, Static and Dynamic Balance, Exercise Capacity, and Posture in Users of High-Heeled Shoes(Amer Podiatric Med Assoc, 2023) Huzmeli, Irem; Sari, Zubeyir; Hallaceli, Hasan; Gokcek, Ozden; Davut, SerkanBackground: Using high-heeled shoes in daily life affects the stability of walking, body posture, and functionality. We aimed to determine the immediate effect of kinesiology taping (KT) on functionality, static and dynamic balance, exercise capacity, and posture in young women using high-heeled shoes.Methods: Thirty-seven women who wore high-heeled shoes (mean +/- SD age, 20.32 +/- 1.37 years) were divided into control (n = 20) and study (n = 17) groups. Both limbs of study group participants were taped medially, laterally, and dorsally with KT; no application was made to the control group. Balance (TecnoBody postural line), functionality (vertical jump and functional reach tests), exercise capacity (6-Minute Walk Test), and human body posture (New York Posture Rating Chart) were assessed.Results: Median use of high-heeled shoes was 8 hours daily, 5 days weekly, and 3 years in the study group versus 6 hours daily, 4 days weekly, and 4 years in the control group. Significance in functional reach distance was found within the control (P = .010) and study (P = .005) groups but not between the groups. Stabilometric monopedal right foot ellipse area (P = .016) and perimeter (P = .009); left foot ellipse area (P = .016), perimeter (P = .023), and front/back standard deviation (P = .018); and dynamic balance area gap percent-age (P = .030) were significant within the study group. Posture, vertical jump distance, exercise capacity, stabilometric test results, and bipedal closed-eye and opened-eye results were similar within and between groups (P > .05).Conclusions: Kinesiology taping has no immediate effect on exercise capacity, vertical jump function, posture, and bipedal static balance but can modulate functional reach function, static monopedal leg balance, and dynamic equilibrium. Further studies are recommended to investigate the additive effect of KT with high-heeled shoes and after 45 min, 24 hours, and 72 hours. (J Am Podiatr Med Assoc 113(4), 2023)Öğe Neuropathic Pain and Sleep Quality(Academic Press Ltd-Elsevier Science Ltd, 2020) Huzmeli, Esra Dogru; Urfali, Senem; Gokcek, Ozden[Abstract Not Available]Öğe WHAT DO PHYSIOTHERAPY AND REHABILITATION STUDENTS THINK ABOUT ONLINE LEARNING DURING THE PANDEMIC?(Turkey Assoc Physiotherapists, 2022) Dogru Huzmeli, Esra; Tugral, Yagmur; Gokcek, Ozden; Kavvasoglu, Itir; Filiz, Muhammet Sehmus; Pazarbasi, Batin; Cift, Fatma EdaPurpose: Online learning is a comprehensive type of education in which the teacher and the student are physically separated. We wanted to know how online learning was evaluated through the view of physiotherapy and rehabilitation students. Methods: We included 283 students from department of physiotherapy and rehabilitation in the study. A questionnaire that consisted of 45 multiple-choice questions and 2 open-ended questions was applied to the students. The questions involved whether the student has previously participated in any online learning program, has had access to online learning and technical problems experienced during access. Results: Our study included 210 (74.20%) women and 73 (25.80%) men. We questioned status of having online learning before the pandemic and 49.82% of the students reported that they did not receive online learning before. We found that 21.55% of the students could not motivate themselves. 30.39% of the students thought having insufficient education in the practical courses due to online education. 10.25% of the students stated that they could not access the necessary equipment for online learning. In the question about they received high-quality education with online learning; 21.55% of the students stated that they did not agree at all. Conclusion: We think that it is more beneficial to give some theoretical courses online and synchronized, and practical courses face to face. Therefore, we think that it will be beneficial to postpone the practical courses that cannot be done face to face due to the pandemic and to give those courses face to face after the pandemic process.
