Bu çalışmada tüm dünya nüfusunun yaklaşık %4.4'ünü etkileyen ve sık görülen ruhsal bir rahatsızlık olan depresyonun, kadınların en hassas dönemlerinden birisi olan gebelik ile ilişkisini saptanması, buna neden olabilecek risk faktörlerinin sorgulanması amaçlanmıştır. Gereç ve Yöntem: Gazi Üniversitesi Kadın Hastalıkları ve Doğum Anabilim Dalı'na gebelik takibi için başvuran, yapılan ultrasonografide fetal kalp atımı saptanan 17-40 yaş arasında 207 gebe çalışmaya dahil edildi. Çalışmaya dahil edilen gebelere, gebelik takip muayeneleri yapılmadan önce; yaşlarını, kaçıncı gebelikleri olduğunu, gebeliğin istenip istenmediğini, ek rahatsızlıkları olup olmadığını (hipertansiyon, diyabetes mellitus, hipotiroidi, hipertiroidi, anemi, …vb.), ailesel ekonomi şartlarını, eşlerinden şiddet görüp görmediğini ve gebeliğinin nasıl geçtiğini, doğum için kaygılarının olup olmadığını sorgulayan ve Beck depresyon ölçeğini içeren form uygulandı. Bulgular: Çalışmaya katılan 207 gebenin ortalama yaşı 26,18 ± 5,22 yıl olarak bulundu. Beck Depresyon Ölçeği eşik değeri 17 olarak alındığında 41(%19,8) gebenin belirgin depresif semptomlara sahip olduğu görüldü. Gebelik depresyonu üzerinde genç yaş gebelik, eğitim durumu, doğumdan korkma gibi faktörlerin etkili olduğu, bunun yanı sıra fiziksel ya da sözel şiddet gören gebelerde Beck Depresyon Ölçeği skorlarının daha yüksek olduğu tespit edildi. Obstetrik özelliklerin gebelik depresyonu ile ilişkisi incelendiğinde trimesterler, çocuk cinsiyetleri, ilk doğum yaşları, gebelik sayısı, yaşayan çocuk sayısı, arasında fark saptanmazken gebeliğin istenilen gebelik olup olmaması depresif semptomlar üzerinde etkili bulundu. Sonuç: Depresyon yaklaşık olarak her 5 gebeliğin birini etkilemektedir. Gebelikte görülen depresyonun saptanamaması ve tedavi edilmemesi gebelik ve fetüsle ilgili olumsuz sonuçlara neden olmaktadır. Beck Depresyon Ölçeği ile gebelikte depresif semptomlar sorgulanabilir. Bununla birlikte gebelik yaşı küçük olan, düşük eğitim düzeyli, aile içi fiziksel şiddet gören, sözlü aşağılamaya maruz kalmış, doğum korkusu olan ve istenmeyen gebelik yaşayan gebeler depresyon için risk faktörü taşıdığı göz önünde bulundurularak depresyon varlığı açısından takip edilmeli ve detaylı olarak değerlendirilmelidirler.

Background Before and throughout the COVID-19 pandemic, healthcare workers (HCWs) were victims of workplace violence (WPV). There are no reliable statistics on the occurrence and consequences of WPV against HCWs in Turkey throughout the pandemic period. Objective We investigated the rates of WPV against HCWs in Turkey in the pre-pandemic and pandemic periods, variables associated with WPV, and the relationship between these variables and job satisfaction and burnout. Methods A structured online questionnaire was disseminated through social media channels to HCWs in various healthcare settings. All the respondents also completed the Maslach Burnout Inventory (MBI) and Job Satisfaction Scale. Based on the data obtained, we determined the frequency, causes, and consequences of WPV against HCWs before and during the pandemic. Results There were 701 completed questionnaires. 68.2% of participants were female, and 65.6% of them were doctors. The rate of WPV was 54.1% and 24.3% before and during the pandemic, respectively. Verbal abuse was the most common kind of WPV. Female HCWs were more likely to be physically assaulted than their male counterparts, especially those working in COVID-19 units. The majority of HCWs who were exposed to the violence at least once did not report WPV. HCWs exposed to WPV during the pandemic reported more emotional exhaustion and depersonalization and a lower perceived level of personal achievement. Conclusion HCWs were exposed to significant levels of violence both before and during the pandemic. Preventing WPV against HCWs and removing barriers to reporting abuse is crucial.

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Systemic inflammation and nutrition are associated with survival outcomes in metastatic colon cancer (mCC) patients. A new and strong prognostic marker named the Prognostic Immune Nutritional Index (PINI) was proposed as the best marker for outcomes in metastatic colon cancer patients. This study aimed to evaluate the prognostic significance of PINI in mCC patients. MethodsThe data of 190 patients who were admitted to our center and diagnosed with mCC between 2010 and 2020 abiding by our inclusion criteria were reviewed retrospectively. Receiver operating characteristic (ROC) analysis was used to identify the optimum cutoff value of PINI for overall survival (OS). ResultsThe mean age of the participants was 62.64±11.99 years. The median follow-up time was 25.81 months. According to PINI, the median OS in patients who had PINI<3 was 22.70 months (95% confidence interval (CI): 16.05-29.35), and the median OS in patients who had PINI≥3 was 38.83 months (95% CI: 26.98-37.01) (p<0.001). PINI score lower than 3 was an independent prognostic indicator in multivariate analysis. ConclusionsPINI was discovered to be an independent prognostic factor in metastatic colorectal cancer. We believe that PINI, which can be calculated using a simple formula, will provide clinicians with important clues when deciding on individual treatment.

Introduction Our study’s purpose was to investigate the viewpoints of cancer patients who had not yet been vaccinated. Cancer patients usually cannot get every vaccine because their immunity is low. For this reason, we aimed to detect their anxiety and curiosity for new vaccines for a new disease. Methods The goal of this descriptive cross-sectional study was to investigate cancer patients’ perceptions of COVID vaccination. Over 18 years of age who have not yet been vaccinated for COVID-19 and who agreed to participate were included in the study. We applied three questionnaires between May and June 2021, one of them was prepared by us; the other two questionnaires were The State-Trait Anxiety Inventory (STAI) form and Anxiety Sensitivity index to a total of 497 participants. Chi-square, Spearmen correlation test, and multivariable multinomial logistic regression tests were used when comparing. Results Our participants’ ages were between 21 and 88, with a mean age of 61.38 (SD = 11.68), 48.6% ( n = 251) of the participants were female. We discovered that 79.1% ( n = 408) of respondents were not afraid of getting the COVID-19 vaccine. 27.7% ( n = 143) of these patients were concerned about the COVID-19 vaccine’s adverse effects, and 24.2% ( n = 125) were afraid of its side effects with their treatments. 91.1% ( n = 470) of the patients did not know which vaccine they would have and the type of the vaccine. Since the anxiety level is generally higher in women, anxiety scores were also higher in cancers seen in women, such as breast and ovarian cancer. Of course, in parallel with this, anxiety scores were lower in prostate cancers. Special patient groups should not be neglected during this vaccine season, and their concerns should be addressed. When a new vaccine is found, it can have long-term effects, which should not be ignored.

Since technological devices used for communication affect communication between people, nomophobia is a disorder of a new age. In this study, we discuss the relationship between nomophobia and smoking addiction and the factors affecting them. The Demographic Information Form and Nomophobia Scale (NMP‐Q), ıf they were smoking we applied The Fagerström Test for Nicotine Dependence (FTND) Scales were directed among students (n = 641) at Süleyman Demirel University studying Medicine, Dental, Nursing and Physiotherapy departments in the 1st and 4th grades. Mann‐Whitney U, Kruskal‐Wallis test to compare the scores of the variables with more groups. Correlation analysis was performed between the NMP‐Q and Fagerström Test for Nicotine Dependence Scale scores by Spearman correlation. Bonferroni test applied as Post Hoc test for multiple comparisons of groups. In our study, 267 (42.6%) of participants who had nomophobia refuse to be dependent and smartphone addiction level was found to be 99.69 for all students. Responses were received from 73.2% (n = 469) female and 26.8% (n = 172) male participants. There is no significant difference between smokers in terms of factors in nomophobia (P > .05). The total score of the questionnaire (P < .01*) by gender and averages scores of women were higher in all mentioned sub‐dimensions and total scores. In our study, there was no correlation between nomophobia and cigarette addiction because of the low number of smokers participating in our survey. Therefore, new conflicts with wider audiences are needed to examine the relationship between these two addictions.

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