Publications by authors named "Zeynep Yıldırım"

Purpose: Amidst the multifaceted changes taking place in our dynamic world, the study of screen usage habits and their impacts on children has emerged as a burgeoning area of research interest. The current research endeavors to investigate and establish the correlation that exists between screen usage patterns, behavioral challenges, and self-regulation capabilities within the demographic of children aged 4-6 years.

Design And Methods: In the study, descriptive cross-sectional and relationship-seeking research model.

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Background: Although the literature includes studies on nursing students' ethical sensitivity and compassion competence, no study has examined and compared these skills among nursing students from different cultures.

Aim: This research determined and compared the ethical sensitivity and compassion competency levels of nursing students in two different geographies, one in Turkey (Group I) and one in the Turkish Republic of Northern Cyprus (Group II), which hosts students with different cultural characteristics.

Design: Quantitative and cross-sectional research.

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Background: To assess depression, anxiety, and other psychological disorders in adolescents with chronic kidney disease (CKD) and determine the significant factors and the effect of digital media use on its scores among these patient groups.

Methods: The study was conducted as a cross-sectional study and included 84 adolescents with CKD and 68 healthy controls. The participants completed the Revised Child Anxiety and Depression Scale (RCADS).

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Introduction: Hemodialysis (HD) patients have become a serious public health problem, the number of which is increasing every year worldwide. This study aimed to determine the relationship between satisfaction with life, dietary attitude, and comfort level in patients receiving HD treatment.

Methods: This research was conducted in a relational cross-sectional descriptive design.

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Background: Interventions to improve ethical decision-making are available in nursing education. Evidence of its effectiveness is essential.

Objective: This review examined the effectiveness of interventions to improve nursing students' ethical decision-making skills.

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Background: Primary hyperoxaluria type 1 (PH1) is characterized by increased endogenous oxalate production and deposition as calcium oxalate crystals. The main manifestations are nephrocalcinosis/nephrolithiasis, causing impaired kidney function. We aimed to evaluate the clinical characteristics and overall outcomes of paediatric PH1 patients in Turkey.

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(BCTIV) is a yield-limiting geminivirus belonging to the genus. The genome organization of BCTIV is unique such that the complementary strand of BCTIV resembles , whereas the virion strand organization is similar to the genus. Geminiviruses are known to avoid the plant defense system by suppressing the RNA interference mechanisms both at the transcriptional gene silencing (TGS) and post-transcriptional gene silencing (PTGS) levels.

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Objectives: Personality traits and early maladaptive schemas (EMSs) play an active role in the emergence, maintenance, and treatment of depressive mood. Studies draw attention to the close relationship between temperament and character traits, EMSs, and depression. The first aim of this study is to examine the relationships between temperament, character traits, and EMSs.

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Article Synopsis
  • The study focuses on urinary tract infections (UTIs) in children and investigates the potential use of soluble Toll-like receptors (sTLR4, sTLR5) and interleukin 8 (IL-8) as biomarkers for diagnosing UTIs.
  • It involved 520 children, including those with UTIs, non-UTI infections, and healthy controls, measuring urine and serum levels of the biomarkers before and after treatment.
  • Results show that urine sTLR4 levels are higher in UTI patients, with a cut-off level identified to predict UTIs, especially higher in cases of pyelonephritis compared to cystitis, and decreasing post-treatment.
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Objective: This study examined the effects of education given to patients diagnosed with the COPD on self-care agency and rational drug use.

Methods: This study has a pretest-posttest quasi-experimental design. Participants were divided into two groups, those who received training with the COPD Guide booklet (n = 40) and routine clinical care (n = 43).

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While 44-83% of children with steroid-resistant nephrotic syndrome (SRNS) without a proven genetic cause respond to treatment with a calcineurin inhibitor (CNI), current guidelines recommend against the use of immunosuppression in monogenic SRNS. This is despite existing evidence suggesting that remission with CNI treatment is possible and can improve prognosis in some cases of monogenic SRNS. Herein, our retrospective study assessed response frequency, predictors of response and kidney function outcomes among children with monogenic SRNS treated with a CNI for at least three months.

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Background: Compared with the general population, the immune response to COVID-19 mRNA vaccines is lower in adult kidney transplant recipients (KTRs). However, data is limited for pediatric KTRs. In this study, we aimed to assess humoral and cellular immune responses to the COVID-19 mRNA vaccine in pediatric KTRs.

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Introduction: The objectives of this study were to evaluate the effects of a flash-free (FF) System on (1) the amount of plaque accumulation around the braces on buccal surfaces of the teeth, (2) the time required for the placement of brackets, including the clean-up of the flash, (3) the amount of adhesive left on the tooth after debonding, and (4) time required for adhesive remnant clean-up.

Methods: Thirty-six patients (aged 19.96 ± 5.

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Transplantation is lifesaving and the most effective treatment for end-stage organ failure. The transplantation success depends on the functional preservation of organs prior to transplantation. Currently, the University of Wisconsin (UW) and histidine-tryptophan-ketoglutarate (HTK) are the most commonly used preservation solutions.

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Article Synopsis
  • A new study looked at a special urine test called uHSP70 to help tell if kids have a urinary tract infection (UTI) instead of just using regular tests that might not be very reliable.
  • The study involved 802 kids and found that uHSP70 levels were much higher in kids with UTI compared to those with other infections or who were healthy.
  • Using uHSP70 could help doctors correctly diagnose UTIs and might stop about 80% of kids from getting unnecessary antibiotics.
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We evaluated the demographic features, etiologic risk factors, treatment strategies, and outcome of the infants and children with urolithiasis (UL). A retrospective multicenter study was conducted including 23 Pediatric Nephrology centers in Turkey. The medical records of 2513 children with UL were reviewed.

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Article Synopsis
  • This study examined parathyroid hormone (PTH) levels and phosphate balance in 589 patients with Bartter and Gitelman syndromes, which are conditions that cause salt loss from the kidneys.
  • It found that 56% of patients with Bartter syndrome type I and II had elevated PTH levels, indicating frequent hyperparathyroidism, which was linked to lower serum calcium levels.
  • Additionally, 22% of the patients had low serum phosphate levels, particularly those with Bartter syndrome type III, suggesting renal phosphate wasting as a common issue in these syndromes.
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The study aims to present the incidence of COVID-19 in pediatric patients undergoing renal replacement therapy (RRT) and to compare the severity and outcomes of the disease between the dialysis and kidney transplant (KTx) groups. This multicenter observational study was conducted between 1 April and 31 December 2020 in Istanbul. Members of the Istanbul branch of the Turkish Pediatric Nephrology Association were asked to report all confirmed cases of COVID-19 who were on RRT, as well as the number of prevalent RRT patients under the age of 20.

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Background: Nephrocalcinosis (NC) is defined as calcium deposition in the kidney parenchyma and tubules. This study aims to determine the etiology, risk factors, and follow-up results of patients with NC in Turkey.

Methods: Patients diagnosed with NC in the pediatric nephrology Department Units of 19 centers from all geographical regions of Turkey over a 10-year period (2010-2019) were included in the study.

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Background And Objectives: Transbronchial cryobiopsy (cryo-TBB) is increasingly being used in the diagnosis of diffuse parenchymal lung diseases (DPLD). Varying diagnostic success and complication rates have been reported. Herein we report our experience with cryo-TBB, focusing on diagnostic yield, factors affecting diagnosis, and safety.

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Article Synopsis
  • C3 glomerulopathy (C3G) is a rare kidney disease impacting children, characterized by C3 protein buildup in the glomeruli and marked by variable clinical outcomes and symptoms.
  • In a study of 60 pediatric patients in Turkey, findings showed common symptoms like hematuria and hypertension, with nephritic-nephrotic syndrome being the most frequent presentation.
  • Key predictors of progression to chronic kidney disease stage 5 (CKD5) include lower baseline kidney function (eGFR) and serum albumin levels, highlighting the need for close monitoring in affected children.
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Background: Peritoneal dialysis (PD) is the most common kidney replacement therapy in children. Complications associated with PD affect treatment success and sustainability. The aim of this study was to investigate the frequency of PD-related non-infectious complications and the predisposing factors.

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