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Now showing 1 - 2 of 2
  • PublicationRestricted
    Effect of the Head of Bed Elevation on Back Pain After Elective Coronary Angiography: A Randomized Controlled Trial
    (W.B. Saunders, 2022) TÜREN, SEVDA; YILMAZ, RAHİME ATAKOĞLU; Yeşiltepe, Nezahat; Bektaş, İbrahim
    Background: Patients are restricted to bed and required to lie flat after coronary angiography (CAG) due to potential risk of vascular complications. This often cause back pain. Aim: We aimed to investigate effect of the head of bed (HOB) elevation on back pain and vascular complications after elective CAG. Methods: Three hundred and seven consecutive patients who underwent elective CAG were randomized into three groups. One control (HOB: 0 degree-flat position) and two experimental (HOB: 15 and 30°) groups were compared. Back pain level was assessed by using visual analogue scale. Results: Mean age was 58.1 ± 10.7 and 59.9% (n = 184) of patients were male. Pain level at the 3rd hour and at the 6th hour was significantly higher in control group compared to experimental groups. In the post-hoc analysis, pain level was significantly higher in HOB 15 compared to 30°. In multivariate analysis, HOB elevation to 30° was the only independent predictor of the pain level at 3rd hour and 6th hour. Only one patient in the HOB 0 degree group had a minor bleeding at the access site. Conclusions: Elevation of the HOB to 30° was associated with decreased back pain level without increased risk of vascular complications. © 2022 Elsevier Inc.
  • PublicationOpen Access
    Online Child Sexual Abuse: Prevalence and Characteristics of the Victims and Offenders
    Today, with the widespread use of the internet, online child sexual abuse, facilitated through the rise in malicious sites that offer perpetrators the opportunity to interact with children, has emerged. Online child sexual abuse involves the obtaining, displaying, collecting, and distributing of sexual content for the purpose of deriving sexual satisfaction from a child. Online child sexual abuse threatens community mental health in terms of the harm it can cause to the mental health of children and families. The relevant literature includes only a limited number of studies on online child sexual abuse, with most focusing on child pornography. In this review, a definition of online child sexual abuse and its characteristics, the prevalence of online sexual abuse, and the characteristics of online child sexual abuse victims and offenders are presented in the light of the current literature. In addition, the review also provides information on how pedophilic culture facilitates child sexual abuse and, on the strategies, criminals employ to avoid being caught. The increased amount of time spent online and the development of new strategies by criminals escalates the risk of children being exposed to sexual abuse online. Therefore, it is crucial that online child sexual abuse be detected and prevented to protect community mental health. This review aims to raise awareness in mental health professionals by presenting information on online child sexual abuse literature and to contribute valuable data to future studies on this subject.