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    Effect of kangaroo mother care and white noise on physiological-stress parameters in heel lancing: randomized controlled study
    (BioMed Central Ltd, 2024) Kirbaş, Zila Özlem; OdabaşI Aktaş, Elif; Bayraktar, Bülent; Özkan, Hava
    Background: Newborns are exposed to varying degrees of stressful interventions due to procedures such as heel lancing used in routine metabolic screenings. It is an examination of the effects of white noise and kangaroo care on some physiological parameters and stress markers (cortisol and glucose-regulated protein 78-GRP78) in heel lancing in newborns. Methods: Randomized controlled study was conducted at a gynecology service of a hospital between January and September 2023. 90 babies were divided into three groups: 30 babies in the Kangaroo Care Group (KCG), 30 babies in the White Music Group (WMG), and 30 babies in the Control Group (CG). All babies were randomly divided into groups. Stress parameters were measured by saliva collection method and physiological parameters by saturation device. Results: A statistically significant difference was determined between the total crying time, pulse and saturation values ??according to the groups (p < 0.001; p = 0.001). A statistically significant difference was determined between the mean values ??of cortisol and GRP78 measurements according to group and time interaction (p < 0.001). KCG was more effective in reducing total crying time and stabilizing pulse, saturation, salivary cortisol, GRP-78 values compared to WNG and CG. Conclusion: It was concluded that white noise and kangaroo care help reduce newborns’ stress in the case of heel lancing. Practical implications: The practice of kangaroo care and the use of white noise methods may assist healthcare professionals as supportive methods in stress management during invasive procedures. Trial Registration: NCT06278441, registered on 19/02/2024. © The Author(s) 2024.
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    Sexual Developmental Characteristics of Intellectually Disabled Adolescents in Türkiye: A Cross-Sectional Analysis
    (Nevzat Demirci, 2024) Kirbaş, Zila Özlem; Aktaş, Elif Odabaşi
    Purpose: This study aimed to examine the sexual development characteristics of adolescents with intellectual disability in terms of several variables. The data were collected with the Personal Information Form and the Sexual Development Characteristics Scale of Children with Adolescent Mental Disabilities. Method: Independent samples tests, one-way ANOVA tests, and Bonferroni post hoc analyses were conducted to compare the descriptive characteristics of the adolescents and parents with their scale scores. Multiple linear regression analysis was employed to examine the relationships between the dependent and independent variables. Significant differences were identified between certain subdimensions of the scale and the variables. Findings: The sexual arousal subdimension of the scale accounts for 12% of the variance in the dependent variable, the knowledge about physical development subdimension accounts for 10% of the variance in the dependent variable, the sexual satisfaction subdimension accounts for 6% of the variance in the dependent variable, and the sexual self-care subdimension accounts for 11% of the variance in the dependent variable. This difference was explained by the independent variables (R2 adjusted= .12, .10, .06, .11, respectively). Conclusion: In this study, it was found that the sexual development characteristics of adolescents with intellectual disability were affected by the educational status of the mother, the place of residence of the family, the help of the spouse in childcare, the gender of the child, the verbal communication status of the child, the degree of inadequacy of the child, and the ability to meet the personal needs of the child. © 2024 Nevzat Demirci. All rights reserved.