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    The Effects of Breastfeeding and Breast Milk Taste or Smell on Mitigating Painful Procedures in Newborns: Systematic Review and Meta-Analysis of Randomized Controlled Trials
    (Mary Ann Liebert, Inc, 2022) Camur, Zuehal; Erdogan, Cigdem
    Background: Newborns hospitalized in the neonatal intensive care unit are exposed to an average of 10 painful procedures per day. The pain-related experiences of babies can be associated with neurodevelopmental disorders that may affect them throughout their lives.Aim/Objective: The purpose of this study was to summarize and analyze the analgesic effects of breastfeeding alone, expressed breast milk, and breast milk smell on newborns and present stronger evidence that would guide clinical practice and future studies.Methods: We searched articles published between 2000 and 2021 on the CINAHL, Cochrane Central, Web of Science, PubMed, Scopus, Science Direct, Eric, and OVID databases. Nine full texts that met the inclusion criteria (Population: Newborn term or preterm babies, Intervention: Implementing breastfeeding, expressed breast milk, breast milk taste, or breast milk smell alone or in combinations in the intervention groups, Comparison: Making comparisons to the standard care of the clinic where the study was conducted, Outcomes: Including at least one pain-related criterion, Study design: Randomized-controlled trials) were included in this systematic review and meta-analysis. The nine randomized controlled studies in total that were included in this study were carried out between 2004 and 2021 with 33-130 newborns in their samples. The total number of newborns was 720. The effects of these interventions on pain scale scores, heart rate, and oxygen saturation were also analyzed.Results: According to the results of this systematic review and meta-analysis, the breastfeeding, breast milk smell, or breast milk taste interventions had large effect sizes in terms of pain management during and after the procedures. These interventions had medium effect sizes in terms of heart rate during the procedures and large effect sizes after the procedures. In terms of oxygen saturation, they had large effect sizes during the procedures and medium effect sizes after the procedures.Conclusion: Breastfeeding and breast milk interventions are significantly effective nonpharmacological alternatives for painful procedures.
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    A POPULATION-BASED CROSS-SECTIONAL STUDY ON PHYSICAL INTIMATE PARTNER VIOLENCE AFFECTING OLDER WOMEN IN A PROVINCE OF NORTHERN TURKEY: PREVALENCE, ASSOCIATED FACTORS, AND INTERGENERATIONAL TRANSMISSION OF VIOLENCE
    (Turkish Geriatrics Soc, 2024) Oezdemir, Raziye; Karamelikli, Elnaz; Satioglu, Merve Afacan; Akinci, Merve; Camur, Zuehal
    Introduction: This study aimed to estimate the prevalence of physical intimate partner violence among older women, identify factors associated with victimization, and gather information on the intergenerational transmission of violence. Materials and Method: This population -based cross-sectional study was conducted in Karabuk Province and included 399 ever -married women aged 65 years and older. The dependent variable was exposure to physical violence by a current or former spouse. Independent variables included women's sociodemographic and reproductive characteristics, their experience of violence in childhood, and some characteristics of their husbands and parents. The crude and adjusted prevalence ratios were estimated to explore the relationship between the dependent and independent variables using robust Poisson regression analysis. Results: The prevalence of physical intimate partner violence was 62.9% for the lifetime and 7.6% for the past year. Lifetime prevalence increased 1.2fold with low household income, 1.4 -fold with seven or more pregnancies, 1.3 -fold with daily or weekly alcohol consumption by the husband, 1.3 -fold with witnessing father -to -mother violence in childhood, and 1.5 -fold with experiencing physical violence by parents in childhood. Women were more likely to use violence against their children if they had experienced violence in childhood and adulthood. Conclusion: This study's finding of high lifetime and past -year prevalence of exposure to intimate partner violence highlights the need for more efforts to address intimate partner violence among older women. More research is needed to better understand older women's experiences of intimate partner violence and identify health and social policy approaches to meet their support and assistance needs.