Cengiz Acikel

Istanbul Surgery Hospital, İstanbul, Istanbul, Turkey

Are you Cengiz Acikel?

Claim your profile

Publications (102)166.04 Total impact

  • [Show abstract] [Hide abstract]
    ABSTRACT: Objectives The aim of this study was to investigate the mandibular third molar pericoronitis flora by using real-time polymerase chain reaction (PCR).Materials and methodsThe quantitative values of Aggregatibacter actinomycetemcomitans (Aa), Campylobacter rectus (Cr), Fusobacterium nucleatum (Fn), Porphyromonas gingivalis (Pg), Prevotella intermedia (Pi) and Tannerella forsythia (Tf) were evaluated in comparison with the healthy third molar flora by using real time PCR.ResultsAa, Cr, Pg, and Pi were not statistically significant but numerically higher than the pericoronitis group. In contrast to samples from control subjects, statistically significant higher numbers of Tf were detected in samples from pericoronitis patients. The study revealed the strong relation between risk of pericoronitis and the presence of Tf. Individuals who have Tf in their samples present with an almost eight times relative risk of pericoronitis as the individuals with an absence of Tf in their samples.Conclusion Tf plays an important role in the development of clinical symptoms related to pericoronitis.
    International Dental Journal. 05/2014;
  • [Show abstract] [Hide abstract]
    ABSTRACT: We designed one-and-a-half-barrel vascularized free fibular flap which is a further modification of the double-barrel technique, and we tried to overcome the discrepancy between mandible and fibula flap. We used this flap in case of a segmental mandibular defect that occurred as a result of a giant cell reparative granuloma excision. This new modification eliminated volume insufficiency of the classical technique and volume excess of the double-barrel technique.A segmental mandibular defect that occurred as a result of giant cell reparative granuloma excision was reconstructed using one-and-a-half-barrel vascularized free fibular flap. The size discrepancy between mandible and free fibula flap is a well-known problem, and this new modification of free fibular flap eliminated volume insufficiency or excess problems of the other techniques.
    The Journal of craniofacial surgery 03/2013; 24(2):e167-9. · 0.68 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: Objectives: The residual alveolar bone height at the implant recipient site plays a key role in determination of the risk of sinus membrane perforation during crestal sinus elevation. In this study, we aimed to determine the correlation between residual ridge height and perforation limit of sinus membrane and to examine the safety range for the sinus membrane continuity in crestal sinus elevation. Formalin-fixed cadavers were used for the experiment to observe outcomes. Method and Materials: Crestal sinus elevations were performed on 14 preserved human cadavers' heads. Residual ridge heights were measured using a bone caliper. The physiodispenser was preset to 30 Ncm and sinus floors were elevated by a concave sinus screw with diameter of 4 mm until sinus membrane perforation occurred. The perforations were identified either as Class I or Class II and the portion of the concave sinus screw in the sinus was measured each time using a ruler. Spearman's correlation coefficient was calculated to show the relation between the residual ridge heights and the membrane elevations at the time of perforation of the sinus membranes. Results: In general, the perforation limit of sinus membrane after elevation was higher with greater residual ridge height. A statistically significant correlation was found between residual ridge heights and perforations of the sinus membrane (r = 0.620, P < .001). Conclusion: Although it is not always possible to extrapolate results from cadavers to an in vitro clinical setting, it could be considered to have clinical significance. Our findings suggest that higher subsinusoidal elevation may be achieved when the residual ridge bone height increases. The conclusions of this study should be verified with studies of more rigorous design.
    Quintessence international (Berlin, Germany: 1985) 02/2013; · 0.64 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: Objective: When a mandibular third molar is partially impacted in the soft tissue, it must be determined whether the extraction wound should be left partially open or completely closed. We hypothesize that a blood clot preserving a surgical wound with easily cleanable surfaces by primary closure and drain application would postoperatively minimize dry socket and/or alveolitis development. Method and Materials: Twenty patients requiring bilateral extraction of partially soft tissue-impacted mandibular third molars in a vertical position were included in the study. The existence of dry sockets, alveolitis, pain, facial swelling, and trismus were evaluated on the second, fifth, and seventh days of the postoperative period. Results: On the second day, pain, trismus, and swelling were higher in the drained group; however, pain reduced progressively in the drained group over time. There were no cases of dry sockets or alveolitis except for a single patient on the seventh day in the drained group over the 7-day study period. On the other hand, in the secondary closure group, the number of dry sockets was 8 (40%) on the second day. The number of alveolitis was 10 (50%) on the fifth day and 4 (20%) on the seventh day. Conclusion: Closed healing by drain insertion after removal of partially soft tissue-impacted third molars produces less frequent postoperative dry sockets and/or alveolitis development than occurs with open healing of the surgical wound. In cases with a risk of alveolitis development (lack of oral hygiene, immunocompromised patients, etc), it can be avoided with the "kiddle effect" and related undesired complications by implementing closed healing with drain insertion.
    Quintessence international (Berlin, Germany: 1985) 11/2012; 43(10):863-70. · 0.64 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: Ameloblastoma is a benign tumor of the mandible, which is not commonly diagnosed in the early stages. The extensive mandible resection may be needed for treatment. In this report, we present 6-year follow-up results of a patient who had undergone hemimandibulectomy and mandible reconstruction with free vascularized fibular flap, costochondral rib graft to restoration of the temporomandibular joint, and iliac bone graft to enhance the vertical height of the mandible. The long-term results are very satisfactory.
    The Journal of craniofacial surgery 08/2012; 23(5):1373-4. · 0.68 Impact Factor
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: The term "fourth-degree burn" is not very often found in the literature because it is often associated with lethal injury. These injuries are characterized by exposure of viable tissue such as tendon or bone and are associated with challenging wound closure. The goal of reconstruction is to provide adequate soft tissue coverage and restoration of function. Several treatment modalities have been used to serve this purpose. We present four male patients with fourth-degree burns of the extremities, treated with negative pressure wound therapy. The patients' age ranged from 15 to 49 yr (mean, 28 yr). The total body surface area burned ranged from 3 to 60% (mean, 34.25%). Negative pressure wound therapy was applied for 16-30 days (mean, 23.75 days). Three split-thickness skin grafts and one bipedicled local flap were performed. Wound closure was completed in 28 to 50 days. The results were satisfactory for both physicians and patients. Our longest follow-up was three years. The results achieved in this group of patients revealed the negative pressure wound therapy was a reliable alternative method in the treatment of fourthdegree burns.
    The Annals of Fires and Burn Disaster 06/2012; 25(2):92-7.
  • [Show abstract] [Hide abstract]
    ABSTRACT: Neurosensory deficits are the most common complication following orthognathic surgery. Le Fort I and sagittal split ramus osteotomies have been widely studied but there is a lack of data about the neurosensory alterations resulting from anterior maxillary osteotomy (AMO). This paper evaluates the neurosensory alterations in cutaneous regions including lower eyelid, cheek, nose, upper lip and vestibular and palatal mucosal areas using simple clinical tests following AMO performed with Bell's incision so patients can be properly informed about the extent of sensory loss and its rate of recovery following AMO. Twenty-four sides of 12 patients (eight females; four males) with a mean age of 14.20±1.86 years (range 12-17 years) were examined. Pin prick sensation, light touch sensation, static and dynamic two-point discrimination tests were used. Following AMO, vestibular mucosa, upper lip, nose and cheek were the most commonly affected sites. No alterations were detected in lower eyelid and palatal mucosa. The neurosensory deficits in cheek, nose and upper lip resolved 10 days after surgery. The vestibular mucosa showed normal sensation on day 30. In conclusion, following AMO, neurosensory alterations can occur, but it will resolve spontaneously in 30 days.
    International Journal of Oral and Maxillofacial Surgery 04/2012; 41(11):1353-60. · 1.52 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: Objective: While developed countries do age estimation for the purpose of identification, in countries such as Turkey, it is used to determine the real age of a person with an already known identity because of inaccurate birth records. The aim of this article was to investigate whether the calcification degree of the first costal cartilage could be a marker for age determination. Material and Methods: We retrospectively analyzed the postero-anterior chest x-rays of 471 patients (270 males, 201 females; mean age ± standard deviation 42.38±20.69 years) who presented to the radiology department for various reasons. The calcification degree of the right first costal cartilage was classified in four stages based on criteria used by Barchilon and Garamendi, and the patients were classified in seven groups regarding their ages. The correlation between the calcification stage of the right first costal cartilages and age group was analyzed by Spearman's rho. Results: According to the first costal cartilage calcification stage, the mean ages were 5.56, 25.49, 45.39 and 66.02 at stage 0, 1, 2 and 3, respectively. The calcification degree of the right first costal cartilage and age correlated significantly in males and females [Spearman's rho=0.904, p<0.001 (0.924, p<0.001 in males and 0.864, p<0.001 in females)]. Conclusion: Although there are overlaps among age groups, the assessment of the calcification degree of the first costal cartilage on chest x-rays may be useful to predict the bone age. This age determination method can be used in criminal courts and forensic anthropology as a contributory technique.
    Turkiye Klinikleri Journal of Medical Sciences 03/2012; 32(5):1361. · 0.10 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: The aim of the present study was to investigate serum lactate dehydrogenase (LD) levels in patients with silicosis due to denim sandblasting (SDDS) and also to investigate possible correlations between serum LD levels and the degree of radiological extent of disease (RED) and pulmonary function tests. Forty-four males with SDDS and 32 healthy male subjects were included in the study. Patients and healthy controls were compared for serum LD levels. Correlations between serum LD levels, RED and spirometric values were investigated. Patients with SDDS had significantly higher serum LD levels than healthy controls. Patients with complicated SDDS had significantly higher serum LD levels than patients with simple SDDS. Significant correlations were found between serum LD levels and RED values. Significant correlations were found between serum LD levels and spirometric parameters. High serum LD levels might be considered as a marker of pulmonary parenchymal involvement in patients with SDDS. This study also suggests that the increase in serum LD levels might be closely related to the degree of pulmonary involvement in SDDS patients.
    Clinical Chemistry and Laboratory Medicine 03/2012; 50(3):483-8. · 2.96 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: The aim of this study was to evaluate the number, course, width and location of nutrient artery canals of the femur by using multidetector computed tomography (MDCT). Sixty-six adult (35 right and 31 left) dry femurs were included in this study and scanned by MDCT. Nutrient artery canals were evaluated on the multi-planar reformatted and volume rendered images which were reproduced on the basis of axial images. The median value of nutrient artery canals was two (minimum 1 and maximum 6). We determined that there was a negative correlation between the number of nutrient canals and the canal diameters. The outer ostia of the nutrient artery canals were most frequently located at the middle third segment of femoral diaphysis (65%). While the vast majority of the canals were showing upward courses (95%), only a few canals were having transverse (3%) or downward (2%) courses. Most encountered location of outer ostia of the canals according to linea aspera was the medial lip of the linea aspera (44%). Various variations were demonstrated in the number, course, and location of nutrient artery canals using MDCT. In conclusion, the knowledge of the topographic features of the nutrient artery canals may be useful in various clinical implications such as bone grafting or radiologic evaluation for the fracture lines.
    Anatomia Clinica 01/2012; 34(5):427-32. · 1.33 Impact Factor
  • Source
    Mesut Cetin, Feyza Aricioglu, Cengiz Han Acikel, Selim Kilic
    [Show abstract] [Hide abstract]
    ABSTRACT: ZET: Günümüzde Psikofarmakolojik Tedavi: Sonuçlar, sorunlar, yeni açılımlar Tüm çabalara rağmen, XXI. yüzyılın ilk çeyreğinin yarı-sındaki gelişmişlik düzeyimizde bile, psikiyatrik bozuk-lukların bir çoğunun tedavilerinin tam olarak yapıla-madığı, kronik, hayat boyu süren hastalıklar grubunu oluşturdukları bilinir. Bu nedenle psikiyatrik bozuk-luklar ve bu bozukların ilaçla tedavisi herhangi bir bedensel hastalığın tedavisinden daha fazla ustalık ve özen gerektirmektedir. Psikofarmakoloji alanında-ki gelişmelere, randomize klinik deneyler, preklinik araştırmalar, meta-analizler ve klinisyen deneyimleri oldukça faydalı bilgi kaynakları olmaktadır. Yine de, bu aşamada psikofarmakoloji alanındaki gelişmeler tüm karşı görüşlere rağmen oldukça hızlı ve tatminkardır. Ancak alınacak çok daha fazla yol vardır. Bu derlemede psikotroplarla ilgili etkililik, etkinlik, yan etkiler, advers etkiler, ilaç etkileşmeleri, psikofarmakoloji alanındaki yeni açılımlar, farmakoekonomi ile jenerik ve referans ilaç tartışmaları gibi psikofarmakolojinin güncel konu-larına değinilmiştir. Anahtar sözcükler: Psikofarmakolojik araştırmalar, etkinlik, etkililik, yan etkiler,advers etkiler, farmakoeko-nomi, bireye özgü tedavi, akılcı ilaç kullanımı Kli nik Psikofarmakoloji Bülteni 2012;22(2):198-204 ABS TRACT: Today's psychopharmacological treatments: results, problems, new perspectives Despite all efforts even in the half of the first quarter of the twenty-first century, psychiatric disorders are still lifelong conditions, which cannot be treated fully and mostly continue to be chronic. Therefore, psychiatric disorders and their treatments require more skills and care than physical disorders. In the area of preclinical research in psychopharmacology, clinical trials, research, meta-analyses, and clinician experiences provide useful information for psychopharmacological applications. Although there is still a long distance to cover andat times opposing views, developments in the field of psychopharmacology are rapid and satisfactory. In this review, current issues in psychopharmacology, such as effectiveness, efficacy, new avenues of enquiry, side effects, adverse effects, and drug interactions of psychotropics, generic and reference drug issues, and pharmacoeconomics will be discussed.
    Bulletin of Clinical Psychopharmacology 01/2012; 22(2). · 0.37 Impact Factor
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: Background One of the option for reconstruction of segmental mandibular defect is the vascularized free fibular flap. However, difference in height between mandible and fibula causes aesthetic and functional problems. But lack of a flap wide enough to completely fill the mandibular defect is an important disadvantage for us(1). The double barrel fibula flap has been useed to eliminate this disadvantage, but this flap is too large(2-4). A piece of non-vascularized residual fibula have used as graft in addition to vascularized fibula flap(5). We designed one and a half barrel vascularized free fibular flap to overcome the disadvantages of both techniques. Methods Eight centimeter length mandibular body segment was excised because of giant cell reparative granuloma diagnosis. Vascularized fibular flap was harvested and shaped as follows. A small piece of bone (segment B) was removed at the middle of the flap to fold the flap (Figure 1). The distal half of the flap had been splitted longitidunally, and the bone segment away from the perforator vessels (segment D) were removed. And then two remaining fibula segments were folded, and placed in parallel to each other in the defect (Figure 2).
    Plastic &amp Reconstructive Surgery 09/2011; 128. · 3.33 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: Total reconstruction of the eyelid after serious periorbital injury is a challenging procedure for plastic and reconstructive surgery. Although several methods have been used for reconstructing the eyelids, such as advancement flap with fascia lata sling, island mucochrondrocutaneous flap, prefabricated temporal island flap, porous polyethylene and superficial temporal fascia flap, creating a supportive eyelid for housing an artificial eye without complication is still an ongoing problem. In the case presented, superficial temporal fascia flap with porous polyethylene was used for the reconstruction of total lower eyelid.
    Journal of Plastic Reconstructive & Aesthetic Surgery 07/2011; 65(1):110-3. · 1.47 Impact Factor
  • Source
    I Sahin, S Ozturk, D Alhan, C Açikel, S Isik
    [Show abstract] [Hide abstract]
    ABSTRACT: Even if calculating the exact cost of burn treatment is a very hard task, the study of cost analysis provides financial perspective. We performed a cost analysis study in our burn centre to respond to questions about total patient treatment cost and the length of hospital stay. We reviewed all patients admitted to the Gulhane Military Medical Academy Burn Centre in Ankara, Turkey, between March 2005 and August 2008. Forty-three patients with major burns were identified on the basis of the study criteria. The data regarding total treatment cost and the length of hospital stay for each type of burn (flame, scald, electric) were collected at the end of the study. The average total body surface area burned was 36 ± 7%.. The average duration of hospital stay was 73 ± 33 days. Patients with electrical burns stayed longer in hospital than patients with other types of burn injuries. Each one per cent of burn corresponded to a mean hospital stay of two days. The overall mean total cost was $US 15,250. The mean total cost of electrical burns was the highest, with $US 22,501 ± 24,039. Even if the costs associated with burn injury are higher than some other well-known health-related problems, they have not been much studied. Reports have produced different results, but it should be kept in mind that although the results of cost analysis studies may vary they must be performed in all newly established burn centres in order to form a financial overview.
    Annals of burns and fire disasters. 03/2011; 24(1):9-13.
  • [Show abstract] [Hide abstract]
    ABSTRACT: Vascular endothelial growth factor (VEGF) is a potent proangiogenic protein that activates VEGF receptor (VEGFR-1, VEGFR-2) tyrosine kinases expressed by vascular endothelial cells. A soluble truncated form of VEGFR-1 (sVEGFR-1) binds to VEGF as strongly as full-length VEGFR-1 and inhibits VEGF activity. sVEGFR-1 can be detected in mouse and human plasma but in human milk sVEGFR-1 has not been described previously. We measured sVEGFR-1 and VEGF in human milk and examined how the concentration varied with gestational age and the duration of lactation after birth. Human milk samples were collected from 29 mothers of preterm (<37 weeks) and from 29 mothers of term (>38 weeks) infants at days 3, 7 and 28 postpartum. The sVEGFR-1 and VEGF concentrations were greater in the human milk of mothers of preterm compared to term neonates (p < 0.05). Furthermore, the concentrations of sVEGFR-1 and VEGF were decreasing during postpartum days 3, 7 and 28. The concentration of sVEGFR-1 showed a positive correlation with the concentration of VEGF in human milk (r = 0.479 and p < 0.001). sVEGFR-1 is present in human milk and has a role in angiogenesis.
    Hormone Research in Paediatrics 03/2011; 76(1):17-21. · 1.55 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: Despite its known benefits, hyperbaric oxygen (HBO) is also reported to enhance the production of reactive oxygen species and can cause oxidative stress in several tissues. Previous studies had shown that HBO-induced oxidative stress is directly proportional to both its exposure pressure and duration. Nevertheless, these studies were usually performed with single-session HBO exposure but its clinical use commonly depends on long-term exposure periods. To clarify the oxidative effect of long-term repetitive HBO in the lung tissue of rats. Male Sprague-Dawley rats were divided into six study groups exposed to consecutive HBO sessions (2.8 atm/90  min) for 5, 10, 15, 20, 30, and 40 days. Animals were sacrificed 24  h after the last HBO session. An additional control group was set to obtain normal data. Lung malondialdehyde (MDA) and carbonylated protein (PCC) levels were determined as measures of oxidative stress along with the activities of the antioxidant enzymes superoxide dismutase (SOD) and glutathione peroxidase. Results: None of the measured parameters showed any changes among the groups exposed to 5-15 HBO sessions. However, MDA, PCC, and SOD were found to be significantly increased in the 20 to 40 session groups. These results indicate that repetitive treatment with HBO may cause oxidative stress in critical tissues including the lung. Although HBO-mediated free radicals are accepted to be responsible for the benefits of this therapeutic modality, especially in cases with prolonged exposure, possible injurious effects of supranormal values of bio-oxidative products need to be considered.
    Inhalation Toxicology 02/2011; 23(3):166-72. · 1.89 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: To evaluate the clinical features, visual outcomes, and prognostic factors in patients who underwent vitreoretinal surgery after closed-globe injury. Retrospective review of patients with closed-globe injuries who underwent vitreoretinal surgery between January 2003 and December 2007. The study cohort included 46 eyes from 46 patients who underwent vitreoretinal surgery for posterior segment injury. Retinal detachment was the most frequent indication for the surgery, in 33 eyes (72%). After surgery, final visual acuity of 20/400 or better was achieved in 35 eyes (76%), while 11 eyes (24%) had visual acuity less than 20/400 (poor visual outcome). The most frequent reason for poor outcome was proliferative vitreoretinopathy (PVR) (6 eyes), followed by macular complications (3 eyes) and optic atrophy (2 eyes). Two cases with PVR became phthisical following repeated vitreoretinal procedures and also lost light perception. Prognostic factors associated with poor outcomes included delayed presentation, presenting visual acuity of less than 20/400, the presence of initial macular detachment, and the need for additional surgical intervention (p<0.05). No statistical difference was found in final visual acuity between eyes with or without retinal detachment (p>0.05). Also, the presence of damage to the anterior segment was not significantly associated with poor visual outcome (p>0.05). In patients with posterior segment pathology caused by closed-globe trauma, retinal detachment was the most common reason for vitreoretinal surgery and PVR was the main cause of surgical failure. The poor visual outcomes associated with delayed presentation suggest that patients need to be referred for further management.
    European journal of ophthalmology 01/2011; 21(3):296-302. · 1.06 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: When performing in situ harvesting of cranial bone grafts, there is a risk of entering the pericranial-intracranial venous system, either directly or indirectly through the arachnoid foveolae. The aims of this study were to investigate the size and location of arachnoid foveolae and to provide an anatomic road map to prevent penetrating these structures. Three hundred dry skulls were selected from the Hamann-Todd osteological collection (Cleveland, OH); skulls were collected between 1912 and 1938. Our study skulls were limited to whites or African American adults. Exclusion criteria included children (<18 y), ethnic groups other than African Americans and whites, skulls demonstrating fracture or craniofacial abnormalities, or any skull whose age, ethnicity, and sex could not be confirmed. From the 300 skulls in the collection, 200 met the criteria and were included in our review. The mean age of these 200 individuals was 43.86 years, with a male-to-female proportion of 100:100, and a white-to-African American proportion of 144:56. A 500-W candescent light was used to transilluminate the arachnoid foveola, and digital photographs with scale were obtained. The location and diameters of foveolae for arachnoid granulations relative to the coronal and sagittal suture were measured. Approximately 90% of major arachnoid foveolae are located within 2.5 cm of the coronal and 1.5 cm of the sagittal suture for the left and right parietal bones. Major arachnoid foveolae are located at closer distances to the superior sagittal suture and the coronal suture in the right and left parietal bone than minor foveolae. The results of this study imply that potential complications can be minimized by avoiding these areas and by harvesting in situ bone grafts from the absolute and relative safe zones described in this study.
    The Journal of craniofacial surgery 01/2011; 22(1):118-21. · 0.68 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: The purpose of this study was to determine the effect of different colour nail polishes and henna on the measurement of oxygen saturation and the differences among the measurements of three pulse oximetry devices. 33 healthy females with a mean age of 19±1.0 years and no complaints or known disease were included into the study. All the participants applied henna to one of their fingers a day before the study. Just before the study, one finger was left empty as control and the other fingers were dyed using various colours of nail polish (red, blue, beige, purple, brown, white, pink, green, colourless polish, light blue, light green and yellow). There were more than eight colour nail polishes and some fingers were used for the other colours after being completely cleaned. The same brand nail polishes were used for the study. Oxygen saturation measurements were done using three different pulse oximetry devices (device I, II, III) from the control, different colour nail polished and henna applied fingers. The measurements of different devices, different colour nail polishes, henna and control were statistically compared. The mean saturations obtained from blue, beige, purple and white nail polished fingers were significantly lower than those of control and the other coloured fingers. In addition, the mean measurement of device II was significantly lower than those of other devices. The results suggest that blue, beige, purple and white nail polished fingers might cause pulse oximetry devices to make incorrect measurements.
    Emergency Medicine Journal 10/2010; 28(9):783-5. · 1.78 Impact Factor
  • Source
    Gulten Guvenc, Aygul Akyuz, Cengiz Han Açikel
    [Show abstract] [Hide abstract]
    ABSTRACT: This study is a report of the development and psychometric testing of the Health Belief Model Scale for Cervical Cancer and the Pap Smear Test. While the Champion Health Belief Model scales have been tested extensively for breast cancer and screening for this, evaluation of these scales in explaining the beliefs of women with regard to cervical cancer and the Pap Smear Test has only received limited attention. This methodological research was carried out in Turkey in 2007. The data were collected with 237 randomly selected women who met the criteria for inclusion and agreed to participate in this study. The Champion Health Belief Model scales were translated into Turkish, adapted for cervical cancer, validated by professional experts, translated back into English and pilot-tested. Factor analysis yielded five factors: Pap smear benefits and health motivation, Pap smear barriers, seriousness, susceptibility and health motivation. Cronbach's alpha reliability coefficients for the five subscales ranged from 0·62 to 0·86, and test-retest reliability coefficients ranged from 0·79 to 0·87 for the subscales. The Health Belief Model Scale for Cervical Cancer and the Pap Smear Test was found to be a valid and reliable tool in assessing the women's health beliefs. Understanding the beliefs of women in respect of cervical cancer and the Pap Smear Test will help healthcare professionals to develop more effective cervical cancer screening programmes.
    Journal of Advanced Nursing 10/2010; 67(2):428-37. · 1.69 Impact Factor

Publication Stats

694 Citations
166.04 Total Impact Points


  • 2003–2011
    • Istanbul Surgery Hospital
      İstanbul, Istanbul, Turkey
    • Çorlu Military Hospital
      Tzirallum, Tekirdağ, Turkey
  • 2008
    • University of Texas Southwestern Medical Center
      • Department of Plastic Surgery
      Dallas, TX, United States
  • 2007
    • All India Institute of Medical Sciences
      New Dilli, NCT, India
  • 2005–2006
    • The Jikei University School of Medicine
      • Department of Plastic and Reconstructive Surgery
      Tokyo, Tokyo-to, Japan
  • 1998–2006
    • Gulhane Military Medical Academy
      • • Gülhane Military Medical Academy
      • • Department of Plastic and Reconstructive Surgery
      • • Department of Medical Oncology
      Engüri, Ankara, Turkey
  • 2002
    • Haydarpasa Numune Research and Teaching Hospital
      İstanbul, Istanbul, Turkey