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Sakarya Tıp Dergisi / Sakarya Medical Journal
Number of Followers: 4  

  This is an Open Access Journal Open Access journal
ISSN (Online) 2146-409X
Published by Sakarya Üniversitesi Homepage  [5 journals]
  • Investigations of Relationship between Pediatric Nurses ' Use of
           Therapeutic Play and Liking of Children and Affecting Factors

    • Authors: Ayşe KAHRAMAN ; Çisem KIRKAN , Ali ASLAN , Havva HUYELMAS , Hatice BAL YILMAZ
      Abstract: Objective:The use of therapeutic play in nursing care helps toestablish a bond and communication with children. The aim of this studyis to investigate the relationship between the use of therapeutic game ofpediatric nurses and their liking of children.Materialsand Methods: In thecross-sectional descriptive study, the data were obtained between15.05.2019-20.07.2019. The population of the study consisted of 178 nursesworking in a pediatric hospital. A total of 108 nurses (60.6%) who accepted toparticipate in the study constituted the sample although it wasaimed to reach the whole universe. The data were collected by using “NurseIntroduction Form”, Bilgi Information Form for Pediatric Nurses to UseTherapeutic Play ”and“Barnett Liking of Children Scale”. Results:The mean age of the nurses participating in thestudy was 31.50 ± 2.60, 63.8% were undergraduate graduates, 81.5% were womenand 56.5% were working in the pediatric service between 1-5 years. It wasdetermined that 43.5% of the nurses use the therapeutic play in the clinics and53.6% of the nurses who did not use the therapeutic play did not use it due tolack of time. The mean totalscore of pediatric nurses was found to be 84.54 ± 14.76. It was determined thatthe mean scores of child liking scale of nurses using therapeutic play werehigher than nurses who did not use therapeutic play and the difference wassignificant (p=0.043).Conclusion:It was determined that the pediatric nurses did notuse the therapeutic game sufficiently in the clinical setting and the nurseswho loved the children preferred the therapeutic game more.
      PubDate: Tue, 15 Sep 2020 00:00:00 +030
       
  • Anxiety Status of Patients Receiving Orthodontic Treatment in Sakarya
           University’s Dentistry of Faculty During COVID-19 Pandemic

    • Authors: Refika TOPAL
      Abstract: Objective: The present paper aims to determine the state and trait anxiety levels statuses of patients actively receiving orthodontic treatment during the COVID-19 pandemic.Material and Method: For this study, 102 patients actively receiving treatment in the department of orthodontics were invited and all the patients accepted the participation. The parameters in the present study were examined using Spielberger’s State and Trait Anxiety Inventory (STAI) depending on the age, gender, and educational status of participants. Independent samples t-test, One-Way ANOVA, and Tukey’s test were used in the analyses.Results: In state anxiety (STAI-S) and trait anxiety (STAI-T) inventories, it was determined that women had a higher level of anxiety when compared to men (p<0.05). It was also determined that adult patients had higher anxiety levels in state anxiety (STAI-S) and trait anxiety (STAI-T) inventories (p<0.05).Conclusion: It was determined that, at the beginning phase, the COVID-19 pandemic has affected the state and trait anxiety levels of our patients actively receiving orthodontic treatment.
      PubDate: Tue, 15 Sep 2020 00:00:00 +030
       
  • Can the neutrophil to lymphocyte ratio, determined in the whole blood
           count, be used as a mortality marker in patients with pulmonary
           thromboembolism '

    • Authors: Fahrettin TURNA ; Asim ENHOŞ
      Abstract: Objective: Acute pulmonary thromboembolism (APTE) is one of the life-threatening cardiovascular diseases. Following the diagnosis, it has a broad range of severity and a wide spectrum. Its mortality and morbidity vary depending on its clinical scope and the site of involvement. Neutrophil / lymphocyte ratio (NLR) has previously been studied in many cardiovascular disease processes as an indicator of inflammation and marker of mortality. The aim of our study is to determine the correlation between NLR and the 30-day mortality in APTE. Materials and Methods: 160 APTE patients who applied to the emergency department of Bagcilar Education and Research Hospital between January 2011 and June 2013 were determined retrospectively and hemogram parameters at the time of application were recorded. It was ensured in the selection of patients that all patients had a final diagnosis supported by computed tomography. APTE patients; It was divided into two groups in terms of those who died (n:28) and survived (n:120) within 30 days. Low, medium and high risk APTE patients in both groups were compared in terms of NLR. The utility of NLR as a marker of mortality was investigated in patients with pulmonary embolismResults: NLR was significantly higher in the deceased group (11.40 ± 4.24 vs 18.33 ± 9.06, p < 0.001). It had 57 % sensitivity and 89 % specificity for prediction of mortality (Area Under Curve: 0.736, 95% CI: 0.619–0.853, p < 0.001) in patients with pulmonary embolism. In the multivariate logistic regression analysis; NLR was found to be signifant independent predictor of the 30-day mortality (Odds: 1.132 (1.031-1.243, CI 95%), p=0.009). Conclusion: NLR plays a strong role in determining 30-day mortality in APTE patients. Key Words: Leukocyte Count; Pulmonary embolism; Mortality
      PubDate: Tue, 15 Sep 2020 00:00:00 +030
       
  • Cervical Cancer and Pap Smear Health Belief Level in Women Applying to
           Cancer Early Diagnosis Screening and Training Center

    • Authors: Aliye BULUT ; Gülay ÇELİK , Çağla YİĞİTBAŞ
      Abstract: Objective: This study was conducted to determine health belief levels of women who were living in a city center and applied to Cancer Early Diagnosis Screening and Training Center towards cervical cancer and pap smear tests and identify if the sociodemographic characteristics make a difference or not. Methods: The population of the study consisted of women who applied to Cancer Early Diagnosis Screening and Training Center located in Bingöl city center for routine screening. The study was completed with 188 women. Personal Information Form and Health Belief Model Scale for Cervical Cancer and Pap Smear Test were used to collect the data of the study. Results:According to the study results, it was determined that the women had the highest mean score in pap smear barriers subscale and the lowest mean score in the cancer sensitivity subscale among subscales of Health Belief Model Scale for Cervical Cancer and Pap Smear Test. Conclusions:Most of the women participating in the study had not heard of HPV and pap smear test before, and never had a pap smear test. In addition, having heard of HPV before and knowing and having the pap smear test increased pap smear and cervical cancer benefit perception and decreased the barrier perception. In this context, the most important factor causing barrier perception towards pap smear test and cervical cancer is the lack of knowledge of women on this issue. Therefore, informing and providing counseling about pap smear test and cervical cancer by healthcare professionals is believed to be important.
      PubDate: Tue, 15 Sep 2020 00:00:00 +030
       
  • Demographic, Histopathological and Immunohistochemical Characteristic
           Findings of Gastrointestinal Stromal Tumors: A Single-Centered Study

    • Authors: Arzu TASDEMİR ; Hatice KARAMAN
      Abstract: Objective:Gastrointestinal stromal tumor (GIST) is the most frequent mesenchymal tumor ofthe gastrointestinal tract, arises from or is differentiated towardsinterstitial cell of Cajal. The aim of this study is to review the demographic,histopathological and immunohistochemical characteristics of cases diagnosedwith GIST in the light of the literature.Material and Methods: Forty-five GIST cases diagnosed between 2010 and 2018 in xxxxxxCity Hospital's pathology clinic were included in the study. Thecases were reevaluated retrospectively by hematoxylin-eosin sections andimmunohistochemical staining.Results: Twenty-one of the cases (46.66%) werefemale, and 24 (53.33%) were male. The average age was 64.9 years. 4/45 (8.88%)of the cases included in the study were in the very low risk, 20/45 (44.44%)were in the low risk, 8/45 (17.77%) were in the intermediate risk, and 13/45cases (28.88%) were in the high-risk group.Conclusion:Histopathology and immunohistochemical studies are important for the accuratediagnosis, classification, prognosis, and treatment in GISTs. The centersshould prepare their report formats according to internationally acceptedreport samples and consensus criteria, and significant macroscopic andmicroscopic findings and immunohistochemical examination results should begiven as a list at the end of the report.
      PubDate: Tue, 15 Sep 2020 00:00:00 +030
       
  • Total Antioxidant Levels in Patients with Spinal Herniation

    • Authors: Halil İ̇brahim SUN
      Abstract: Objective: Inflammatory response has been acknowledged to be an important factor in the process of disc degeneration and may play an important role in generation of pain, among patients with spinal herniation. The aim of this study is to investigate the total antioxidant status (TAS), total oxidant status (TOS), and their ratio, oxidative stress index (OSI) in patients with spinal herniations, and the relationship between these dependent variables and location of herniation, gender and age.Materials and Methods: 19 female (48,72%) and 20 male (51,28%) patients are included in the study. TAS and TOS levels are measured by commercially available kits in laboratory (Rel Assay Diagnostics, Turkey). OSI levels are calculated by their ratio.Results: Results show that mean TAS level is 1.518 ± 0.176, mean TOS level is 3.168 ± 0.956, and mean OSI level is 0.222 ± 0.078 with 95 % confidence interval. No correlations are found between age with the TAS, TOS and OSI levels. Conclusion: Post-operative patients with spinal herniation have normal oxidative statuses and the location of herniation and gender seems to have no effect on the TAS, TOS and OSI levels.
      PubDate: Tue, 15 Sep 2020 00:00:00 +030
       
  • COVID-19 Disease and Its Effect On The Follow-Up Of Allergic And
           Immunologic Diseases

    • Authors: Elif ŞEKER ; Ayşegül PALA , Öner ÖZDEMİR
      Abstract: Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has become a global pandemic, causing coronavirus disease 2019 (COVID-19). Although there may be mild symptoms such as cold in the clinical presentation, it can lead to acute lower respiratory tract infection such as bronchitis and pneumonia and to more severe conditions (e.g. severe acute respiratory distress syndrome (ARDS) and multi-organ failure causing death). Controlling symptoms is the primary goal in the treatment of COVID-19, and oxygen therapy and mechanical ventilation can be used if necessary. Within the scope of COVID-19 measures, face-to-face interviews with patients were restricted due to social isolation and a priority algorithm was created according to the patients' conditions. Most allergy / immunology visits (except for those with immunodeficiency, venom therapy, or severe asthma) were postponed or started to be given as telemedicine or home care. However, there are not currently explained the exact link between COVID-19 and allergic diseases but there also are not enough studies in the literature. In this study, we focus on the relationship between COVID-19 and different allergic and immunological diseases in the light of current literature studies.
      PubDate: Tue, 15 Sep 2020 00:00:00 +030
       
  • The relationship between laboratory evaluations in the separation of viral
           and bacterial pneumonia in children

    • Authors: Kamil ŞAHİN ; Murat ELEVLİ , Ayhan KOÇAK , Funda ATASH , Esma YÜCETAŞ , Cihan COŞKUN
      Abstract: AbstractObjectiveBasicinfections of the lower respiratory tract (LRT) are bronchiolitis and pneumoniain children. The aim our study that determines the guiding laboratoryparameters in discriminating between bacterial and viral LRT infections. Materials and MethodsThepatients who were diagnosed with LRT infection were divided into four groupsbased on the findings of chest radiography by radyologist in 2017. Theirdisease was classified as either viral or bacterial LRT infection in line withthese findings. A correlation between chest radiography and laboratory findingswas found by comparing c reactive protein (CRP), leukocyte, platelet,hematocrit, neutrophil, lymphocyte, neutrophil / lymphocyte and mean plateletvolume (MPV) ratios using statistical methods.ResultsOf344 patients included in the study, 43 patients with lober segmental,dense-patched and peribronchial infiltration and 301 patients withpatched-peribronchial infiltration or normal radiography were evaluated asbacterial and viral according to the findings of chest radiography, respectively.We found a statistically significant difference in only CRP values between theviral and bacterial groups (p = 0.034).ConclusionItis seen that CRP supports the findings of chest radiography in discriminationof the bacterial cause in community-acquired LRT infections. In children, theelevation in CRP value can be a valuable indicator in supporting bacterialchest radiography finding and deciding to start empirically antibiotictreatment of pneumonia.
      PubDate: Tue, 15 Sep 2020 00:00:00 +030
       
  • Evaluation and Clinical Significance of Hemogram Parameters in Adrenal
           Incidentaloma Cases

    • Authors: Taner DEMİRCİ ; Ceyhun VARIM , Hasret CENGİZ , Büşra MERAL , İ̇lyas Ethem ŞENOCAK , Ayşe DEMİRCİ
      Abstract: Amaç: Adrenal insidentaloma (AI), manyetik rezonans görüntüleme (MRI) veya bilgisayarlı tomografi (BT) taramalarında farklı nedenlerle rastgele saptanan kitlelerdir. AI inflamatuar bir klinik durum değildir fakat proinflamatuvar özellikleri gösterilmiştir. Biz bu çalışmada AI ile nötrofil-lenfosit oranı (NLR) ve trombosit-lenfosit oranı (PLR) arasındaki ilişkiyi ve bu oranların klinik önemini ortaya koymaya çalıştık.Gereç-Yöntem: Ocak 2018 - Aralık 2019 tarihleri arasında AI nedeniyle Endokrinoloji kliniğinde takip ettiğimiz toplam 178 hasta retrospektif olarak tarandı. Sonuçlar: NLR ve PLR medyan (IQR; % 25-75) değerleri sırasıyla 2.21 (1.61; 1.58-3.2) ve 112.56 (57.31; 87.81-145.12) idi. Tümör yerleşimlerine göre; NLR medyan (IQR; % 25-75) değerleri; sağ taraflı 2.24 (1.72; 1.52-3.22), sol taraflı 2.08 (1.14; 1.63-2.77) ve bilateral 2.49 (2.61; 1.52- 4.13) olarak saptandı ve istatistiksel olarak anlamlı bir fark bulunmadı (p = 0.172). Benzer şekilde, PLR medyan (IQR; % 25-75) dğerleri; sağ taraflı 116.18 (61.1; 88.25-149.35), sol taraflı 102.87 (52.76; 85.01-137.77) ve bilateral 126.88 (66.7; 95.06-161.76) olarak saptandı ve istatistiksel olarak anlamlı bir fark bulunmadı (p = 0.158). Fonksiyonel AI’lar ve non-fonksiyonel AI’lar karşılaştırıldığında NLR ve PLR açısından istatistiksel olarak anlamlı bir fark yoktu (sırasıyla p = 0.357 ve p = 0.174). Ek olarak, NLR ve PLR sonuçları hipertansiyon (HT) varlığına göre karşılaştırıldı ve fark bulunmadı (NLR için p = 0.10, PLR için p = 0.32). Hemogram parametreleriyle ilişkili olarak incelenen faktörlerden sadece tümör büyüklüğü NLR ile düşük fakat pozitif korelasyon gösterdi (r = 0.199, p = 0,01).Tartışma: Bu çalışmada AI hastalarında NLR ve PLR'nin istatistiksel olarak anlamlı bir şekilde artmadığını saptadık. Ancak tümör boyutu ile NLR arasında pozitif korelasyon olduğu tespit edilmiştir. Genel olarak inflamatuvar hemogram parametrelerinin ucuz ve kolay ulaşılabilir olmasına rağmen AI hastalarında klinik bir öneminin olmadığı sonucuna varılmıştır.
      PubDate: Tue, 15 Sep 2020 00:00:00 +030
       
  • Is there any association between the monocyte / lymphocyte ratio and the
           presence and severity of the disease in patients with psoriasis' A
           cross-sectional study.

    • Authors: Nur Cihan COŞANSU ; Bahar SEVİMLİ DİKİCİER , Mahizar YALDİZ , Berna SOLAK
      Abstract: Objective: Patients with psoriasis have increased systemic inflammation and monocytes levels compared with the general population. However, the role of monocytes in modulating inflammation in these patients is not clearly known. Psoriasis patients, where inflammation plays a role, are also at risk for cardiovascular diseases. The monocyte-to-lymphocyte ratio (MLR) may reflect a systemic inflammatory status. The aim of this study was to investigate the usefulness of MLR in patients with psoriasis.Materials and Methods: A total of 180 consecutive patients who had been routinely referred to psoriasis outpatient clinic,and 40 healthy individuals were included in our case-control study between January 2015, and January 2017. Demographic features, Psoriasis Area and Severity Index (PASI) scores,and laboratory data were collected from electronic database system.Results: Patients with psoriasis had higher leukocyte, neutrophil, monocyte counts and MLR compared with control group (p=0.003, p
      PubDate: Tue, 15 Sep 2020 00:00:00 +030
       
 
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