Authors:Ferhat ÖZTÜRK ; Aykut ÖZÇADIRCI ÖZÇADIRCI, Ş. Alpan CİNEMRE , Gizem İrem KINIKLI Abstract: Objective: The total rotational range of motion (TRROM) difference in right-left side shoulder glenohumeral joint and muscle strength imbalance in the dominant-nondominant side have been reported to be associated with injury in swimmers. The purpose of this study was to investigate the shoulder isometric muscle strength of young swimmers with and without TRROM asymmetry.Methods: Assessments of passive TRROM were measured with a goniometer. Hand-held dynamometry was used for the shoulder isometric muscle strength measurements in young swimmers. Thirty-two female swimmers (age: 11.1±1.5 years; body weight: 39.8±9.6 kg) and 42 male swimmers (age: 10.9±1.6 years; body weight 38.1±8.3 kg) were divided into two groups according to TRROM asymmetry in glenohumeral joint.Results: Isometric strength of shoulder muscles (flexion , extension , external rotation (ER) , internal rotation (IR) , Flexion: Extension and External rotation: Internal rotation) were similar between the groups with TRROM asymmetry (n=30) and without TRROM asymmetry (n=44) in both dominant and non-dominant sides (p>0.05). Additionally, while external rotation: internal rotation of dominant side was greater in femal (p=0.04), other isometric muscle strength and ratio were similar in both gender (p>0.05).Conclusions: TRROM asymmetry is one of the many factors affecting muscle strength in overhead sports (basketball, volleyball) but it is not effective in these ages range in the swimming. PubDate: Wed, 30 Dec 2020 00:00:00 +030
Authors:Buse ONCU ; Ayse MINE YILMAZ , Betül KARADEMİR YILMAZ , Elif Çiğdem ALTUNOK , Leyla KURU , Ömer Birkan AĞRALI Abstract: Objective: Tideglusib is a GSK-3 inhibitor activating Wnt/β-catenin signaling pathway which has significant importance in regenerative response.The aim of this study was to evaluate the cytotoxicity and protein expression impacts of Tideglusib on human periodontal cell lines.Methods: Cytotoxicity effect of different concentrations (50nM, 100nM, 200nM) of Tideglusib application on human gingival fibroblast (hGF),periodontal ligament fibroblast (hPDLF), and osteoblast (hOB) cell lines was determined. Type-I and III collagen expressions were evaluatedafter 24-hour application of 50nM Tideglusib.Results: The cytotoxicity of 200nM Tideglusib was higher in hGF and hOB (p<0.05), but no difference was found in hPDLF compared to therespective control group (p>0.05). The hGF and hOB treated with 50nM Tideglusib expressed an increased level of Type-I collagen (p<0.05), butno difference was detected in the hPDLF compared to the respective control (p>0.05). Type-III collagen expressions were similar between thetest and control groups for each cell line (p>0.05).Conclusion: Tideglusib is not cytotoxic at 50nM and 100nM concentrations and may have positive effect on bone regeneration rather thanperiodontal regeneration since it stimulated Type-I collagen production in hGF and hOB cells, but not in hPDLF. PubDate: Wed, 30 Dec 2020 00:00:00 +030
Authors:Nesrin ŞEN CELASİN ; Şadiye DUR , Dilek ERGİN , Duygu KARAARSLAN Abstract: Objective: The aim of this study was to describe knowledge, attitude and clinical decision-making abilities of pediatric nurses regarding pain management, and to find the factors that affect them.Methods: In this descriptive and analytical study, the participants consisted of 131 pediatric nurses who were employed in pediatric clinics of a university hospital and a state hospital in Manisa, Turkey. Data were collected by using the Nurse Description Form, the Questionnaire on Nurses’ Attitudes and Knowledge About Pain, and the Clinical Decision Making Questionnaire.Results: In the study, the mean (standard deviation) score of knowledge and attitude of pediatric nurses in pain management and patients with pain was 7.32 (7.00), and the scores of 45% of them were at an intermediate level. It was found that while variables such as age, occupation and years of working experience did not affect the total mean score of knowledge and attitude of pediatric nurses in pain management, educational background and the unit at which they worked affected it. Moreover, most of the pediatric nurses had sufficient information regarding pain diagnosis; 61.1% of them observed patients’ behavior while diagnosing the severity of pain, and 65.6% of them used a pain diagnosis scale to measure patients’ pain.Conclusion: As a result of the study, it was found that pediatric nurses had an intermediate level of knowledge and behavior regarding pain management and had sufficient knowledge about pain diagnosis and management. PubDate: Wed, 30 Dec 2020 00:00:00 +030
Authors:Bora KORKUT ; Cigdem HACIALI Abstract: Objective: This in vitro study was aimed to evaluate the color stability of resin-based composite materials in different viscosities immersed in various colorant solutions.Methods: 250 composite samples of A2 shades were prepared using two high-viscosity flowable composites (G-aenial Injectable, GC, Tokyo, Japan; Estelite Super Low Flow, Tokuyama Dental, Japan A2 shade), a bulk-fill flowable composite (Filtek Bulk-Fill, 3M, USA), a low-viscosity flowable composite (Filtek Ultimate Flowable, 3M, USA), and a packable composite (Filtek Ultimate, 3M, USA). Samples were polymerized and polished from both sides with a LED curing unit (Valo Grand, Ultradent, Switzerland) and polishing discs (SofLex, 3M, USA). Then divided by test groups (n=10 for each) regarding colorant solutions; coke (CocaCola Company, USA), tea (Yellow Label, Lipton, Rize, Turkey), coffee (Nescafe Classic; Nestle, Switzerland), red wine (Doluca, Öküzgözü, Doluca, İstanbul, Turkey), and physiologic saline as the control solution. Samples were discolored for 144 hours with solutions in an incubator at 37°C, and repolished after discoloration. Color measurements were performed using a clinical spectrophotometer (EasyShade IV, Vita, Germany) and a colorimeter (ShadeStar, Dentsply Sirona, USA). Two-way Anova test and Tukey HSD test were used for statistical analyses.Results: Composite material and colorant solution were considered effective factors for influencing the color change, regarding after discoloration scores (p<0.001, p<0.001, respectively). In addition, colorant solution was found more effective than the type of composite. Filtek Ultimate Flowable presented significantly the highest level of color change among others (p<0.001), for both ‘after discoloration (5,34 ± 3,78b)’ and ‘after repolishing (3,93 ± 2,23b)’ periods. No significant difference in color change was found between Gaenial Injectable, Estelite Super Low Flow, Filtek Bulk Fill Flowable, and Filtek Ultimate, and all showed imperceptible color changes (∆E*<3.7). Red wine solution showed significantly the highest level of color change (8,00 ± 2,08d) among other colorant solutions (p<0.001), and followed by coffee (4,59 ± 1,52c), tea (3,38 ± 1,21b), and coke (1,58 ± 0,99a), respectively. A strong relation was found between the spectrophotometer and colorimeter measurements.Conclusion: Viscosity was considered an effective factor for discoloration of RBCs. Color stability of high viscosity flowable composite materials were found to be good and similar to packable composite. Samples immersed in red wine showed the greatest level of discoloration and followed by coffee, tea, and coke. The repolishing procedure was considered effective for reversing back the surface discoloration of composite materials. PubDate: Wed, 30 Dec 2020 00:00:00 +030
Authors:Saime EROL ; Kamer GÜR , Feyza HELLAÇ , Tugba CANBAY Abstract: Objective: This study investigated the frequency of the psychological abuse of older people in nursing homes and contributing factors.Methods: The population for this methodological and descriptive study was 161 elderly individuals living in two nursing homes in Istanbul. The data were collected using Barthel’s Index, the Standardized Mini Mental Test (SMMT) and the Elders’ Psychological Abuse Scale (EPAS). The scale’s reliability was tested using the Kuder–Richardson Formula 20 (KR–20) and test–retest analysis. Its validity was tested using the Content Validity Index (CVI) and concurrent validity. The frequency of abuse is presented using numbers, percentages, and means. The relationship between the independent variables and abuse was evaluated using the t-test and Kruskal–Wallis variance analysis.Results: The participants’ mean age was 73.5 years (42.2% were older than 80 years); 44.7% were female. The mean scores were 5.57 ± 4.12 on the EPAS and 89.13 ± 17.13 on Barthel’s Index. The KR-20 reliability coefficient for the scale was 0.80. The test–retest reliability was 0.97; p=0.000, and the content validity index was 90%. Of the participants, 14.3% were exposed to psychological abuse. Individuals with high dependency and low levels of income, education and mental capacity were exposed to psychological abuse more frequently (p <0.05).Conclusion: The Turkish version of the originally English EPAS is reliable and valid. PubDate: Wed, 30 Dec 2020 00:00:00 +030
Authors:Mohammed BADWAN ; Erkut KAHRAMANOĞLU Abstract: Objective: The aim of the study was to examine the fracture resistance of lithium disilicate, indirect resin composite and zirconia by using dual cure resin cements.Methods: Three groups of 180 samples (n= 60) of E-max, zirconia and indirect resin composite materials (10mm diameter and 1 mm thickness). Discs were fabricated and cemented with three dual curing resin cements. Aging treatment was then applied to the discs by using thermal cycle machine (at 5°C to 55°C/dwell time: 20s), 10000 cycles for 168 hours’ 7 days. Fracture tests were performed to the sample discs using piston on three balls test to determine the biaxial flexure strength of the 180 discs of the three materials. The results were analysed by using one-way analysis of variance (ANOVA) and t-test.Results: Statistically significant difference was found between control groups (before cementation and thermal cycle) and both group B (after cementation before thermal cycle) and group C (after cementation and thermal cycle) in all materials (P<0.05). Comparing Zirconia, Gradia and E-max all control groups showed statistically significant difference and Zirconia was showed greater flexural resistance against other materials. In addition, all materials also showed statistically significant difference in Variolink/Multilink cemented Group B and C. In Nexus cemented Group B and C statistically significant difference was found only Zirconia material. Similar to control group results, Zirconia material was showed greater flexural resistance values with both cements in Group B and C.Conclusion: There is a difference between flexural strength of the three materials, Zirconia has a better flexural strength when compared to lithium disilicate and indirect resin composite. PubDate: Wed, 30 Dec 2020 00:00:00 +030
Authors:Erensu BAYSAK ; Feyza ARICIOĞLU Abstract: The comorbidity between cardiovascular disease (CVD) and depression has been observed for many years. Several biological and behavioral hypotheses have been proposed to explain this comorbidity. However, the underlying common mechanisms are still unclear. Evidence suggests a bidirectional relationship between depression and CVD. Inflammation has been implicated in the etiology of both depression and CVD. In this review, we aim to increase awareness for CVD and depression comorbidity and provide some insights about the possible role of inflammation. PubDate: Wed, 30 Dec 2020 00:00:00 +030
Authors:Hacer ATAMAN ; Yılda Arzu ABA , Melike DİŞSİZ , Sevcan SEVİMLİ Abstract: Objective: The purpose of this study was to determine the efficiency of Complementary and Alternative Medicine (CAM) applications that women have been using against the symptoms of menopause.Methods: The research was conducted in descriptive design with the women between the ages of 45 and 60 (n=629). A “Questionnaire Form” and “Menopause Rating Scale (MRS)” were used in data collection process.Results: It was determined that women, who were aged 55 and over, were married, had at least 5-year education, and had chronic diseases such as diabetes and hypertension and had treatment for her diseases, obtained higher scores than the total of MRS and sub-dimensions of the scale at a statistically significant level (p<0.05); 52% of the sample stated that they benefited at least one of CAM methods to cope with menopausal complaints. The most commonly used methods were determined to be praying/worship (33.2%), massage (19.2%) and phytotherapy (14.8%) respectively.Conclusion: An increase in menopausal complaints were observed in various sub-dimensions of the used scale for those who benefited from praying/worship, massage applications and vitamin/mineral supplements while a decrease in menopausal complaints and an increase in life standards were observed for those who applied hydrotherapy, chiropractic, cup therapy, reflexology and osteopathy methods. PubDate: Wed, 30 Dec 2020 00:00:00 +030
Authors:Necmettin ÇİFTCİ ; Hasibe KADIOĞLU Abstract: Objective: The aim of this study was to investigate the validity and reliability of the Turkish version of the Exercise Health Belief Model Scale (EHBMS).Methods: This methodological study was conducted in 2018-2019 academic year with students from two universities located in east and west provinces of Turkey (n= 743). The sociodemographic data and those from the EHBM scale were collected. This five-point likert-type scale consists of 32 items and five factors. Construct and content validities were used to evaluate the validity of the scale, and its reliability was investigated with item-total correlation, internal consistency and test-retest method.Results: The content validity index (CVI) of the scale was 0.98. While the Cronbach Alpha coefficient of the scale was 0.87, the alpha values of the factors were as following: 0.87 for general health value, 0.76 for beliefs about the vulnerability of not exercising, 0.87 for beliefs about the severity of not exercising, 0.87 for beliefs that exercising can reduce threats, and 0.77 for beliefs that the benefits exceed the costs of exercising. The test-retest correlation value was 0.88 (p<0.05) for the whole scale. The model fit indices of the five-factor structure of the scale were found to be good.Conclusion: The Turkish version of the Exercise Health Belief Model Scale was found to be a valid and reliable scale. PubDate: Wed, 30 Dec 2020 00:00:00 +030
Authors:Fadime BAYRİ BİNGOL ; Meltem DEMİRGÖZ BAL , Merve AYGÜN , Edanur BİLGİÇ Abstract: Objectives: Emotional labor is the effort type that organizations expect from their employees or the effort that the individual makes based on his/her mood. Negative clinical experiences in the workplace may have long-term influence on emotional labor behavior. Aim of this study was carried out to determine the effect of midwifery students’ negative experiences in clinical practices on their emotional labor behaviors.Methods: The study is a mixed-methods study. Thematic analysis and descriptive was used. The study was conducted from November to December 2018 with 370 midwifery students in Istanbul. The relevant data were collected via a “Descriptive Information Form” and Emotional Labor Behavior Scale of Nurses (ELBS).Results: The mean age of the students recruited for the research is 21.57±1.51. Eighty-five percent of students (n=314) were identified to have at least one negative clinical experience, which decreased their motivations to be a midwife. “Healthcare professional’s behaviors towards pregnant women during childbirth” rank first (48.1%) among these negative experiences. A little more than the half of the students (51%) react to these negative experiences by “staying away from the setting.” It was identified that ELBS total score mean of students were 96.52±11.92 and also that as students’ fear to vaginal birth management increased, their ELBS scores decreased (p=0,00, r=-0,22). It is determined that clinical negative experiences do not affect students’ emotional labor behavior (p>0,05).Conclusion: The factor affecting a large part of students’ motivation to be midwife negatively is the healthcare professional’s negative behaviors towards pregnant women and students. Within this context, it must be attempted to make healthcare personnel behave in a more humanistic and professional way towards women and students. Therefore, midwifery education programs should be planned and written about the qualifications that students should be knowledgeable and equipped to understand the emotional needs of women. PubDate: Wed, 30 Dec 2020 00:00:00 +030
Authors:Gaye KESER ; Filiz NAMDAR PEKİNER Abstract: Objective: More recently, HPV infection has been portrayed as a vital risk factor for head and neck squamous cell carcinoma (HNSCC). Dentistry students need comprehensive information about HPV to provide accurate advice to their patients. The aim of this study is 4th and 5th grade students’ awareness about HPV vaccination.Methods: A questionnaire consisting of 7 questions was applied to 226 students (102 4th grade and 126 5th grades), who were studying at Marmara University Faculty of Dentistry. In this survey, students’ knowledge level and awareness were examined.Results: In our study 75 (33.1%) of the participants were male and 151 (66.8%) were female. The rates of agreement of 4th grade students (96.1%) with the proposition “It is important that oral health professionals play an active role in the general medical condition of their patients.” were statistically significantly lower than the 5th grade students (97.6%) (p: 0.010; p <0.05). A statistically significant difference between grades in terms of participation rates in the statement “I got my HPV vaccine / I am thinking of getting it”. The rate of participation of 5th grade (%38.7) students in this statement was significantly lower than 4th grades (%45.1) (p:0.019; p<0.05) and significantly higher in women (47.7%) than in men (29.3%) (p = 0.005; p <0.05).Conclusion: Comprehensive training and motivation for improving dentistry students awareness against HPV vaccine will also improve knowledge and attitudes of the dental students on HPV induced oral cancer. PubDate: Wed, 30 Dec 2020 00:00:00 +030
Authors:Melda Pelin AKKİTAP ; Birsay GÜMRÜ , Ender İDMAN , Necip Fazıl ERDEM , Zeynep GÜMÜŞER , Fatma Nihan AKSAKALLI Abstract: Cemento-ossifying fibroma, which is considered a benign mesenchymal odontogenic tumour of the jaws, is a type of fibro-osseous lesion characterized by slow growth and proliferation of fibrous cellular stroma containing osteoid, bone or cementum-like tissue. The aim of this study was to report a case of cemento-ossifying fibroma in the mandible with clinical, radiological, and histopathological findings and surgical treatment. A 37-year-old woman was admitted to our clinic with the complaint of gradually growing painless swelling in the right mandibular premolar area. Intra-oral examination revealed a bony hard and non-tender mass with intact overlying mucosa on the buccal and lingual aspects of the mandibular right premolar teeth. Periapical, panoramic, and cone beam computed tomography images revealed the presence of a multilocular hypodense lesion with bicortical destruction and expansion in the relevant area. Excisional biopsy of the lesion was performed and histopathological examination exhibited the definite diagnosis of cemento-ossifying fibroma. Clinical, radiological, and histopathological examination should be considered in the diagnosis and treatment planning of cemento-ossifying fibroma. PubDate: Wed, 30 Dec 2020 00:00:00 +030
Authors:Bora KORKUT Abstract: Objective: This in vitro study was aimed to assess the effect of different surface sealants on discoloration of a nonofilled resin-based composite quantitatively, using a colorimeter.Methods: 40 specimens were prepared using nanofilled resin composite, Filtek Universal Restorative (A2 shade, 3M, USA). Sprecimens were polymerized from both sides, polished using polishing discs (SofLex, 3M, USA) and divided by test groups (n = 10 for each), regarding the sealant used; Permaseal (Ultradent Products, USA), Biscover LV (Bisco, USA), Optiglaze Clear (GC Corp., Japan) and control group. Samples were discolored for 144 hours in coffee solution, and color measurements were performed using colorimeter (ShadeStar, Dentsply Sirona, USA). Nominal color codes of specimens regarding Vita Classical Shade Guide, were converted to corresponding numerical values. Level of color change after sealant application (∆Vita1) and after discoloration (∆Vita2) were calculated. Shapiro Wilk and Kruskal Wallis tests were used forstatistical analyses.Results: Color changes in Permaseal, Optiglaze and control groups were significant (p < 0.001) compared to Biscover, for ∆Vita1 scores. Remarkable level of darkening was observed for all groups, for ∆Vita2 scores. Permaseal revealed significantly the highest level of darkening, among all (p < 0.001), but no difference with control group. Optiglaze showed significantly lower level of darkening compared to the control group (p < 0.001), whereas no difference with Biscover (p ≥ 0.05). Biscover group showed similar level of darkening with Optiglaze and control groups (p ≥ 0.05).Conclusion: Permaseal sealant presented significantly the highest discoloration, whereas Biscover and Optiglaze sealants presented similar and lower. Colorimeter might be determined as repeatable method for measuring discoloration in vitro. PubDate: Wed, 30 Dec 2020 00:00:00 +030
Authors:Yeşim YAMAN AKTAŞ ; Neziha KARABULUT Abstract: Objective: This study was carried out in an effort to find out how surgical hospital patients perceived the quality of perioperative care they received at an operating department and to determine its association with comfort level.Methods: This cross-sectional study was conducted between March and July 2016 at the neurosurgery clinic of a Training and Research Hospital. A random sample of patients (n =175) who were conscious and oriented, did not stayed in the intensive care unit following the surgery, had been hospitalized for at least one night and were on their first postoperative day were included.Results: A significant positive and weak correlation was found between the quality of perioperative nursing care and perianesthesia comfort levels (r=0.264, p<0.01).Conclusion: These study findings showed that perianesthesia comfort was affected by the quality of perioperative nursing care. PubDate: Wed, 30 Dec 2020 00:00:00 +030
Authors:Ayşegül SAVCI ; Kevser KARACABAY , Saadet ÇÖMEZ , Selda KARAVELİ ÇAKIR , Nigar ÇELİK Abstract: Objective: To determine the workload perceptions and malpractice tendency of nurses working in the operating room.Methods: A descriptive, cross-sectional study was conducted with 92 operating room nurses from 3 provinces of Turkey. The data were analyzed by using the numbers, percentages, the Mann-Whitney U test and the Kruskal Wallis test.Results: The mean age of the nurses was 35.19±6.11; 50% of the nurses had operating room working duration of 1-5 years, and 78.3% of the nurses had weekly working hours more than 40 hours. A total of 33.7% of the nurses stated that they came across with one malpractice case. The mean “Individual Workload Perception Scale(IWPS)” score of the participants was 98.82±9.39, and the mean “Malpractice Tendency Scale(MTS)” score was 225.59±12.75. There was a statistically significant difference between the communication subscale mean scores of the participants on the MTS according to their time in the profession. There were statistically significant differences between the gender of the participants and the overall IWPS mean score, the managerial support subscale mean score, and the workload subscale score. Statistically significant differences were detected between the working time of the nurses and the managerial support subscale and the workload subscale scores. Significant differences were detected in the participants’ mean scores on the intention to stay at work subscale of the IWPS according to the operating room working time of the participants.Conclusion: Teamwork and effective communication in the operating room are two critical factors in ensuring patient safety. Eventually, approaches to be developed to foresee and prevent malpractice in operating rooms may ensure a safe perioperative process. The job descriptions of the operating room nurses should be reviewed. Training should be planned to strengthen team communication. Patient safety culture should be expanded in the health care team through monitoring and work flow charts. PubDate: Wed, 30 Dec 2020 00:00:00 +030
Authors:Sibel ŞEKER ; Funda ÇİTİL CANBAY , Nasim FİROUZ , Ceylan CESUR Abstract: Objective: The research was done to identify the genital hygiene behaviors pregnant women in rural and urban regions.Methods: This research was done in analytical cross-sectional design at a maternity and children hospital in Aegean Region between April 15-October 2019. 278 pregnant women, who applied for follow-up and accepted to participate in the research, were included in the research. The data were collected through personal information form and Genital Hygiene Behavior Inventory. Descriptive statistics, chi-square test, Mann Whitney U test and Kruskal Wallis test were used in data analysis. Significance was accepted as p <0.05.Results: It was identified that 26.9% of pregnant women in rural regions were primary school graduate and 44.4% were secondary school graduate. It was found that 32.4% of pregnant women living in urban regions were high school graduate and 31.2% had bachelor’s degree. A statistically significant relationship was identified between educational status and genital hygiene behaviors of pregnant women (p<0.05). Depending on their living places, Genital Hygiene Behavior Inventory mean score was calculated as 77.98±12.19 those living in rural regions and 81.29±11.22 for those living in urban regions. It was found that Genital Hygiene Behavior Inventory levels of pregnant women living in urban regions was higher than those living in rural regions at a statistically significant level (p<0.05).Conclusion: It was identified that living place, educational status, employment status, age status and marriage year affected genital hygiene behavior. it is suggested that health professionals provide genital hygiene training to the pregnant women living in rural regions and with a low level of income through protective and preventive approach. PubDate: Wed, 30 Dec 2020 00:00:00 +030
Authors:Çiğdem TORUN KILIÇ ; Havva ÖZTÜRK Abstract: Objective: The study was planned to evaluate views of the nurses about lean approach to processes related to nursing activities.Methods: The descriptive study was conducted with 178 (71.2%) nurses selected from a total of 250 nurses working at six public hospitals in Artvin Province. The data were collected with a survey consisting of questions regarding the nurses demographic features and their views about lean approach to nursing activities at hospitals and then analyzed with percentages and chi-square tests.Results: In the study, 46.1% of nurses stated that the unit where they worked needed lean approach partly. The nurses with graduate degree supported this view more (p=0.034). These nurses stated that the activities to receive belongings of patients during patient admission (21.3%), to fill in patient discharge form during discharging process (16.4%), to perform the hygienic and other care applications of the patients and to record them on the nurse observation form of daily nursing activities (11.1%) were unnecessary. In addition, they explained that activities to shave patients before operation (9.4%) and to enter physicians’ orders by nurses into the system in laboratory process (13.5 %) and to in monitoring process (20.8%); to send all patient files to the pharmacy with the personnel for drug/device supply in pharmacy process (14.3%), were unnecessary. Conclusion: The unnecessary nursing activities were defined in the nursing processes regarding patient admission and discharge processes, daily nursing workflow, operating room processes and laboratory, monitoring, blood centre, pharmacy processes. It is recommended that these processes identified may provide lean approach by eliminating them. PubDate: Wed, 30 Dec 2020 00:00:00 +030
Authors:Murat B. RABUS ; Mehmet DEDEMOGLU , Ozge ALTAS , Davut CEKMECELİOGLU , Mehmet AKSUT , Rahmi ZEYBEK Abstract: Objective: Large number of comprehensive studies has been carried out on levosimendan. There are many studies on its use, especially in cardiac dysfunction, ischemic cardiac surgery, and heart transplantation surgery. But, there are limited number of studies regarding its use in mitral valve interventions and ischemic mitral dysfunction combined with coronary artery by-pass surgery (CABG). We aimed to investigate the efficacy of levosimendan usage on patients undergone combined coronary artery by-pass grafting and mitral valve surgery because of ischemic mitral dysfunction.Methods: Subsequent patients, who have undergone concurrent CABG and mitral valve repair surgery by a single surgery team, were retrospectively examined. 36 patients were divided into 2 groups; Group 1 (levosimendan therapy group, n=15) and Group 2 (n=21).Results: There was no statistically significant difference between the groups in terms of preoperative characteristics, echocardiographic data of the patients and preoperative medication. Inotrope therapy was required for 12 patients in Group 1, which was statistically higher than Group 2 (n=5, p=0.001). Moreover, IABP following LCOS utilized six and two patients in group 1 and 2 with a statistically significant difference (p=0.03), espectively.Conclusion: We recommend using levosimendan on selected patients for its several beneficial effects. However, we do not satisfied with the treatment because the pathology of all patients was not related to ischemia, more to the alteration of ventricle anatomy with deterioration of diameters. PubDate: Wed, 30 Dec 2020 00:00:00 +030
Authors:Tülin YILDIZ ; Cenk Murat YAZICI , Polat TÜRKER , Ebru ONLER , Arzu MALAK , Elif EREN CİTAK Abstract: Objective: The aim of this study is to evaluate and compare the accuracy of urine output measurement performed by standard urine bags and urofix.Methods: This is a prospective study conducted at a 22-bed urology unit. Urine volume was measured either by a standard urine bag or urofix, verified by scaled container measurements in patients dressed with urinary catheter and expected to stay with it for 24 hours or more. In total, 1048 measurements were obtained for 131 patients.Results: The difference between median, maximum and minimum values of urine volumes from the scaled container and nurse’s forecast was evaluated for each of 4 measurements. When the urine volume was measured with the standard urine bag, the average volume was 550 cc in the first measurement while it was 300 cc with urofix. Mean values for the second, third and fourth measurements with standard urine bag and urofix were as follows respectively; 590 cc and 335 cc, 500 cc and 300 cc, 600 cc and 300 cc. The difference was statistically significant in all measurements (p<0.001).Conclusion: In this study, urofix was the most reliable method for measuring urine output and fluid management. Furthermore, if the patient has a standard urine bag, it is recommended to confirm the urine output with a scaled container. PubDate: Wed, 30 Dec 2020 00:00:00 +030
Authors:Ayşe KARAKOÇ ; Kübra GENÇ , Taner ÇELİKEL Abstract: Objective: Meeting the expectations of mothers during labor is defined as birth satisfaction. Evaluation of women’s perception of satisfaction at birth is an important quality criterion in the evaluation of services. This study aims to determine the effect of cord clamping time and early skin contact on maternal birth satisfaction.Methods: Randomized controlled experimental study. The study data were collected between June and December 2018, from a total of 80 participants.Results: Case group was applied late cord clamping and skin contact, control group was applied routine care. The first breastfeeding time was 11.20 ± 5.16 min. for the case group and 44.55 ± 18.03 min. for the control group (p<0.001). Neonatal blood glucose levels within the first 15 minutes were 91.23 ± 20.61 mg/dL for the case group and 83.13 ± 14.17 mg/dL for the control group (p=0.044). Hemoglobin levels of the newborn 24 hours after birth were 18.90 ± 1.58 g/dL for the case group and 18.13 ± 1.78 g/dL for the control group (p=0.042). The difference between the before and after birth hemoglobin-hematocrit values of the mothers was not statistically significant (p=0.327 for Hgb; p=0.238 fot Htc). Postpartum satisfaction levels of the mothers were found to be 106.28 ± 9.52 for the case group and 99.93 ± 13.17 for the control group; mothers at the case group had higher postpartum satisfaction levels (p=0.016).Conclusion: Late cord clamping and early skin contact in newborn positively affect the first breastfeeding time, hemoglobin, hematocrit and blood sugar levels of newborns and can be considered as an important factor that increases mothers’ satisfaction independent of many variables. PubDate: Wed, 30 Dec 2020 00:00:00 +030
Authors:Ayşe ŞENGEL ; Kamer GÜR , Eda KILINÇ Abstract: Objective: The aim of this study is to identify the occurrence frequency of school injuries, and to report where, when, and why they occur most.Methods: This retrospective descriptive study includes students aged between 6 and 11 years and is composed of 7042 school injury records. The school was chosen by the purposive sampling method since there was a school nurse working at school. The school injury records were formed by all injury records kept by the school nurse. The data were evaluated using descriptive statistics.Results: The study results showed that most of the school injuries occurred during the fall period (60.1%) and at break times (38.6%). As for the causes of the injuries, 13.3% of them were environmental, while 86.7% were behavioral. The floor on where most of the injuries occurred was rubber floor (53.6%) and the area where most of the injuries occurred was playground-garden (64%). The factor most frequently causing the injuries was hit collision, and the activity causing most of the injuries was running. The most frequently affected part of the body was headneck-forehead-chin. The most common type of injury was tenderness and redness.Conclusion: With this study, it is seen that the rate of injury among students is high. Most of the school injuries occurred during the break times and mealtimes. Most of the causes of injuries were behavioral. These epidemiological data would be a guide for studies on prevention of injuries. PubDate: Wed, 30 Dec 2020 00:00:00 +030
Authors:Zümrüt BİLGİN ; Nuran KÖMÜRCÜ Abstract: Objective: The aim of this study was to determine the effects of three different methods in reducing primary postpartum hemorrhage.Methods: The study was carried out in Istanbul/Turkey with 150 people at a maternity hospital. The participants were assigned to the external circular fundus massage (ECFM) (n=50), external bimanual fundus compression (EBFC) (n=50) and control (C) (n=50) groups with the simple randomization method. The women in the experiment groups of external circular fundus massage or external bimanual uterus fundus compression received intervention for one hour in the postpartum period. At the 6th postpartum hour, the hemogram values and total lochia amount of all women were measured.Results: The mean ± standard deviation (SD) age of the women was 24.77±4.40 years, 63.3% were having their first birth, and 47.3% gained weight between 11 and 16 kg in their pregnancy. There was no significant difference between the groups in terms of the mean ± SD Hb at the 6th postpartum hour (ECFM group=11.5±1.1; EBFC Group =11.7±3.6; C group =11.4±1.0 g /dL, F= 0.371, p = 0.691). In comparison to the ECFM and C groups, the 2nd postpartum hour visual analog scale (VAS) score of the EBFC group was found to be significantly lower (p<0.05).Conclusion: The hemoglobin and thrombocyte levels at the 6th postpartum hour were higher in the EBFC group in comparison to the other groups, while the hematocrit value decreased more. Since EBFC is effective in reducing postpartum pain, it is recommended to be applied especially to women with postpartum pain. PubDate: Wed, 30 Dec 2020 00:00:00 +030
Authors:Nesli ERSOY ; İlker TAŞÇI , Hüseyin DORUK , Neslişah RAKICIOĞLU Abstract: Objective: Regular physical activities contributes to better health outcomes in allstages of life. Older adults may have altered levels of exercise at differenttimes of the year. Methods: Community-dwelling older adults (≥65 years of age) in Ankara, is thecapital city of Turkey, were recruited prospectively. Physical activity statusand the resting metabolic rate were assessed every three months (May, August,November, and February). Results: Overall, 31 individuals were analyzed (mean age; women: 73.9±7.0 years,men: 75.5±5.7 years; women: 65.0%). The level of physical activity was highestin autumn (44.0±41.0 min) and summer (41.0±48.0 min) but lowest in winter(24.0±19.0 min) (p<0.05). The ratio of performing regular daily exercise washighest in summer (25.8%), which decreased significantly in winter (9.7%). Nostatistically significant changes were noted in the total daily energyexpenditure and resting metabolic energy expenditure across four seasons.Conclusion: Although some increases were observed inautumn and summer, the level of physical activity in older adults was low inall seasons. However, daily energy expenditure remained constant. The studysuggests that there is a need for improvement in lifestyle behaviors of Turkisholder adults to increase health-related quality of life and also to preventadverse outcomes. PubDate: Wed, 30 Dec 2020 00:00:00 +030
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