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Critical-care nurses' pain experiences and the prognostic factors

Çelik S. | Taşdemir N. | Öksüzoglu A. | Dirimeşe E. | Koçaşli S.

Article | 2018 | Dimensions of Critical Care Nursing37 ( 1 ) , pp.3 - 11

Objective: The objective of this study was to determine the emergence of pain in critical-care nurses and the prognostic risk factors. Design: This study is a cross-sectional descriptive research. Setting and Subjects: This study was conducted with the participation of 111 critical-care nurses in Zonguldak province, Turkey. Interventions: The data were collected using a survey form and the Cornell Musculoskeletal Discomfort Questionnaire between August and November 2015. The data were evaluated using frequency, average, Pearson correlation analysis, ?2, logistic regression, and odds ratio tests. Results: The critical-care nurses wer . . .e found to experience pain mostly in their lower backs (88.3%), upper backs (77.5%), right (76.6%) and left (78.4%) feet, necks (73.9%), and most infrequently in the right (28.8%) and left (28.8%) lower arms. Changing bed linens while the patient remained in bed and lifting, pulling, or pushing heavy materials caused those nurses who felt despondent and tired to feel significant pain in the shoulder, neck, upper arm, wrist, and knee (P <.05). Conclusions: These results were significant for placing emphasis on maintaining body mechanics while caring for patients, providing appropriate environmental conditions, and ensuring ergonomics to preserve the health of critical-care nurses who work in hospitals. Copyright © 2018 Wolters Kluwer Health, Inc. All rights reserved Daha fazlası Daha az

The investigation of correlation between semen analysis parameters and intraparenchymal testicular spectral Doppler indices in patients with clinical varicocele

Semiz I. | Tokgöz O. | Tokgoz H. | Voyvoda N. | Serifoglu I. | Erdem Z.

Article | 2014 | Ultrasound Quarterly30 ( 1 ) , pp.33 - 40

Objectives: Our aim was to evaluate the effect of clinical varicocele on testicular microcirculation measured by spectral Doppler analysis and investigate the correlation between Doppler ultrasonographic findings and semen parameters. Methods: Fifty patients who received a diagnosis of clinical varicocele in the Urology Department of our university hospital were enrolled in this prospective study. Varicocele grades were determined according to sonographic parameters, and a scrotal vein with a diameter of 2.5 mm or greater on color Doppler ultrasonography was included in the study. Spectral Doppler measurements of testicular arteries . . . (peak systolic [PSV]/end-diastolic velocity [EDV], resistivity index [RI], pulsatility index [PI]) were measured from capsular and intratesticular branches of testicular arteries. All the patients were also assessed by semen analysis. Results: Mean age was 29.08 ± 5.42 years (range, 18-45 years). Among the whole study population, 22 men had isolated left varicocele, and 28 had bilateral varicoceles. No statistically significant correlation was found between the Doppler parameters: RI, PI, and EDV, and semen analysis parameters: count, motility, volume, and morphology. On the other hand, both in unilateral and bilateral varicocele cases, PSV was found to be significantly correlated with sperm count (P < 0.05). Conclusions: Spectral Doppler analysis can provide valuable information as a noninvasive method to assess the hemodynamic changes and testicular microcirculation status in cases of clinical varicocele. However, RI, PI, and EDV values of capsular and intraparenchymal branches of testicular arteries may not be used as indicators of semen parameter deterioration. Hopefully, PSV measurement may give more conclusive data to predict sperm count. In addition, the cutoff value for this index has to be determined for future studies. Copyright © 2014 by Lippincott Williams & Wilkins Daha fazlası Daha az

Complementary Health Approaches Used in the Intensive Care Unit

Erdogan Z. | Atik D.

Article | 2017 | Holistic Nursing Practice31 ( 5 ) , pp.325 - 342

Intensive care units are care centers where, in order to provide the maximum benefit to individuals whose life is in danger, many lifesaving technological tools and devices are present, and morbidity and mortality rates are high. In the intensive care unit, when classic treatments fail or become unbearable because of side effects, complementary methods have been suggested to be the best alternative. Complementary health approaches are methods that are used both for the continuation and the improvement of the well-being of an individual and as additions to medical treatments that are based on a holistic approach. These applications a . . .re especially helpful in the treatment of the stresses, anxieties, and other symptoms of unstable patients in the intensive care unit who do not tolerate traditional treatment methods well, increasing their psychological and physiological well-being, helping them sleep and rest. In intensive care patients, in order to decrease the incidence of postoperative atrial fibrillation, antiemetic and medicine needs, mechanical ventilation duration, and the intensity of the disease as well as to cope with symptoms such as pain, anxiety, physiological parameters, dyspnea, and sleep problems, body-mind interventions such as massage, reflexology, acupressure, aromatherapy, music therapy, energy therapies (healing touch, therapeutic touch, the Yakson method), and prayer are used as complementary health approaches. © 2017 Wolters Kluwer Health, Inc Daha fazlası Daha az

INTRAVITREAL DEXAMETHASONE IMPLANTATION IN PATIENTS WITH DIFFERENT MORPHOLOGICAL DIABETIC MACULAR EDEMA HAVING INSUFFICIENT RESPONSE TO RANIBIZUMAB

Kaldırım H. | Yazgan S. | Atalay K. | Gurez C. | Savur F.

Article | 2017 | Retina , pp.325 - 342

PURPOSE

Clinically Adult Onset of a Leptomeningeal Cyst after Head Trauma in Childhood: Case Report and Review of the Literature

Kale A. | Aydogmuş E. | Açikgöz B.

Article | 2016 | Neurosurgery Quarterly26 ( 3 ) , pp.259 - 262

Traumatic leptomeningeal cysts, also known as growing skull fractures, are a rare but serious complication of childhood cranial fractures and a very rare complication following head traumas in adults. We present the case of a 35-year-old woman with drug-resistant epileptic seizures caused by a traumatic leptomeningeal cyst from the head injury she suffered at the age of 18 months. Surgical treatment was performed with the removal of the leptomeningeal cyst, dural repair, and cranioplasty. She had no more epileptic seizures at her follow-ups. Although it is rare, after head trauma in childhood, adult patients have often complained of . . . epileptic seizure. Surgical treatment is necessary to control the illness. Copyright © 2014 Wolters Kluwer Health, Inc. All rights reserved Daha fazlası Daha az

Dietary Supplement Use in Gastrointestinal Symptom Management and Effect on Hopelessness Levels in Patients with Irritable Bowel Syndrome

Erdogan Z. | Kurçer M.A.

Article | 2019 | Holistic Nursing Practice33 ( 3 ) , pp.155 - 162

This study was conducted to determine the dietary supplement (DS) use in gastrointestinal symptom management, and its effect on hopelessness levels in patients with irritable bowel syndrome (IBS). The universe of this cross-sectional study consisted of 132 patients presenting at the polyclinic, while the sample consisted of 127 patients who meet the inclusion criteria to study. Data were collected using a patient identification form including sociodemographic characteristics and DS use, the Gastrointestinal Symptom Rating Scale, and the Beck Hopelessness Scale. The frequency of DS use in the last year among patients with IBS was 73. . . .2%. Younger, women, those with graduate education, and those with better economic status were found to prefer more DS (P <.0001). Nausea and decreased passage of stools were predictors of DS use with a rate of 40.9% (R 2 = 0.409, P <.0001). The patients were found to use mint oil (35.6%), mint juice (24.6%), lemon (20.5%) for nausea, and apricots (48.2%) and dietary fibers (16.9%) for decreased passage of stools. Patients who did not use DSs were found to be more hopeless (P <.03). It was found that 73.2% of patients with IBS used DSs. Patients who did not use DSs were found to be more hopeless. DSs with proven effectiveness can be integrated into medical treatments. © 2019 Wolters Kluwer Health, Inc Daha fazlası Daha az

Regression of the carotid intima media thickness by propylthiouracil therapy in Graves' hyperthyroidism

Bilir C. | Gökosmanoglu F. | Caliskan M. | Cinemre H. | Akdemir R.

Article | 2012 | American Journal of the Medical Sciences343 ( 4 ) , pp.273 - 276

INTRODUCTION: One of the cardiovascular effects of hyperthyroidism is increased carotid intima media thickness (CIMT). The aim of this study is to investigate the CIMT in patients with Graves' hyperthyroidism and the effect of propylthiouracil (PTU) therapy on CIMT. METHOD: Twenty-six patients with Graves' hyperthyroidism and 33 healthy controls were included in the study. CIMT was measured at the right and left external carotid arteries in every patient in both groups. CIMT was measured before and after the PTU therapy in patients with Graves' hyperthyroidism. RESULTS

Axillary and Tympanic Temperature Measurement in Children and Normal Values for Ages

Oguz F. | Yildiz I. | Varkal M.A. | Hizli Z. | Toprak S. | Kaymakci K. | Saygili S.K.

Article | 2018 | Pediatric Emergency Care34 ( 3 ) , pp.169 - 173

Aim The aim of the study was define the normal values of tympanic and axillary body temperature in healthy children. Methods This observational cross-sectional study was performed in healthy children aged 0 to 17 years who visited the ambulatory general pediatric of Istanbul Medical Faculty. Results Of 1364 children, 651 (47.7%) were girls and 713 were boys, the mean (SD, range) age was 72.5 (53.6, 1-204) months. The mean (SD) axillary body temperature was 36.04°C (0.46°C; minimum, 35.0°C; maximum, 37.6°C). The 95th and 99th percentiles were 36.8°C and 37.0°C, respectively. The mean (SD) tympanic body temperature was 36.91°C (0.46°C . . .; minimum, 35.15°C; maximum, 37.9°C). The 95th and 99th percentiles were 37.6°C and 37.8°C, respectively. There were statistically significant differences between sexes for only tympanic body temperatures. Both axillary and tympanic body temperatures were statistically higher in 0 to 2 months compared with other age groups. For this age group, the 99th percentile was 37.5°C for axillary and 37.85°C for tympanic temperature. Conclusions Axillary and tympanic body temperatures should be considered as fever when they are more than 37.0°C and 37.8°C, respectively. For 0 to 2 months, fever is 37.5°C and 37.85°C in axillary and tympanic temperatures, respectively. © 2018 Wolters Kluwer Health, Inc. All rights reserved Daha fazlası Daha az

Role of vitamin D in children with hepatosteatosis

Yildiz I. | Erol O.B. | Toprak S. | Cantez M.S. | Omer B. | Kilic A. | Oguz F.

Article | 2014 | Journal of Pediatric Gastroenterology and Nutrition59 ( 1 ) , pp.106 - 111

Background: The increasing incidence of obesity in children is a significant risk factor for nonalcoholic fatty liver disease and obesity-associated morbidity. Vitamin D has a major role in bone mineral metabolism and has antimicrobial, antioxidant properties. In this study we aimed to investigate the role of vitamin D in children with obesity with hepatosteatosis. Methods: A total of 101 children with obesity were included in this study. Hepatosteatosis was diagnosed and graded using ultrasonography. Serum levels of 25-hydroxyvitamin D (25-(OH) vitamin D), calcium, phosphate, alkaline phosphatase, and parathormone were tested. Two- . . .sided t test and Pearson x2 tests were used for the relation between vitamin D and hepatosteatosis. Results: In our study group, 45.5% were girls (n=46) and the mean age was 11.5?2.8 years (range 3-17 years). Hepatosteatosis was identified in 58 children (57.4%). The diagnosis of grade 1 and grade 2 hepatosteatosis was made in 41 (40.6%) and 17 (16.8%) children, respectively. Median serum 25-(OH) vitamin D levels in children without hepatosteatosis was 16.4 ng/ mL (interquartile range 12.4-24.8 ng/mL), whereas children with grade 1 and grade 2 hepatosteatosis had 25-(OH) vitamin D levels of 14.2 ng/mL (interquartile range 9.5-21.2 ng/mL) and 11.5 ng/mL (interquartile range 7.5-16.7 ng/mL), respectively (P=0.005). There was a positive correlation between insulin resistance and the grade of hepatosteatosis (P=0.03). Conclusions: Serum vitamin D levels in children with obesity with hepatosteatosis are significantly lower than vitamin D levels in children with obesity without hepatosteatosis. In this observational study we only refer to the association of vitamin D deficiency/insufficiency with hepatosteatosis. Copyright © 2014 by European Society for Pediatric Gastroenterology, Hepatology, and Nutrition and North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition Daha fazlası Daha az

The local effect of puerarin on critical-sized calvarial defects

Türer C.C. | Türer A. | Durmuşlar M.C. | Önger M.E.

Article | 2017 | Journal of Craniofacial Surgery28 ( 1 ) , pp.143 - 146

Pueraria, the root of Pueraria lobata, is a commonly used herb in alternative medicine. This study evaluates the effect of puerarin and autogenous graft material combination on bone regeneration in calvarial critical-sized bone defects. Twenty-four rats were randomly divided into 3 groups of 8 rats each. A 5-mm diameter critical-sized defect was created in the calvarium of each animal. In group C, defects were left unfilled and were allowed to heal spontaneously without the use of any grafting material. Critical-sized bone defect created in animals receiving no treatment. In group ABG, defects were filled with autologous bone graft . . .only. In group P-ABG, defects were filled with autologous bone graft and puerarin combination. All animals were euthanized at 28 days postoperative. Stereologic analyses were performed. New bone area and connective tissue volumes were measured. Stereologic analysis showed that the difference between grafted groups (P-ABG and ABG) and group C was statistically significant with a mean bone formation of 1.13±0.09, 1.11±0.11, and 0.31±0.09mm3 respectively (P?0.05). The connective tissue volumes were also statistically higher in groups P-ABG and ABG (P?0.05). Puerarin has positive effect on new bone formation in autogenous grafted critical-sized bone defects Daha fazlası Daha az

Rare posterior pharyngeal mass: Atypical marginal zone hyperplasia

Eliçora S.S. | Güven M. | Varli A.F. | Yilmaz M.S. | Alponat S.

Article | 2016 | Journal of Pediatric Hematology/Oncology38 ( 2 ) , pp.152 - 154

Cases of posterior pharyngeal masses are quite rare, and are typically derived from schwannoma or encephalocele, or are of vascular or infectious origin. They are clinically significant due to their tendency to cause airway obstruction. The aim of this study was to present a rare atypical marginal hyperplasia case of a posterior pharyngeal wall mass. A 10-year-old male was admitted to our clinic with dyspnea. A plane-surfaced 4 × 3 × 3 cm mass was observed on the posterior pharyngeal wall upon physical examination. The patient underwent magnetic resonance imaging and surgical treatment. Following excision of material from the patien . . .t's mass, a pathologic diagnosis of atypical marginal zone hyperplasia was made. Atypical marginal zone hyperplasia of the posterior pharyngeal wall has not yet been reported in the literature. Marginal zone hyperplasia associated with a lymphoproliferative disease should be considered when making differential diagnoses of posterior pharyngeal wall masses. Copyright © 2016 Wolters Kluwer Health, Inc. All rights reserved Daha fazlası Daha az

Horseshoe kidney with pyelic fusion and crossed single ureter

Yesilli C. | Erdem O. | Akduman B. | Erdem Z. | Gundogdu S. | Mungan N.A.

Article | 2003 | Journal of Urology170 ( 1 ) , pp.175 - 176

[No abstract available]

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