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Öğe The Effect of the Education about the Practices Supporting Oral Feeding in Preterm Infants on the Knowledge Levels of Health Professionals(Selçuk Üniversitesi, 2022) Çelen, Raziye; Soylu, Hanifi; Arslan, Fatma TaşAim: The study was conducted to investigate the effect of an education program about evidencebased interventions for oral feeding supporting practices in preterm infants on the knowledge levels of neonatal nurses and physicians. Materials and Methods: The study is a single group study with a pretest-posttest pre-experimental design. It was conducted on 44 healthcare professionals (nurses and physicians) at a medical faculty hospital in Turkey. Data were collected using the Demographic Characteristics Form and the Preterm Infant Feeding Knowledge Form. The participants were divided into groups of 8 to 10 and each education was completed in a single session lasting for about 45 minutes, in a total of five days. The participants completed the pretest prior to the education program. The posttest was administered two weeks after the completion of the education. The data were analyzed using the McNemar test and the paired t test. Results: The average age of the participants is 26.14±4.81. Of the 44 participants, 86.4% are nurses, 13.6% are physicians, and 88.6% are female. While 63.6% of the healthcare professionals had a Neonatal Resuscitation Program certificate, 70.5% did not have the neonatal intensive care nursing certificate. It was found that 40.9% of the participants did not receive education about preterm infant feeding, while those who received training before were found to have breast milk training in the context of in-service training. The mean pretest rate of correct answers was 58.69%, while the mean posttest rate of correct answers was 78% (p<0.001) Conclusion: It has been revealed that the education on oral feeding supporting practices in preterm infants improves the knowledge levels of the healthcare professionals.Öğe Evaluation of congenital anomalies accompanying gastrointestinal system malformation(Cukurova Medical Journal, 2019) Konak, Murat; Sert, Ahmet; Gunduz, Metin; Soylu, Hanifi; Uygun, Saime SundusPurpose: The aim of this study was to review accompanied congenital anomalies to gastrointestinal pathologies. Materials and Methods: The medical records of patients who were admitted to neonatal intensive care unit with gastrointestinal system surgical pathologies during 2015-2018 were retrospectively evaluated for associated congenital anomalies. Results: 67 patients were identified during the study period. The most common gastrointestinal system pathology was anal atresia in 15 cases (22.4%), followed by diaphragmatic hernia in 14 cases (20.9%), esophageal atresia (n: 10) and ileal atresia (n: 10) (14.9%). Thirty two patients (48.8%) have had accompanied congenital anomalies to gastrointestinal system pathologies. Congenital heart disease was the most common anomaly and the most frequent one was atrial septal defect in 18 cases (26.8%). In addition, there was complex congenital heart disease in (n: 13) 19.4%. In 12 patients (17.9%), accompanied extracardiac anomalies were detected. Hydronephrosis and sludge in gall bladder were detected in three patients (4.5%). Vesicoureteral reflux or ectopic kidney or polysplenia was detected as a separate anomaly in each case. In our cases, prematurity rate was found in 54%. Conclusion: Gastrointestinal system pathologies are frequently associated with multiple anomalies, especially with congenital heart diseases. In addition, these patients are likely to be preterm baby.Öğe Evaluation of the Results of Pulse Oximetry Screening for Detection Congenital Heart Disease in Konya Region Turkey(2019) Konak, Murat; Özcan, Beyza; Sert, Ahmet; Uygun, Saime Sündüs; Soylu, HanifiAim: Congenital heart disease (CHD) is one of the most common congenital anomalies. It is known that early detection of the criticallesions without symtomatic improves the prognosis of patients in the long term. In our study, we aimed to evaluate the efficacy andcost of pulse oximetry screening for detection of CHD in Konya region.Material and Methods: In our study, we analyzed the results of pulse oximetry screening of infants born between 2016 and 2018in Selcuk University and Saglik Bilimleri University Konya Training and Research Hospital. Positive screening test results and theircosts was evaluated.Results: Pulse oximetry was performed on a total of 3440 infants for screening congenital heart disease at two different centers. 2003(58.2%) of the cases were female and 1437 (41.8%) were male. The mean timing of screening was 24.713.1 (4-100) hours (mean SD (min-max). 292 (8.48%) infants were tested positive. Echocardiographic examination was performed in the positive cases. Theprevalence of CHD was found to be 27.6 ‰. The prevalence of critical CHD was 1.16 per 1000 live births. The false-positive screenrate was found to be 197 (5.7%). Among the cases who were screened, the most common CHD was the secundum ASD. The totalcost of probes was 2622 (497.91). The cost of echocardiography for 292 babies was approximately 13181 (2503).Conclusion: Screening for heart disease can be used effectively in the early diagnosis of serious and life-threatening diseasesin newborn and the cost is unneglectable in the early screening of patients. This study, the total cost of each infant screening isapproximately 4.5 (0.85) which appears to be a quite cheap and effective screening compared to the other countries.Öğe Meckel Gruber syndrome: A case report with review of literature(MODESTUM LTD, 2017) Uygun, Saime Sundus; Sivri, Mesut; Topsakal, Ahmet; Dikener, Ahmet Hakan; Soylu, Hanifi; Annagur, AliMeckel-Gruber syndrome, which is firstly described by Friedrich Meckel and Georg B. Gruber, is an autosomal recessive disorder that is characterized triad of occipital encephalocele, bilateral renal dysplasia and polydactyly. Because of the genetic heterogeneity, multiple organs can be affected. The worldwide incidence varies from 1 in 13,250 to 1 in 140,000 live births. We have reported a male baby born at 37-week gestation, who has occipital encephalocele, polydactyly and cystic dysplasia of both kidneys. As a result of these clinical findings, Meckel-Gruber Syndrome is suspected for his baby. This study is presented to draw attention to the Meckel Gruber Syndrome which has high risk of recurrence and early diagnosis by ultrasonographic screening can be confident.Öğe Neonatal hemodynamics and management of hypotension in newborns(TURKISH PEDIATRICS ASSOC, 2018) Dilli, Dilek; Soylu, Hanifi; Tekin, NeslihanHemodynamic instability is frequent in high-risk infants admitted to neonatal intensive care units. However, monitoring and treatment strategies of those conditions might show variations among the units. Different factors can compromise hemodynamic status in preterm/term infants. Treatment options mostly include volume replacement, inotropes and/or vasopressors (dopamine, dobutamine, epinephrine and milrinone) and hydrocortisone. In general, these treatments are driven by predetermined protocols, which are not patient-based. According to the current knowledge, a physiology-driven approach that takes the individual characteristics of the newborn into consideration is accepted to be more suitable. In neonatal hemodynamics, important determinants are cardiac output, systemic vascular resistance, blood pressure, regional tissue perfusion and oxygenation. The novel technological methods, "targeted neonatal echocardiography" and "near-infrared spectroscopy" can help to delineate the underlying pathophysiology better, when added to the clinical assessment. In this review, strategies for the assessment of neonatal hemodynamics, as well as etiology, monitoring, and treatment of hemodynamic instability in preterm and term infants are presented.