Halk Sağlığı/Makale Koleksiyonu

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https://hdl.handle.net/20.500.12395/15650

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Ameliyathane Hemşirelerinde İş Doyumu ve Mesleki Profesyonellik
(Selçuk Üniversitesi, 2019 Aralık) Hisar, Kemal Macit; Oflaz, Ali
Amaç: Bu çalışma, ameliyathane hemşirelerinde iş doyumu ile mesleki profesyonellik düzeylerini belirlemek amacıyla yapılmıştır. Gereç ve Yöntem: Tanımlayıcı araştırma. Araştırmanın evrenini Konya ili merkezindeki devlet hastaneleri ameliyathane birimlerinde çalışan hemşire oluşturmaktadır. Tam sayım örnekleme yöntemi uygulanmıştır. Veri toplama aracı olarakkişisel bilgi formu, İş Doyumu Ölçeği ve Hemşirelerin Mesleki Profesyonellik Değerler Ölçeği kullanılmıştır. Çalışma 122 hemşire ile gerçekleştirilmiştir. Bulgular: Araştırmaya katılan hemşirelerin iş doyumunun orta düzeyde olduğu belirlenmiştir. Katılımcıların mesleki değerleri, profesyonel bakım verme ve adalet alanlarında daha yüksek olmakla birlikte genel olarak mesleki profesyonelliklerinin yüksek düzeyde olduğu belirlenmiştir. Mesleki değerlerin dışsal doyum ve genel olarak iş doyumu ile ilişkili olmadığı; buna karşın mesleki değerlerin yüksek olmasının içsel iş doyumunu olumlu yönde etkilediği bulundu. Sonuç: Hemşirelere İş doyumu ve Mesleki değerler ölçeği alt başlıkları doğrultusunda eğitim ve uygulamaların yapılarak iş doyumu artırılması önerilebilir.
Investigation of the Relationship Between Health Promotion Behavior and Self-Efficacy of Turkish Adolescents
(Selçuk Üniversitesi, 2022) Coşgun, Mehmet; Hisar, Kemal Macit
Purpose: This research was carried out to identify the relationship between adolescent health promotion behaviors and the self-efficacy of students. Materials and Method: This study is a descriptive study, which was carried out in a secondary school and two high schools in the provincial center of Ankara in the 2017-2018 academic year. The research population included all students studying these schools.The study was conducted on the entire population (N=915) therefore, no sample selection was made. Participation was on a volunteer basis. Three different forms were used as data collection tools. These are questionnaire form, adolescent health promotion scale, and self-efficacy scale for children. The data were summarized as mean, standard deviation, and percentages. Results: 789 adolescents have participated voluntarily in the research. Seventy-one percent (n:561) of the students in the research group were male and 28.9% (228) were female students. The mean age of the students was 13.93±2.34, their height average was 1.63±0.15, and their weight average was 55.99±18.42. The mean score for adolescent health promotion scale is 142,53±27,06. On the other hand the mean score for self-efficacy scale is 74,61±16,44. In the adolescent health promotion scale and all subscale scores, there were significant differences according to their grade, age, success status, health state perception, beliefs in managing future health statuses, wearing a seat belt, wearing a helmet while riding a bicycle or motorbike, using pedestrian crossings and overpasses when crossing the road (p<0.05). In the self-efficacy scale and all subscale scores, there were significant differences according to their grade, age, success status, health state perception, beliefs in managing future health statuses, wearing a seat belt, wearing a helmet while riding a bicycle or motorbike, using pedestrian crossings, and overpasses when crossing the road. There was a positive and significant correlation between health-promoting behaviors and selfefficacy (p<0.05). Conclusions and Suggestions: Self-efficacy perception and health-promoting behaviors are gained during childhood and adolescence and maintained throughout life. For this reason, education, seminars, and activities to be given to students, teachers, and parents will be effective in increasing self-efficacy perceptions of adolescents and gaining health-promoting behaviors in adolescents.
Prevalence of violence against older adults and associated factors in Çanakkale, Turkey: A cross-sectional study
(WILEY, 2020) Gürsoy, Melike Yalçın.; Kara, Fatih.
Aim This study was designed to determine the prevalence of domestic violence against older adults and the associated risk factors in canakkale, Turkey. Methods A cross-sectional, population-based study was carried out, including 1230 individuals aged >= 65 years living in the city of canakkale, Turkey. The population of the study consisted of 73 367 individuals aged >= 65 years, living in canakkale. Sample selection was made with the one-step cluster sampling method. The data were collected by face-to-face interview. The study was approved by the local ethics committee, and written consent was taken from the participants. Results Of the participants, 4.1% had experienced physical violence, 2.5% were subjected to sexual abuse, 23.5% had undergone psychological violence and 12.2% had a history of economic violence. The exposure to any of the given violence types was 28.5%. Risk factors related to violence were being married, having children, educated partner, lack of economic independence, poor self-perceived health, administration of medications by others, feeling lonely, dissatisfaction with life, poor perception of family relations and not participating in family decisions. Conclusions These results show that violence against older adults is a significant problem in a city in western Turkey. Therefore, an in-depth evaluation of the determined risk factors related to violence and actions for its prevention are warranted. Geriatr Gerontol Int 2019; center dot center dot: center dot center dot-center dot center dot.
Investigation of antibiotic resistance and virulence factors of enterococcus faecium and enterococcus faecalis strains Isolated from clinical samples
(Ankara Mıcrobıology Soc, 2020) Gök, Şerife Merve; Türk Dağı, Hatice; Kara, Fatih; Arslan, Uğur; Fındık, Duygu
Enterococci, which are commonly found in the environment, cause serious infections despite the absence of well-defined virulence factors and toxins. Knowing the virulence properties of enterococci is important to understand the complex pathogenic structures. In this study, we aimed to investigate the virulence factors (asa1, hyl, cylA, efa, ebp, ace, esp, gelE, sprE, fsrA, fsrB, fsrC genes, gelatinase activity, hemolysin, hydrogen peroxide and biofilm production) and antibiotic resistance of Enterococcus faedum and Enterococcus faecalis strains isolated from clinical specimens. A total of 110 enterococcus isolates which were accepted as infectious agents were included in the study. The polymerase chain reaction method was used to identify the isolates and to detect virulence genes. Characteristics of hemolysis, biofilm formation, hydrogen peroxide production and gelatinase activity were investigated by phenotypic methods. The antibiotic susceptibility test was performed with VITEK 2 automated system. E.faecalis ATCC 29212 standard strain was used as a quality control in all tests. Of the 110 enterococci isolates included in the study, 61 were identified as E.faecium and 49 as Efaecalis. The efa gene was the most frequently detected virulence gene (92.7%), followed by ace (83.6%), esp (66.4%), ebp (60.0%), cylA (50.9%), hyl (46.4%), asal (45.5%), gelE, sprE, fsrC (33.6%), fsrA (12.7%) and fsrB (11.8%). All genes except hyl were higher in E.faecalis isolates and the difference was statistically significant (p< 0.05). Twenty-five (51%) Efaecalis and 1 (1.6%) E.faecium isolates had beta-hemolysis and the difference was statistically significant (p= 0.000). Seven (11.5%) E.faecium and 4 (8.2%) Efaecalis isolates formed biofilm, but the difference was not statistically significant (p> 0.05). Two (3.3%) E.faecium and 14 (28.6%) E.faecalis isolates exhibited gelatinase activity and the difference between the two species was statistically significant (p= 0.000). Hydrogen peroxide production was not detected in any of the isolates. The highest resistance rate was determined against ciprofloxacin (70.9%). The resistance to ampicillin was 69.1%, high level streptomycin 65.1%, high level gentamicin 39.4%, vancomycin and teicoplanin 4.5%, and linezolid 1.8%. In conclusion, our data indicated that virulence factors except hyl gene and biofilm production were higher in E.faecalis isolates but E.faecium isolates were more resistant to antibiotics. In order to prevent infection of such virulent or resistant isolates in the hospital setting, infection control measures must be followed. In vivo studies are needed for the better understanding of the virulence of enterococci.
Incidence of home accidents in 65 years of age and older individuals and related factors
(GUNES KITABEVI LTD STI, 2019) Samancı Tekin, Çiğdem.; Kara, Fatih.
Introduction: This study aims to investigate the incidence and related factors of home accidents in old individuals living at home. Materials and Method:1185 individuals aged 65 years and above, living in Nigde Province city centre participated in this sectional study. The data were collected through a survey form prepared by the researcher after literature review, Activities of Daily Living Assessment Form and Instrumental Daily Life Activities Form of Lawton and Brody. Chi-Square and logistic regression analysis were used for assessing the data. Results: Mean age of participants was 71.1 +/- 6.1 years, and incidence of home accidents within the past year was 20.3%. The most common accident types were falls (75.8%), cuts and injuries (12.1%) and burns (8.8%). Accidents occurred frequently in winter and in bedrooms or living rooms. In terms of underlying causes for home accidents, primary individual factors were loss of balance and lack of attention, while domestic risk factors were wet floor and tripping. Women and the people who were independent of the majority of basic Activities of Daily Living (ADL) and Instrumental Activities of Daily Living (IADL) suffered more home accidents. Conclusion: More than a third of the old people, who had home accidents, experienced them twice or more within the past year. This indicates that home accidents have not been given sufficient attention. It is believed that adjusting home conditions of old people to prevent accidents and training them as well as their caregivers about home accidents can decrease such incidences.
Klinik uygulama yapan tıp fakültesi öğrencilerinin sözel şiddet ve atılganlık durumlarının belirlenmesi
(2018) Hisar, Kemal Macit
Bu araştırmanın amacı, klinik uygulama yapan bir tıp fakültesi öğrencilerinin sözel şiddet ve atılganlık durumlarının belirlenmesidir. Bu çalışma tanımlayıcı tipte bir araştırmadır. Araştırmanın evreni, bir tıp fakültesindeki 2014-2015 Eğitim ve Öğretim yılı bahar döneminde araştırmanın yapıldığı zamanda stajda bulunan ve çalışmaya katılmayı kabul eden 249 kişidir. Veri toplama aracı olarak soru formu ve Rathus Atılganlık Envanteri (RAS) kullanılmıştır. Verilerin değerlendirilmesinde frekans, yüzde, ortalama, independent samples t testi ve ANOVA kullanıldı. Öğrencilerin %79,3’ü klinikte sözel şiddet gördüğünü belirtti. Katılımcıların RAS puan ortalaması 13,5820,9 olarak bulundu. Öğrencilerin %45,9’u çekingen, %54,1’i atılganlık özelliği göstermektedir. Öğrenciler klinikte en çok öğretim üyeleri tarafından onur kırıcı konuşmalara maruz kalmaktadır. Klinikte sık sık psikolojik sıkıntı yaşadığını belirten öğrencilerin RAS puan ortalaması yaşamayanlara göre daha düşük olup istatistiksel olarak da anlamlı bulundu. Kendilerini stajda sık sık tehdit/baskı altında hissedenlerin RAS puan ortalamaları, hissetmeyenlere göre daha düşük bulundu. Sonuç olarak öğrencilerin atılganlık düzeyi arttırılmalıdır. Ayrıca klinik ortamda öğrencilerin şiddete maruz kalmalarını önleyici eğitimler verilmeli ve gereken diğer tedbirler alınmalıdır.
Aile sağlığı merkezine başvuran gebelere verilen eğitim ve danışmanlık hizmetinin konstipasyonun giderilmesinde etkinliği
(2018) Çağlar, Suna; Hisar, Kemal Macit
Bu çalışma, şebelerde konstipasyon önleme eşitim ve danışmanlık proşramının etkinlişini deşerlendirmek amacıyla yapılan bir müdahale araştırmasıdır. Konstipasyon sorunu olan 35 şebe araştırmaya dahil edilmiştir. Veri toplama formları; Kişisel Bilşi Formu, Konstipasyon Ciddiyet Ölçeşi (KCÖ), şörsel Kıyaslama Ölçeşi (şKÖ), Bristol Dışkı Tablosu (BDT), Konstipasyon Yaşam Kalitesi Ölçeşi (KYKÖ), Uluslararası Fiziksel Aktivite Anketi-Kısa Form (UAFAA-KF) anketleridir. Her bir şebe için 7 ziyaret yapıldı ve 6 ay takip edildi. Katılımcılar, diyet tüketimine ilişkin tavsiyeleri içeren bireysel eşitim proşramı aldılar. Çalışmada eşitim sonrası şebelerin beslenme alışkanlıklarında deşişiklikler saptandı. şebelerde eşitim öncesi Bristol tablosundaki tip 1, tip 2, tip 3. formu daha fazla şörüldüşü halde eşitim sonrası bu oran azaldı. Eşitim öncesi tip 4, 5 formu daha az şörüldüşü halde eşitim sonrası bu oran yükseldi. Eşitim öncesi şebelerin tamamında konstipasyon mevcut iken eşitim sonrası bu oran %28,6 oldu. Bu çalışmada eşitim ve danışmanlık hizmetinden sonra şKÖ, KCÖ, KYKÖ ve alt şrupların puanında eşitim öncesine şöre belirşin azalma saptandı, KYKÖ „„Memnuniyet?? alt şrubunun puanında belirşin artış şözlendi. şebeler de konstipasyona yonelik eşitim ve danışmanlık hizmti verilmelidir.
Determination of probiotic food consumption habits of university students: The example of Selçuk University
(2018) Derin, Didem Önay; Erdem, Nuran
The aim of this research was to determine of probiotic product consumption habits of university students. Research population is composed of 400 students who currently attending department of Food Engineering, Faculty of Agriculture at Selçuk University. The research data were collected by means of the face-to-face interviewing technique from a survey form developed by the researchers between May and October 2016. Questionnaire form is composed of various questions to determine general knowledge, probiotic food consumption of the students. While evaluating the date, SPSS package programme was used and necessary statistical analysis was made. 50.5% of students weren?t being knowledgeable about the probiotic product. More than half (56.3%) of students said that they consumed probiotic products. The students? which consuming probiotic food consumption frequency was once a day with a rate of 35.9%, 65.0% of the students have stated that they consume probiotic productions alone as such. The students wasn?t know the use of microorganisms in probiotic food products with a rate of 79.8%, they wasn?t reading the packaging information when purchasing these products with a rate of 7.7%, and they were proposing probiotic food consumption to other people with a rate of 80.3%.
Babaların bebek bakımı konusundaki özgüvenleri ve etkileyen faktörler
(2017) Kara, Fatih; Uçan, Sabriye; Güzel, Aysun
Amaç: Bu çalışmanın amacı, ilk kez bebek sahibi olan babaların bebek bakımı konusundaki özgüvenlerini ve etkileyen faktörleri belirlemektir.Yöntem: Bu kesitsel araştırma bir ilçede yaşayan 120 baba ile Mart-Mayıs 2015 tarihinde gerçekleştirilmiştir. Araştırmanın verileri, Pharis Özgüven Ölçeği ve babaların sosyodemografik özelliklerini içeren sorulardan oluşan anket formuyla toplanmıştır. Veriler SPSS 16.0 programında yüzdelik, tek yönlü varyans analizi, post-hoc testleri (Tukey HSD ve Games Howell çoklu karşılaştırma testi) ve bağımsız örneklem t-testi kullanılarak analiz edilmiş; p0,05 olan değerler anlamlı kabul edilmiştir.Bulgular: Babaların Pharis Özgüven Ölçeği ortalaması 37,039,4'dür. 31-36 yaşındaki babaların özgüven puan ortalamalarının, 19-24 yaş arasındaki babalara göre istatistiksel olarak anlamlı derecede yüksek olduğu saptanmıştır (p0,01). Bebek bakımı bilgisine sahip olan babaların özgüven puan ortalamalarının bebek bakımı bilgisine sahip olmayan babalara göre istatistiksel olarak anlamlı derecede yüksek olduğu saptanmıştır (p0,01).Sonuç: Babaların özgüvenleri düşük bulunmuştur. Yaş ve bebek bakımı konusunda edinilen bilgi babaların özgüvenlerini açısından önemlidir.
Is Sleep and Life Quality of Caregivers Affected as Much as That of Hemodialysis Patients?
(Oxford Univ Press, 2012) Çelik, Gülperi; Annagür, Bilge Burcak; Yılmaz, Mümtaz; Demir, Tarık; Kara, Fatih
[Abstract not Available]
Third ventricle colloid cyst accompanying Aicardi syndrome: A case report [Aicardi sendromuna eşlik eden üçüncü ventrikül kolloid kisti: Olgu sunumu]
(Gulhane Askeri Tip Akademisi, 2010) Cengiz Ş.L.; Erdi M.F.; Demir L.S.; Baysefer A.
Aicardi syndrome is composed of the triad of chorioretinal lacunae, seizures and callosal agenesis. A 3-year-old girl was admitted with the complaints of abnormal eye movements and seizures. In fundoscopic examination, chorioretinal lacunae were detected in both eyes. A magnetic resonance imaging of the brain revealed agenesis of the corpus callosum and a mass obstructing third ventricule. Histopathological examination of the cystic lesion in the patient treated surgically demonstrated colloid cyst. Although good tolerance to intracranial cysts has been reported in Aicardi syndrome, the present patient with cystic lesion obstructing the third ventricle is herein discussed under the light of literature findings. © Gülhane Askeri Ti{dotless}p Akademisi 2010.
The effects of intravenous paracetamol on postoperative analgesia and tramadol consumption in cesarean operations [Sezaryen cerrahisinde intravenöz parasetamolün postoperatif analjezi ve tramadol tüketimine etkisi]
(2010) Kiliçaslan A.; Tuncer S.; Yüceaktaş A.; Uyar M.; Reisli R.
Objectives: In this study, the effects and side effects of intravenous paracetamol application, combined with patient-controlled intravenous tramadol analgesia, were investigated in elective cesarean operations for postoperative pain control and its tramadol-sparing effect. Methods: Fifty ASA I-II patients scheduled for cesarean operation were enrolled in this study. Patients were randomly divided into two groups: group I served as a control group, with saline administration (100 ml) 15 min before the end surgery and every 6 h for 24 h, whereas group II received paracetamol (1 g/100 ml) at the stated time points. All patients received a standard anesthetic protocol. At the end of surgery, all patients received tramadol i.v. via a PCA (patient-controlled analgesia) device. Pain and sedation scores were assessed at 1, 3, 6, 12 and 24 h postoperatively. Results: Tramadol consumption and adverse effects were noted in the first 24 hours following surgery. The pain scores were significantly lower in the paracetamol group when compared with the control group (p<0.05). The cumulative tramadol consumption was lower in the paracetamol group than the control group (p<0.05). No significant difference was observed in sedation scores and nausea-vomiting scores between the groups (p>0.05). Conclusion: We conclude that paracetamol is a safe and effective treatment option in post-cesarean pain for combination with tramadol, as it produces effective analgesia and reduces tramadol consumption.
The Effect of Serum Physiological and Rivanol on the Process of Recovery During Episiotomy Care
(AVES YAYINCILIK, IBRAHIM KARA, 2010) Yılmaz, Sema Dereli; Vural, Gülşen; Bodur, Said
Objectives: Episiotomy is frequently performed in primigravidas in many hospitals. No standard application exists in episiotomy care. This study aimed to compare the effect of serum physiological (SP) and rivanol on the process of recovery and perineal pain during episiotomy care. Patients and Methods: The study was conducted with 60 primiparous women. During the process of data collection, rivanol was used for episiotomy care of the first 30 mothers who met the inclusion criteria (Group 1). Serum physiological was used in Group 2. The first data were collected in the first four hours of the postpartum in the hospital. Mothers were invited to the hospital for the evaluations on 7th, 14th, and 21st days. Episiotomy wound was evaluated with REEDA score and pain with Visual Analog Scale. Results: In episiotomy healing process, there was a difference between groups in favor of SP according to total scores of REEDA on the 7th, 14th and 21st days. There was a difference in SP group with respect to pain on the 21st day. Conclusion: According to the results of this study, SP was found to be more effective than rivanol in episiotomy healing. Therefore, the use of SP, which is non-chemical and has no side effects to the healing process, is suggested in episiotomy care.
Reliability and Validity of the Turkish Version of the Pain Quality Assessment Scale in Patients With Carpal Tunnel Syndrome
(Nobel Ilac, 2010) Şahin, Nilay; Bodur, Said; Salli, Ali; Uğurlu, Hatice
Objective: There are some tests used by clinicians for defining and differentiating various pain types and following up the patient after initiating pain management therapy The Pain Quality Assessment Scale (PQAS) is a questionnaire used in differentiation of neuropathic and non-neuropathic pain. The PQAS is also used in detection of the most common symptom of neuropathic pain which has a wide spectrum, and in the management and follow up of pain therapy in the light of its findings. The aim of this study was to examine whether the Turkish version of PQAS is a valid and reliable tool to assess pain. Material and Method: Seventy patients with carpal tunnel syndrome seen by two clinicians were evaluated by Turkish version of the PQAS in the morning and in the afternoon of the same day. Results: With respect to reliability, the correlations between PQAS total score and paroxysmal, surface, deep and sensitive pain were 0.830 (p<0.001), 0.853 (p<0.001), 0.893 (p<0.001) and 0.679 (p<0.001), respectively. With respect to validity, the correlation results between total score and paroxysmal, surface and deep pain subgroups of PQAS was found as r:0.87, r:0.80 and r:0.87, respectively. Conclusion: In painful situations, defining the pain type and detecting the dominant symptom are quite helpful in management of therapy. The results of this study suggest that the Turkish version of the PQAS is a reliable and valid instrument for the measurement of pain in Turkish patients that have diseases with neuropathic pain types.
Inferior Vena Cava Diameter as a Marker of Early Hemorrhagic Shock: A Comparative Study
(Turkish Assoc Trauma Emergency Surgery, 2010) Akıllı, Belgin; Bayır, Ayşegül; Kara, Fatih; Ak, Ahmet; Cander, Başar
BACKGROUND We determined the value of the inferior vena cava (IVC) diameter for predicting acute blood loss in control and blunt trauma patients and compared this with other parameters of hemorrhagic shock. METHODS Fifty volunteers and 28 consecutive hemorrhagic shock patients were recruited prospectively to participate in the study. Vital signs, blood lactate, and serum bicarbonate were measured, and shock index and base excess were calculated. Anteroposterior (AP) and mediolateral (ML) IVC diameters during inspiration and expiration were measured in the right subcostal region. IVC diameters in hemorrhagic shock patients were compared with those of controls and were also compared with other hemorrhagic shock parameters. RESULTS A significant relationship was determined between mean IVC AP and ML diameters during expiration and inspiration on admission in the study group and in the control group (p=0.000, p=0.000, p=0.000, p=0.000). Serum lactate levels correlated significantly with all IVC diameters (r=55), especially the IVC ML diameter during expiration. CONCLUSION IVC diameter, as measured by transabdominal ultrasound, was more accurate than the shock index and other commonly used non-invasive predictors of acute blood loss (blood pressure, heart rate per minute, serum lactate level, base deficit).
Hopelessness of Mothers Who Have Children With Down Syndrome
(Medecine Et Hygiene, 2010) Yıldırım, A.; Yıldırım, M. S.
Hopelessness of mothers. who have children with Down syndrome: This study was conducted to determine hopelessness status of mothers who have children with Down syndrome. Beck Hopelessness Scale was used in this restrictive type study. The average value of mothers enrolled in the study was detected as 8.29 +/- 2.49. Age, education level, socio-economical status, work and the problems between parents were also examined and it was found that there is a relationship between the education level, socio-economical status, the problems between parents and the hopelessness scale (p<0.01). Consequently, it is apparent that the mothers who have children with Down syndrome need social and psychological support to overcome their feelings of hopelessness.
Evaluation of FDG Uptake in Pulmonary Hila with FDG PET/CT and Contrast-Enhanced CT in Patients with Thoracic and Non-Thoracic Tumors
(Springer, 2010) Kara Gedik, Gonca; Özcan Kara, Pelin; Kara, Taylan; Sarı, Oktay; Kara, Fatih
Objective Fluorine-18 fluorodeoxyglucose (FDG) uptake is frequently observed in lung hilus. This finding causes difficulties during the interpretation. Our objective was to evaluate the features of FDG uptake in lung hilus associated with benign or malignant etiology in patients with thoracic and non-thoracic tumors. Methods We retrospectively evaluated the files of 1172 patients who had undergone FDG positron emission tomography (PET)/computed tomography (CT) examination between January 2008 and June 2009. Forty-eight patients (21 males, 27 females, age range 12-80 years, mean 60.9 +/- 15.82 years) with either unilateral or bilateral hilar FDG uptake and who had thorax contrast-enhanced computed tomography (CECT) performed within 1 month of the FDG PET/CT scan were enrolled in the study. Characteristics of FDG uptake were classified according to the pathology and CECT or PET/CT follow-up over 12 months. Results The characteristics of 71 hilar regions with FDG uptake could be classified. In 30 of 71 (42.3%) hilar regions, FDG uptake was considered to be physiological because no lymph node was observed on CECT. In 19 of 71 (26.8%), FDG uptake was secondary to benign lymph nodes and in 22 (30.9%) to malignant lymph nodes. Significant differences were observed between benign and malignant lymph nodes for SUVhilus and SUVhilus/SUVliver ratio. Using 4.49 as the cut-off value for SUVhilus, a sensitivity of 85.7% and a specificity of 86.4% were achieved (area under curve, AUC: 0.956). For SUVhilus/SUVliver ratio, sensitivity and specificity to detect malignant lymph nodes were 77.6 and 77.3% (AUC: 0.885), respectively, at a cut-off value of 1.75. Conclusion SUVhilus and SUVhilus/SUVliver ratio were found to be significant parameters for determining malignancy in lung hilus. Combined interpretation with CECT is warranted during the evaluation of lung hilus with FDG PET/CT.
Comparison of Effects of Automated Peritoneal Dialysis and Continuous Ambulatory Peritoneal Dialysis on Health-Related Quality of Life, Sleep Quality, and Depression
(Wiley-Blackwell, 2010) Güney, İbrahim; Solak, Yalçın; Atalay, Hüseyin; Yazıcı, Raziye; Altıntepe, Lütfullah; Kara, Fatih; Yeksan, Mehdi; Türk, Süleyman
Few studies investigating the effects of automated peritoneal dialysis (APD) and continuous ambulatory peritoneal dialysis (CAPD) on health-related quality of life (HRQoL), depression, and sleep quality exist in the literature. We aimed to determine differences between APD and CAPD modalities with respect to these parameters. Twenty APD and 48 CAPD patients were included in this crosssectional study. Biochemical values were measured at outpatient evaluation. A modified postsleep inventory was used to evaluate sleep quality. Health-related quality of life and depression were evaluated by the Short Form of Medical Outcomes Study and Beck Depression Inventory, respectively. Automated peritoneal dialysis and CAPD patients were compared in terms of sleep quality, HRQoL, and depression. Our results showed that there were no significant differences between APD and CAPD in any of the studied parameters. Moderate or severe sleep problems were found in 60% and 69% of the APD and CAPD patients, respectively. Mean HRQoL scores for any of the 8 Short Form of Medical Outcomes Study-36 domains were similar in the 2 groups. The mean physical component score was 51.1 +/- 21.2 and 48.9 +/- 18.2 in APD and CAPD patients, respectively (P=0.672). The mean mental component score was 47.5 +/- 20.1 in APD patients, whereas it was 42.4 +/- 19.5 in CAPD patients (P=0.291). Depression was detected in 70% of APD and 62.5% of the CAPD patients. The mean Beck Depression Inventory scores were also similar in the 2 groups. This study showed that HRQoL, sleep quality, and depression were similar in APD and CAPD patients.
Behavioral Risk Factors for Overweight and Obesity in Turkish Adolescents
(Nobel Ilac, 2010) Bodur, Said; Uğuz, Meryem; Şahin, Nilay
Objective This study was carried out to determine behavioral risk factors for overweight and obesity in Turkish adolescents Material and Method. A total number of 496 children from two secondary schools selected by random sampling method from Konya city center were included in the survey For data collection a survey including the children's physical activities nutritional attitudes and preferences were carried out Also children's body weight and height were measured Results Overweight and obesity ratio among adolescents was 21 6% Spending longer time in front of television and computer having a high carbohydrate food diet habits of eating food and nuts eating at night just before sleeping and going school by vehicles were determined to have close relations with being overweight or obese Conclusion These findings suggest that overweight or obesity is related with behavioral factors in adolescents Children showing the risk factors and their families should be informed about proper nutritional behaviors
Acute-Phase Vitamin B12 and Folic Acid Levels in Patients with Ischemic and Hemorrhagic Stroke: İs There a Relationship with Prognosis?
(Maney Publishing, 2010) Bayır, Ayşegül; Ak, Ahmet; Özdinç, Şerife; Seydanoglu, Abdüsselam; Köstekçi, Şenol Kadir; Kara, Fatih
Objective: The aim of this study was to investigate blood folic acid and vitamin B12 levels in patients with ischemic and hemorrhagic stroke patients and correlate these levels with prognosis. Methods: Patients presenting within 3 hours of onset of ischemic or hemorrhagic strokes were approached for participation in the study. Diagnosis was made by clinical examination and head computed tomography scan. Venous blood samples were taken for determination of blood folic acid and vitamin B12 levels. Parameters were evaluated with respect to stroke type and according to Glasgow coma scale (<= 8 or >= 9). Results: Eighty-seven patients with ischemic stroke (mean age: 65 +/- 10 years, 53% male) and 27 patients with hemorrhagic stroke (mean age: 60 +/- 10 years, 56% male) were included in the study. A significant direct correlation was found between Glasgow coma scale and mean plasma B12 levels in ischemic, but not hemorrhagic, stroke (r=112.75 and p=0.007, respectively). A significant direct correlation was found between Glasgow coma scale and mean plasma folic acid levels in hemorrhagic, but not ischemic, stroke (r=1.03 and p=0.017, respectively). In patients with Glasgow coma scale <= 8 (either hemorrhagic or ischemic stroke), a significant direct correlation was found between Glasgow coma scale and blood vitamin B12 levels. Vitamin B12 levels were significantly lower in patients with Glasgow coma scale (8 than in patients with Glasgow coma score >= 9 (p=0.04). Conclusions: In patients with ischemic stroke, low vitamin B12 levels, and in patients with hemorrhagic stroke, low blood folic acid levels, are associated with lower Glasgow coma scale values and higher hospital mortality.

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