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Yayınlar
- ArticleYalnız künye2016The Effect of Cold Vapor Applied for Sore Throat in the Early Postoperative Period
Bulut, Hulya; Erden, Sevilay; Demir, Sevil Guler; Çakar, Bilge; Erdogan, Zuhal; Demir, Nevra; Ay, Ali; Aydin, Emine
Purpose: This study was conducted for the purpose of determining the effect of cold vapor applied for sore throat in the early postoperative stage. Design: A quasi-experimental design was used. Methods: The study sample consisted of 60 patients who underwent lumbar disc herniation surgery in the Neurosurgery Clinic of Gazi University Health Research and Practice Center in Ankara, Turkey. The study involved two intervention groups and one control group. The study data were collected through questionnaire and observation forms. Findings: 65% (n = 39) of patients experienced sore throat. There were no statistical differences between the groups in terms of sore throat and hoarseness (P > 05); however, a significant difference was determined in the group to whom oxygen together with cold vapor was applied for dry throat (4th and 8th hours) and swallowing difficulties(8th and 12th hours) (P < .05). Conclusions: Cold vapor did not have an effect on sore throat on its own; however, it decreased hoarseness and swallowing difficulties when applied together with oxygen.
- Conference ObjectYalnız künye2016In vitro α-glucosidase and α-amylase inhibitory activities of acorn, acorn shell and cupule extracts of Quercus robur L.
Güvenalp, Z.; Yuca, H.; Gözcü, S.; Dursunoglu, B.; Tosun, F.; Demirezer, L. O.
- Conference ObjectYalnız künye2016In vitro antidiabetic activity of Cotinus coggygria Scop.
Gözcü, S.; Yuca, H.; Dursunoglu, B.; Güvenalp, Z.; Demirezer, L. O.
- Conference ObjectYalnız künye2016In vitro α-amylase and α-glucosidase inhibitory activity of extracts and compounds from cultivated Artemisia dracunculus
Dursunoglu, B.; Yuca, H.; Gözcü, S.; Özbek, H.; Güvenalp, Z.; Demirezer, L. O.
- Conference ObjectAçık Erişim2016Among the physical fitness workouts, the efficiency of the weight training and zumba exercises on the body composition in men and women
Kaya, Fatih; Nar, Dilek; Erzeybek, Mustafa Said; Bozdogan, Zeynep; Gunduz, HB; Masal, E; Caliskan, H
Among the physical fitness workouts; whereas the weight training is one of the most prevalent physical activities used for men, the zumba dance workouts has become popular for women in the last decade, as an entertaining alternative approach. In this research, the effects of the weight training on the body composition in men and the zumba dance workouts in women have been studied. 90 sedentary individuals (44 men, average age: 30.70 +/- 6.44; 46 women, average age: 29.13 +/- 5.80) attending a fitness center had received weight training and zumba classes (during 2 months, 3 days each week, each session 45/60 minutes). The exercise intensity that had been kept low at the beginning was increased in the following weeks for both programs. The body composition analysis have been carried out at the start and then monthly, through bioelectrical impedence method. During the process; the medical histories of the participants as well as their levels of readiness for and participation to the physical activities have been monitored. Both sex have been evaluated separately. The descriptive statistics techniques and repeated measures ANOVA have been used to analyze the data. At the end of the study, the positive effects of both exercise programs on the body compositions of the sedentary men and women have been observed. As a conclusion, it has been recorded with the present study once again that the weight training is still an efficient and valid method for men and also, the zumba workouts are efficient for women as a popular method.
- ArticleAçık Erişim2016Association between Bone Mineral Density and Clinical Parameters in Traumatic Brain Injury Patients
Ersöz, Murat; Sayilir, Selcuk; Yilmaz, Ozden Sibel Odabasi; Ugurlu, Fatma Gulin; Akkus, Selami
Objective: Determine the association between the bone mineral density and traumatic brain injury (TBI). Materials and Methods: Twenty-two patients with TBI included to the study. Dual energy X-ray absorptiometry measurements which determines the femur neck and L1-4 vertebrate T scores in patients was performed via Lunar Prodigy DPX system. Clinical parameters such as types of involvements (plegia), upper-lower extremity spasticity values, presence of heterotypic ossification, ambulation levels were determined and their relations with femur neck and L1-4 vertebrate T scores were examined with Mann-Whitney U Test. Results: In the comparison of sub groups of type of plegia (tetraplegic/hemi-paraplegic), lower extremity spasticity values [Ascworth score 0/1-2-3-4), presence of heterotopic ossification no statistically significant (p>0.05) difference was found in the femur neck and L1-4 vertebrate T scores. On the other hand, in the subgroups determined according to ambulatory levels of the patients (confined to bed-wheelchair/ambulated (orthesis-hand support-independent)] significant difference was observed in the femur neck T scores (p=0.044). Femur neck T scores were significantly high in ambulated patients (p=0.044). Conclusion: In TBI cases ambulation level is a factor which significantly affect bone mineral density. It is necessary to ambulate patients with potential as soon as possible and to plan alternative approaches in patient could not be ambulated.
- ArticleAçık Erişim2016Alexithymia in Depressive, Anxiety, Somatoform, and Psychotic Disorders: A Comparative Study
Yildirim, Arzu; Hacihasanoglu Asilar, Rabia; Camcioglu, Tuba Hale; Sevinç, Ergun
Objectives: This study aimed to compare the prevalence of alexithymia and determine the differences in structure in patients with depressive, anxiety, somatoform, and psychotic disorders. Methods: The study was performed between April and May 2013 with outpatients who were diagnosed with depressive (n=99), anxiety (n=76), somatoform (n=37), and psychotic (n=45) disorders under the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision (American Psychiatric Association 2000) and who were being monitored and treated at the outpatient psychiatry clinic of Erzincan State Hospital. The data were collected by two psychiatrists using the face-to-face interview method, which employed a questionnaire and the 20-item Toronto Alexithymia Scale (TAS-20), in the outpatient clinic environment. Results: Alexithymic construct was found in 55.6% of the psychotic patients, 45.9% of those with somatoform disorders, 43.4% of those with anxiety, and 51.5% of the depressive patients. The TAS-20 average scores were significantly higher in psychotic patients. The Difficulty Identifying Feelings subscale average scores were found to be significantly lower in patients with somatoform disorders (p<0.01). Additionally, the TAS-20 average scores in men, young, those with low education were significantly higher (p<0.001). Conclusion: The study demonstrated that all patient groups had alexithymic construct; however, the prevalence of alexithymia was higher in depressive and psychotic patients. Psychiatric nurses can help in improving patients' quality of life through psychosocial interventions aiming at improved recognition, identification and description of feelings, communication skills and insight.
- ArticleAçık Erişim2016Persistent Sciatalgia due to a Wandering Bipolar Forceps Tip after Posterior Lumbar Stabilization: A Case Report
Gomleksiz, Cengiz; Tokmak, Mehmet; Yaka, Umut; Arslan, Erhan; Özbek, Muhammed Arif; Albayrak, S. Baki
There are several reports in the literature about the retained surgical materials as a cause of radicular pain or sensory impairment after spinal surgery. We report a patient with a persistent radicular pain in the distribution of left S1 nerve dermatome following lumbar stabilization surgery. Retained bipolar forceps tip has not been reported previously in the literature as a cause of sciatalgia after posterior lumbar surgery.
- Conference ObjectYalnız künye2016Indole-based melatonin analogue compounds as cellular ROS inhibitors: Investigation on the peroxidation of human erythrocyte membranes and oxidative hemolysis
Süzen, S.; Ad, Y.; Karaaslan, C.; Shirinzadeh, H.; Coban, T.
- ArticleAçık Erişim2016Compared to Depressive Symptoms of Type 2 Diabetic Patients Who were Treated with Oral Anti-Diabetic Drugs and Insulin
Isik, Nurten A.; Buzlu, Sevim
Objective: The purpose of this study was to compare the depressive symptoms of type 2 diabetic patients who were treated with oral anti-diabetic drugs and insulin. Methods: The study consisted of 107 type 2 diabetic patients who met the inclusion criteria. The data of the study were collected using an Information Form which was prepared by the researcher based on the review of relevant literature and the Beck depression inventory. The analysis of data is carried out using the mean, the standard deviation, the Mann-Whitney U test, the Kruskal-Wallis test, the regression analysis. The results are computed with a 95% confidence interval and a significance at p<0.05 level. Results: The mean age of the diabetic patients was 63.1 +/- 11 and more than half between 55-69 years. The average duration of diabetes was 16 6.7. 47.3% of patients who treated with oral anti-diabetic drugs and 61.1% of patients who treated with insulin were diabetic 15 and more years. Mean value of HbA1c was detected as 8.69 +/- 1.56%. (oral drug group, 7.6 1 +/-.13%; insulin group 9.4 +/- 1.44%). 79.3% of patients who were treated with oral anti-diabetic drugs had no complications due to diabetes, but all the insulin group had one or more complications. The average BDI score of all patients was 22 +/- 13.4 (oral drug group, 12.8 +/- 9.82; insulin group, 31 +/- 10.8). Conclusion: As a result, it was found that patients have high level depression symptom and some factor increases this symptoms. Thus, priority should be given to teach how to protect and gain ability to overcome against to depression in patients with DM.
- Conference ObjectAçık Erişim2016Study of the effects of the hand grip and finger strengths on the friction and petrissage - the massage manipulations - of the students who take massage courses: Kutahya City example
Erzeybek, Mustafa Said; Kaya, Fatih; Yüksel, Oguzhan; Gunduz, HB; Masal, E; Caliskan, H
In this research, the effect of the hand grip and finger strengths on the power development between the friction and petrissage techniques the massage manipulations - have been studied. To the study that has been structured as a single group pretest/post test, 36 healthy males who are the students of the University of Dumlupmar, Academy of Physical Education and Sports and who take massage courses (age = 19.72 +/- 1.56 years (average +/- Sd)) have been included. The practical massage course has continued for 12 weeks, two days a week for a total of one hour and the hand grip strength of both hands (right hand grip strength = RHG, left hand grip strength = LHG) and the grip strength of both fmgers (right finger strength = RF, left finger strength = LF) have been recorded at the beginning. For the measurements carried out before and later of the study with regard to the hand grip strength, a Takkei branded hand dynamometer and with regard to the finger grip strength a (baseline) branded pinch meter have been used. All measurements have been repeated twice and for the analysis, the average values obtained from two deads have been used. For statistical analysis, with regard to the changes in the pre test - post test finger strength and hand grip strength, paired-samples t test has been used. The significance limit has been defined as p<0.05. For all values, the average, standard error and standard deviation have been used. It has been observed that the both hands' finger strengths and both hands' grip strengths have developed from the pre test phase to the post test phase (p<0.01) and these developments are similar for both hands' grip strengths and both hands' grip strengths (p>0.05). It is possible to report that massaging regularly with both hands is efficient for the development of the finger and hand grip strengths; especially, with regard to the friction (circular movements that are generally carried out with fingers) and petrissage (kneading that is generally carried out with the palm) techniques.
- ArticleYalnız künye2016Mixt Signet-ring Cell Mucinous Carcinoma in the Large Bowel
Balci, Mecdi Gurhan; Eken, Huseyin; Tayfur, Mahir; Isik, Arda; Ayerden, Dila
Carcinomas of the large bowel are the third most commonly seen cancer in both males and females and are the second reason of deaths resulting from cancer. The most frequently seen microscopic type of large bowel cancer is adenocarcinoma. Signet-ring cell carcinoma is a rarely seen microscopic subtype of large bowel carcinomas and may be accompanied by other microscopic types. The diagnosis of signet-ring cell carcinomas is made while the count of signet ring cells is over 50% of the tumor cells. The presence and ratio of signet-ring cells should be noted because the prognosis of signet-ring cell carcinoma is very bad. In our case, it is viewed mixt mucinous signet-ring cell carcinoma including mucinous components in the large bowel. This report is presented because it is rarely seen and because the prognosis is very bad and is necessary be specified in the report.
- ArticleAçık Erişim2016Gallbladder Duplication
Isik, Arda; Firat, Deniz; Soytürk, Mehmet; Eken, Huseyin; Çimen, Orhan; Demiryilmaz, Ismail; Yilmaz, Ismayil
Gallbladder duplication which occurs during embryogenesis is a rare congenital anomaly. Two hundred ten cases were defined in the world. Forty years old patient who had abdominal pain was evaulated. He had gallbladder duplication diagnosed by hepatobiliary ultrasonography. After laparoscopic cholecystectomy, his complaints diminished. There can be variations such as duplication, triplication and septate gallbladder. Preoperative evaulation is important for perioperative complications.
- Conference ObjectAçık Erişim2016Perception of Parental Love in 4-6 Year-Old Children
Kiliçgün, Muge Yurtsever; Bekirogullari, Z; Minas, MY; Thambusamy, RX
During childhood, establishing a healthy bond of love between parents and children is the most important requirement. Feeling and expressing types of love vary in this period. 'This study aims to describe the typologies of 4 - 6 year old children's perception of their parents' love for them. The sample of the study consisted of 240 children. The data in this study were obtained from face to face interviews with children by using the mixed methods. Children were asked questions like How do you know that your mother/father loves you?. The content analysis of the data obtained from the interviews with children was made. Categories were established about the children's perception types for parental love. Percent and frequency values of descriptive data were calculated. Differences in gender and age of the children were analyzed with chi-square analysis. When the similarities and differences in children's expression were analyzed; six different categories were found in parental love perception types of children. These categories were physical contact with parents, parental approval words, spending quality time with parents, being given presents by parent, ensuring basic needs of child by parent and meeting parental expectations. In terms of the gender of the child and parent, significant differences among the types of parental love perception were found. This study drew attention to typologies of the perceptions of parental love generated by children. Considering that in the early years of childhood, healthy parent-child relationship is very much effective upon their relationship throughout the life of individuals; data obtained from research provide important contributions to the field. (C) 2016 Published by Future Academy www.FutureAcademy.org.uk
- ArticleAçık Erişim2016Idiopathic Periportal Lymphadenopathy
Isik, Arda; Firat, Deniz; Soyturk, Mehmet; Demiryilmaz, Ismail; Yilmaz, Ismayil
Objective: Periportal lymphadenopathy is observed frequently at imaging of liver, biliary tract, pancreas cancers, and lymphoma. It has importance for staging-treatment. But there are less number of studies about the importance of periportal lymph node except these cancers. We designed this study to determine the clinical significance of periportal lymphadenopathy. Material and methods: Between 2012-2015 January, patients who have idiopathic periportal lymphadenopathy followed in our clinic were retrospectively evaulated. Lymphadenopathy was considered as lymph nodes greater than 1 cm. Patients with a known history of cancer were excluded from the study. Results: Three patients (2 female, 1 male) were evaluated. Mean age was 40 (20-65). The mean size of lymphadenopathy was 1.83 (1.5-2.5) cm. In follow-up of patients one had non-Hodgkin's lymphoma whereas one had biliary cholangitis a week after the application. Other patient had no evidence of any pathology in the follow-up. Conclusion: Periportal lymphadenopathy, is a radiological finding which should be investigated further as a pioneer of various diseases. In terms of the progression or regression of the lymphadenopathy patients should be kept under close surveillance.
- ArticleAçık Erişim2016Effectiveness of Manual Knotting at Laparoscopic Appendectomy
Isik, Arda; Demiryilmaz, Ismail; Yilmaz, Ismayil; Firat, Deniz; Çimen, Orhan; Eken, Huseyin
Objective: In this study, effectiveness of manual knotting at appendix stump closing versus other methods at laparoscopic appendectomy were compared. Material and Method: In this retrospective study, 30 patients who were performed laparoscopic appendectomy at Department of Surgery in School of Medicine at Erzincan University, between 2012 March-2015 March, were evaluated. Results: There were 14 female and 16 male patients. Median age was 25(18-52). Mean operation time at manual knotting and other methods was 45 minutes and 40 minutes, respectively. Mean length of postoperative stay at manual knotting and other methods was 1.3 days and 1.5 days, respectively. Postoperative morbidity was only seen at manual knotting group(8%) as abscess. Conclusion: Apendix stump can be safely closed by intra or extracorporeal manual knotting at laparoscopic appendectomy. This type of closing has no disadvantage compared with other methods, but it is more cost effective than the other methods.
- ArticleAçık Erişim2016Evaluation of maternal and embryotoxic effects following the treatment of chloral hydrate in Drosophila melanogaster
Ayar, Arif; Çolak, Deniz Altun; Uysal, Handan
Chloral hydrate (CH) is commonly used as a sedative and a hypnotic in pediatric medicine. In this study, the effects of CH on various developmental stages of Drosophila melanogaster were investigated. Different concentrations of CH (0.1; 0.3; 0.5 and 1 mg/mL) were used during development of the flies. Maternal toxicity due to increasing the concentration of CH was observed as a large number of adult flies died. When the F1 progeny of the control and application groups were compared, CH was found to extend the process of metamorphosis and to decrease the total number of offspring. The embryotoxic effects on the offspring and an increase in the number of malformed offspring was identified as depending on feeding. It was found that the difference between the groups was significantly important (p < 0.05).
- ArticleYalnız künye2016Education and Visual Information Improves Effectiveness of Ultrasound-Guided Local Injections on Shoulder Pain and Associated Anxiety Level: A Randomized Controlled Study
Karkucak, Murat; Cilesizoglu, Nurce; Capkin, Erhan; Can, Ipek; Batmaz, Ibrahim; Kerimoglu, Servet; Onder, Mustafa Avni; Karaca, Adem; Ayar, Ahmet
Objective Local injections are widely used in patients with a painful shoulder. The aim of this study was to evaluate the possible impact of patients' visual information on the effectiveness of ultrasound (US)-guided local injections on anxiety levels and shoulder pain. Design A total of 151 patients, scheduled for local injection owing to shoulder pain, were randomly assigned into two groups in a consecutive order. Patients in group I (n = 72) were provided information related to US findings and allowed to watch the procedures from the monitor, whereas patients in group II (n = 79) received the injection only without any collaboration. Data were collected from both groups immediately before and after injections through visual analog scale and questionnaire (the State-Trait Anxiety Inventory [STAI] forms 1 and 2). Results US-guided local injections provided significant improvement of anxiety and pain in both groups, irrespective of providing visual information. Group I and group II comparisons with respect to the visual analog scale, STAI 1, and STAI 2 yielded significant difference only for postinjection STAI 2 in group I (P = 0.006). Intragroup comparisons revealed significant differences between preinjection and postinjection values (group I: visual analog scale, P = 0.001; STAI form 1, P = 0.001; STAI form 2, P = 0.002; group II: visual analog scale, P = 0.001; STAI form 1, P = 0.002; STAI form 2, P = 0.042). There was no significant difference between the groups in terms of postinjection satisfaction levels from the procedures (P = 0.824). Conclusions Performing US-guided shoulder injections with patient visual information provides positive contributions to coping with pain and anxiety. In particular, the patient collaboration-based US-guided injections have positive consequences on patients' long-standing "trait-anxiety" levels.
- ArticleAçık Erişim2016A case of brucellosis and crimean-congo hemorrhagic fever coinfection in an endemic area; [Endemik Bir Bölgede Bruselloz ve Kirim Kongo Kanamali Ateşi Koenfeksiyonu Olgusu]
Karakeçili, Faruk; Çikman, Aytekin; Akin, Hicran; Gülhan, Banş; Özçiçek, Adalet
Brucellosis, a zoonotic disease which is especially seen in developing countries is still an important public health problem worldwide. Crimean-Congo hemorrhagic fever (CCHF) is another zoonotic disease that transmits to humans by infected tick bites as well as exposure to blood or tissue from infected animals. Both of the diseases are common among persons who live in rural areas and deal with animal husbandry. Since brucellosis usually presents with non-specific clinical symptoms and may easily be confused with many other diseases, the diagnosis of those infections could be delayed or misdiagnosed. In this report, a case of coinfection of brucellosis and CCHF has been presented to emphasize the possibility of association of these infections. A 70-year-old female patient with a history of dealing with animal husbandry in a rural area admitted to our hospital with the complaints of fever, malaise, generalized body and joint pains, and headache. Her complaints had progressed within the past two days. She also reported nausea, vomiting, abdominal pain and bloody diarrhea. She denied any history of tick bites. Her physical examination was significant for the presence of 38.8°C fever, increased bowel sounds and splenomegaly. Laboratory analysis revealed leukopenia, thrombocytopenia and high levels of liver enzymes. The patient was admitted to our service with the prediagnosis of CCHF. Serum sample was sent to the Department of Microbiology Reference Laboratory at Public Health Agency of Turkey for CCHF testing. During patient's hospitalization in service, more detailed history was confronted and it was learned that she had fatigue, loss of appetite, sweating, joint pain, and intermittent fever complaints were continuing within a month and received various antibiotic treatments. The tests for brucellosis were conducted and positive results for Brucella Rose Bengal test, tube agglutination (1/160 titers) and immune capture test with Coombs (1/320 titers) were determined. The tests performed in the reference laboratory revealed CCHF virus-specific IgM positivity by immunofluorescence assay and viral RNA positivity by real-time polymerase chain reaction. Two blood cultures remained sterile during hospitalization, this situation was considered to be the cause of antibiotic usage in the last month. Doxycycline and rifampicin therapy were initiated for brucellosis, and close monitoring with supportive therapy for CCHF. On the second day of admission, the patient was transfused with 5 units random platelets and 2 units fresh frozen plasma due to dramatic decline of platelet count (37.000/mm3). Early clinical response to brucellosis therapy was confirmed with resolution of fever and improved blood counts and the treatment was completed in eight weeks on an outpatient basis. No other problems were encountered during follow-ups after completion of treatment. According to accessible literature search, coinfection of brucellosis and CCHF has not been reported previously. In conclusion, as our country is endemic for both brucellosis and CCHF, it is important to consider both infections in the differential diagnosis. Physicians should keep in mind that, likewise in our case, coinfection of brucellosis and CCHF can be detected.
- ArticleAçık Erişim2016Our management of anesthesia in elective and emergency cesarean surgery: A retrospective evaluation of the last ten years; [Elektif ve acil sezaryen ameliyatlarında anestezi yönetimimiz: Son on yılın retrospektif değerlendirilmesi]
Özmen, Özgür; Arslan, Zakir; Ekinci, Mürsel; Tör, İbrahim; Kara, Duygu; Karakaya, Muhammet Ahmet
The choice of anesthesia used in cesarean operations is determined by the patient’s clinical status, the experience of the anesthetist, the urgency of surgery and the patient’s wishes. This study evaluated anesthetic practices in cesarean surgery performed in the preceding 10 years in our Maternity Hospital, Turkey. Hospital computer system records and file archives between 2006 and 2015 were screened. Anesthesia techniques used in elective and emergency cesarean surgery were recorded. The distribution of these techniques by years was then analyzed. A total of 28.986 cesarean sections (cases) were performed in our hospital in 2006-2015. Eighty-four percent of them were emergency and 16% of them were elective CSs. General anesthesia was used in 4848 (17%) and regional anesthesia in 24.138 (83%) patients, while combined spinal-epidural anesthesia was used in 2% and epidural anesthesia in 1% of the patients. Regional anesthesia was used frequently in our clinic similar to European countries. Spinal anesthesia was the most commonly preferred method of regional anesthesia in our clinic. However, especially in emergency cases combined spinal-epidural or epidural anesthesia was not applied. We think that combined spinal-epidural anesthesia should be applied more frequently in elective cases.
