Semptomsuz sol ventrikül kalp fibroması olan çocukda konservatif yaklaşım

Primary cardiac tumors in infancy and childhood are rare and usually benign. Fibroma is the second most common bening cardiac tumor after rhabdomyoma. Surgery is required when fibromas cause ventricular outflow tract obstruction, ventricular dysfunction and life-threatening arrhythmia. This case report describes a 9-year-old asymptomatic male presenting with a giant left ventricular cardiac fibroma who was followed up using conservative treatment

Çift girişli sol ventriküllü olguda klasik Glenn ameliyatı: 20 yıllık takip

Functional univentricular heart is a rare and complex congenital anomaly. The prognosis is usually poor without any surgical intervention and long-term survival is rare. In this article, we report a 57-year-old female case with a double inlet left ventricle with valvular pulmonary stenosis, left anterior rudimentary right ventricle, ventricular septal defect, discordant ventriculoatrial connection, patent foramen ovale and Glenn shunt who was followed for 20 years. Cardiac catheterization revealed a classic Glenn shunt anatomy. The patient is currently under follow-up with medical treatment

Development and Assessment of a Coping Scale for Infertile Women in Turkey

Infertile women feel more psychological stress and pressure than their husbands, and the prevalence of anxiety and depression among them are higher. This study aimed to develop a culture-specific measurement tool to identify the strategies of infertile women in dealing with infertility-related problems. This was a scale development study. This study was carried out in three different fertility centers in the three largest cities in Turkey. The data were collected using personal information form and through the application of a Coping Scale for Infertile Women (CSIW) protocol. Ways of Coping with Stress Inventory. Cronbach‘s alpha, Intraclass Correlation Coefficient and Spearman‘s Rank correlation analyses were used to determine the reliability of the scale. The results of explanatory factor analysis and a factor structure of the Coping Scale for Infertile Women, comprising 50 items, were examined, and the data were determined to be suitable to perform factor analysis. The internal consistency of the scale was found to be 0.880. The number of factors in the scale was 10, and the internal consistency of the factors was 0.720. The results showed that the CSIW had good reliability and validity.Keywords: Infertility, Women, Coping, Scale developmen

Efficiency of resveratrol in the prevention and treatment of age-related hearing loss

Age-related hearing loss (ARHL) is a major public health concern, which is characterized by gradual, progressive sensorineural hearing loss and deterioration of sound localization, with no effective treatment available to date. The aim of the present study was to evaluate the efficacy of resveratrol to prevent and treat ARHL. For this purpose, 32 male C57BL/6 mice were assigned to four groups: Early treatment, late treatment, control and sham control. The experiment lasted for 15 months. Treatment was started at three months of age in the early treatment group and at sixth months in the late treatment group. The auditory brainstem response test was performed once every three months. At the end of the study period, inducible nitric oxide synthase (iNOS), cyclooxygenase (COX)-2, NF-kappa B, Bcl-2, Bcl-xL, Bax, Bcl-2 homologous antagonist/killer (Bak), caspase-3 and caspase-9 levels in the cochlear tissues of the animals were analyzed by reverse transcription-quantitative PCR. Hearing thresholds of the mice in the early treatment group were better than those in the other groups (P0.05), although mean thresholds were lower. The threshold shift in the early treatment group was significantly lower at all frequencies when compared with those in the control groups (P<0.001). The mRNA expression levels of pro-apoptotic genes Bax and Bak were lower (P<0.05), anti-apoptotic genes Bcl-2 and Bcl-xL were higher (P<0.05), NF-kappa B, COX-2 and iNOS as genes that have a role in inflammation and caspase-3 and caspase-9 as genes with a vital role in apoptosis were lower (P<0.05) in the early treatment group when compared with the late treatment and control groups. These results suggested that resveratrol is effective in the prevention of ARHL, particularly when started prior to the beginning of hearing loss.Scientific and Technological Research Council of TurkeyTurkiye Bilimsel ve Teknolojik Arastirma Kurumu (TUBITAK) [114S938]This work was supported by the Scientific and Technological Research Council of Turkey (grant no. 114S938)

OBSTRÜKTİF UYKU APNESİ OLAN HASTALARDA POSTURAL DENGE VE DÜŞME RİSKİNİN DEĞERLENDİRİLMESİ

Objectives: To evaluate patients with obstructive sleep apnea syndrome (OSAS) for fall risk and postural stability using the Biodex Balance System. Methods: The study involved the examination of 95 individuals. Twenty-five of these individuals were healthy controls (13 male, 12 female) whose apnea hypopnea index (AHI) was below 5. In addition, 35 of them were patients with mild OSAS (17 male, 18 female); and 35 of them were patients with moderate-severe OSAS (19 male, 16 female). OSAS patients and healthy controls were examined for postural stability and fall risk using the Biodex Balance System. Results: No statistically significant difference was observed between groups regarding sex, age, height, weight, Overall Stability Index, Antero-Posterior Stability Index, or Medio-Lateral Stability Index (p>0.05). The mean body mass index (BMI) in the control group did not show a significant difference in comparison to the mild OSAS or moderate-severe OSAS groups (p>0.05). Interestingly, the mean BMI of the mild OSAS group (27.11±2.35 kg/m2) was lower compared to the moderate-severe OSAS group (28.72±2.98 kg/m2) (p=0.039). Furthermore, a significant difference was observed between the groups for Fall Risk Index (FRI) (p0,05). Kontrol grubu ile hafif OUAS ve orta- ağır OUAS gruplarının VKİ ortalamaları arasında anlamlı bir fark saptanmaz iken (p>0,05) hafif OUAS grubunun VKİ ortalaması (27,11±2,35) orta-ağır ağır OUAS grubunun VKİ ortalamasından (28,72±2,98) anlamlı derecede daha düşüktü (p=0,039). Gruplar Düşme Riski İndeksine (DRİ) göre karşılaştırıldığında gruplar arasında istatistiksel olarak anlamlı bir farkılık saptandı (p<0,001). Orta-ağır OUAS grubunun ortalama Düşme Riski İndeksi, hafif OUAS grubunun ortalama Düşme Riski İndeksi ve kontrol grubunun ortalama Düşme Riski İndeksi değerinden istatistiksel olarak anlamlı derecede daha büyüktü. (sırayla p=0,044; p<0,001). Sonuç: Özellikle ağır derecede obstrüktif uyku apnesi olan ve dikkat-denge gerektiren aktiviler gerçekleştiren hastalardaki dengesizlik ve düşme riski Biodeks Denge Sistemi ile belirlenebilir

Examination of educational technology articles within 2014

Bu çalışmanın amacı, 2014 yılına ait Social Sciences Citation Index (SSCI) kapsamındaki eğitim teknolojileri alanında önde gelen uluslararası sekiz dergideki makalelerin içerik analizi yöntemiyle incelenmesidir. Araştırmada “Eğitim Teknolojileri Yayın Sınıflama Formu” adı ile Sözbilir ve Kutu (2008), Masood (2004), Reeves (1995) çalışmalarından yararlanılarak Göktaş vd. (2012) tarafından geliştirilip, ardından Kiliç-Çakmak vd. (2013)’ın üzerinde bazı değişiklikler yaparak “Makale İnceleme Formu (MİF) (Article Review Form)” olarak adlandırdıkları veri toplama aracı kullanılmıştır. Araştırma sonuçları incelendiğinde makalelerde; yöntem olarak en çok “nicel yöntem”, veri toplama aracı olarak en çok “anket”, veri toplama yöntemi olarak en çok “klasik”, örneklem seçimi olarak en çok “kolay ulaşılabilir örneklem”, örneklem sayısı olarak en çok “31-100 aralığı”, örneklem düzeyi olarak en çok eğitim fakültesi dışındaki fakültelerde “lisans (diğer)”, örneklem türü olarak en çok fen, matematik, sosyal dışındaki “diğer”, veri analiz yöntemi olarak en çok “kestirimsel analiz” yönteminin daha çok tercih edildiği ve “öğretim tasarımı” ve “eğitimde bilişim teknolojileri” konularının ise en çok incelenen konular olduğunu görülmüştür

Is Nurse Workforce Sufficient in Intensive Care Units in Turkey. Results of the Multicenter Karia Study

Introduction: In this multicenter study, we analysed the magnitude of healthcare worker (HCW) [infection control practitioner (ICP), nurses and others] workforce in hospitals participated in the study. Materials and Methods: This study was performed in 41 hospitals (with intensive care units-ICU) located in 22 cities from seven regions of Turkey. We analysed the ICP workforce, nursing and auxiliary HCW (AHCW) workforce in ICUs, number of ICU beds and occupied beds in four different days [two of which were in summer during the vacation time (August 27 and 31, 2016) and two others in autumn (October 12 and 15, 2016)]. The Turkish Ministry of Health (TMOH) requires two patients per nurse in level 3 ICUs, three patients per nurse in level 2 ICUs and five patients per nurse in level 1 ICUs. There is no standardization for the number of AHCW in ICUs. Finally, one ICP per 150 hospital beds is required by TMOH. Results: The total number of ICUs, ICU beds and ICPs were 214, 2377 and 111, respectively in he 41 participated centers. The number ICPs was adequate only in 12 hospitals. The percentage of nurses whose working experience was 2. The number of patients per other HCW was minimum 3.75 and maximum 4.89 on weekdays and on day shift while it was minimum 5.02 and maximum 7.7 on weekends or on night shift. When we compared the number of level 1, 2 and 3 ICUs with adequate nursing workforce vs inadequate nursing workforce, the p value was <0.0001 at all time points except summer weekend night shift (p=0.002). Conclusion: Our data suggest that ICP workforce is inadequate in Turkey. Besides, HCW workforce is inadequate and almost 1/4 of nurses are relatively inexperienced especially in level 3 ICUs. Turkish healthcare system should promptly make necessary arrangements for adequate HCW staffing