The relationship between factors associated with peer bullying and self-acceptance in nursing students

Bu çalışma, hemşirelik öğrencilerinde akran zorbalığı ile ilişkili faktörler ve kendini kabul arasındaki ilişkinin incelenmesi amacıyla gerçekleştirilmiştir. Tanımlayıcı nitelikteki araştırmanın örneklemini, iki üniversitenin hemşirelik bölümlerinde öğrenimlerine devam eden 405 öğrenci oluşturmuştur. Araştırma verileri, Tanıtıcı Özellikler Formu, Üniversite Öğrencilerinde Akran Zorbalığını Belirleme Ölçeği ve Koşulsuz Kendini Kabul Ölçeği kullanılarak Nisan-Haziran 2020 tarihleri arasında toplanmıştır. Verilerin analizinde tanımlayıcı istatistikler, Bağımsız Örneklem t testi, Tek Yönlü Varyans Analizi, Tukey testi ve Pearson Korelasyon katsayısı kullanılmıştır. Koşulsuz Kendini Kabul alt boyutu puan ortalaması ile Akran Zorbalığı Ölçeği toplam puanı, İdeolojik Zorbalık, Dışlanma ve Cinsel Zorbalık alt boyutu puan ortalamaları arasında negatif yönde anlamlı bir ilişki bulunmuştur. Siber Zorbalık alt boyutu ile Koşulsuz Kendini Kabul Ölçeği toplam puanı arasında negatif yönde ilişki bulunurken, Koşullu Kendini Kabul alt boyutu ile pozitif yönde anlamlı bir ilişki bulunmuştur. Sonuç olarak, beliren yetişkinlik döneminde olan üniversite öğrencileri için akranlarla kurulan ilişkiler büyük önem taşımaktadır. Akranlar tarafından zorbalığa maruz kalmak üniversite öğrencilerinin fiziksel, ruhsal, sosyal, akademik ve mesleki gelişiminde önemli sorunlara yol açabilmektedir.This study was conducted to examine the relationship between peer bullying-related factors and self-acceptance in nursing students. The sample of this descriptive study consisted of 405 students studying their education in the nursing departments of two universities. The data were collected between April-June 2020 using the Introductory Characteristics Form, the Peer Bullying Scale for University Students, and the Unconditional Self-Acceptance Scale. Descriptive statistics, Independent Sample t-test, One-Way Analysis of Variance, Tukey test, and Pearson Correlation coefficient were used in the analysis of the data. A negative significant correlation was found between the mean score of the Unconditional Self-Acceptance sub-dimension and the total score of the Peer Bullying Scale for University Students, and the mean scores of the Ideological Bullying, Isolation, and Sexual Bullying sub-dimensions. While there was a negative correlation between Cyber Bullying sub-dimension and the total score of the Unconditional Self-Acceptance Scale, a positive and significant relationship was found with the Conditional Self-Acceptance sub-dimension. As a result, relationships established with peers have great importance for university students who are in the emerging adulthood period. Being exposed to bullying by peers can lead to significant problems in the physical, mental, social, academic, and professional development of university students

İzotermal bozunma yönteminin incelenmesi ve simülasyonu

TEZ 536.3/ŞEKiKaynakça: 54-55 ss.[Özet Yok

Reconstruction of neglected achilles tendon ruptures with gastrocnemius flaps: excellent results in long-term follow-up

Objective: Repair of the neglected achilles tendon ruptures can be challenging due to retraction of tendon stumps. Different repair and augmentation techniques were described. This study aims to investigate long-term results of neglected achilles tendon rupture repair with gastrocnemius flaps. Patients and methods: Between 1995 and 2005, 21 neglected achilles tendon rupture reconstructions were performed with using gastrocnemius fascial flaps. Mean age was 32.1 years. Mean period between rupture and operation was 8.4 weeks. Ankle range of motion, calf circumference, heel raise test, Visual Analog Scale (VAS), American Orthopedic Foot and Ankle Society (AOFAS) hindfoot and Foot and Ankle Disability Index (FADI) scores were checked. Results: The average gap length was 6.4 cm. Mean follow-up was 145.3 months. Median dorsiflexion/plantar flexion values for operated and uneffected sides were 18°/30° and 19°/30°, respectively. The mean values for AOFAS and FADI scores were 98.5 points and 98.9 %, respectively. VAS score was 0 point for all patients. With the numbers available, no significant difference could be detected in terms of ankle range of motion, calf circumference measures and dynamometric analysis. Mean time for return to daily activities was 11.1 (8–16) weeks after surgery. Prerupture activity level was achieved 14.1 months postoperatively. All patients were able to perform heel raise test. Conclusion: Repair of neglected achilles tendon ruptures with gastrocnemius flaps has satisfactory long-term results

Botryoid rhabdomyosarcoma or parasites: transnasal choledoscopy as a diagnostic tool

A 5-year-old girl presented with jaundiceand loss of appetite. Physical examinationrevealed that she had a palpableliver 4cm below the right costal arch.There were no ascites, cervical adenopathy,or splenomegaly. Laboratory valuesshowed elevated liver enzymes anddirect bilirubin.After ultrasound and magnetic resonancecholangiopancreatography examinations,parasites and sludge were considered.Endoscopic retrograde cholangiopancreatography(ERCP) was initiallyperformed, and when adequate patencywas achieved after sphincterotomy, theprocedure was continued with a transnasalscope. The first pathology reportshowed an epithelial fragment of theintestinal mucosa and necrobiotic material.Cholestasis improved rapidly afterthe procedure.The common bile duct was cannulatedwith a transnasal scope, biopsies weretaken, and new stents were inserted duringthe second ERCP. Abdominal computedtomography and magnetic resonanceimaging were unremarkable</p

A rare case: Inguinoscrotal aggressive angiomyxoma

Agresif anjiyomikkom, nadir görülen, lokal infiltrasyon ve yüksek nüks oranı ile karakterize benign, mezenkimal miksoid ized by local infiltration and high recurrence tümördür. Erkeklerde nadir olarak görülür ve rate. It is rarely seen in males and is located inguinoskrotal kitlelerin ayırıcı tanısında yer alır. Biz bu olgu sunumunda masif inguinoskrotal kitle ile başvuran 81 yaşındaki erkek hastada saptadığımız agresif anjiomiksom tanı ve tedavisini sunmayı amaçladıkAggressive angiomyxoma is a rare benign mesenchymal myxoid tumor characterized by local infiltration and high recurrence rate. It is rarely seen in males and is located in the differential diagnosis of inguinoscrotal masses. In this case report, we aimed to present the diagnosis and treatment of aggressive angiomyxoma in a 81-year-old male patient with massive inguinoscrotal mass

Preoperatif görüntüleme kılavuzluğunda laparotomisiz ve klasik saptırıcı kolostomi: Çok merkezli vaka kontrol çalışması

INTRODUCTION: We aimed to compare the outcomes of no-laparotomy and conventional diverting colostomy techniques and to describe the process and benefits of using preoperative imaging tools in no-laparotomy procedure. METHODS: Patients intended to receive no-laparotomy diverting colostomy, have preoperative imaging tools of 3D computerized tomography and X-ray examinations in order to predict the best location for the stoma construction. The perioperative outcomes in these cases were compared with those obtained from the patients operated with conventional diverting colostomy with laparotomy at another institution. RESULTS: Eighteen and 16 patients had a diverting colostomy with no-laparotomy technique after preoperative assessment, and conventional procedure. Demographics and most of the patient- and procedure-related factors were similar. Length of incision, (4.8±0.8 vs. 13.3±1.9cms, p<0.001) operation time (31.4±13.0 vs 46.7±7.9mins, p<0.001) and the rate of surgical site infection (0 vs 4 [25%], p=0.039) and hospitalization period (4 [3-30] vs 5 [4-34]days, p=0.01) were significantly less in no-laparotomy group. DISCUSSION and CONCLUSION: No-laparotomy technique may be safe and beneficial while performing a diverting colostomy. Length of incision, operation time and hospitalization period are shortened if a laparotomy is avoided, and the rate of surgical site infection decreases. Current study recommends preoperative imaging tools when a no-laparotomy technique is intended.GİRİŞ ve AMAÇ: Geleneksel saptırıcı kolostomi tekniği ile laparotomisiz kolostomi tekniklerini karşılaştırmak ve laparotomisiz teknikte ameliyat öncesi görüntüleme tetkiklerinin faydasını göstermek amaçlanmıştır. YÖNTEM ve GEREÇLER: Laparotomisiz hasta grubunda doğru stoma yerinin tespiti için 3 boyutlu bilgisayarlı tomografi (BT) ve düz grafi tetkikleri kullanıldı. Bu hastaların sonuçları ile başka bir merkezde laparotomi ile saptırıcı kolostomi açılan hastaların sonuçları karşılaştırıldı. BULGULAR: Laparotomisiz kolostomi uygulanan 18 hasta ve laparotomili kolostomi uygulanan 16 hasta çalışmaya dahil edildi. Demografik veriler ile birçok hasta ve işlem ilişkili parametre benzer bulundu. İnsizyon boyutu (4.8±0.8 karşın 13.3±1.9cm, p<0.001) operasyon süresi (31.4±13.0 karşın 46.7±7.9dk, p<0.001) cerrahi alan enfeksiyonu (0 vs 4 [25%], p=0.039) ve yatış süresi (4 [3-30] karşın 5 [4-34]gün, p=0.01) laparotomisiz grupta anlamlı olarak daha az idi. TARTIŞMA ve SONUÇ: Saptırıcı kolostomi oluşturulmasında laparotomisiz teknik güvenli ve yararlı olabilir. Laparotomide sakınılarak insizyon boyutu, operasyon süresi ve yatış süreleri kısaltılıp cerrahi alan enfeksiyonları azaltılabilir. Mevcut çalışma, laparotomisiz kolostomi planlanan hastalarda görüntüleme yöntemlerinden yararlanılmasını önermektedir

Prognostic factors for regorafenib treatment in patients with refractory metastatic colorectal cancer: A real-life retrospective multi-center study

Regorafenib, an oral multikinase inhibitor, has improved survival in metastatic colorectal cancer (mCRC) patients who have progressed on standard therapies. Our study aimed to evaluate prognostic factors influencing regorafenib treatment and assess the optimal dosing regimen in a real-life setting. We retrospectively analyzed 263 patients with mCRC from multiple medical oncology clinics in Turkey. Treatment responses and prognostic factors for survival were evaluated using univariate and multivariate analysis. Of the patients, 120 were male and 143 were female; 28.9% of tumors were located in the rectum. RAS mutations were present in 3.0% of tumors, while BRAF, K-RAS, and N-RAS mutations were found in 3.0%, 29.7%, and 25.9% of tumor tissues, respectively. Dose escalation was preferred in 105 (39.9%) patients. The median treatment duration was 3.0 months, with an objective response rate (ORR) of 4.9%. Grade ≥ 3 treatment-related toxicity occurred in 133 patients, leading to discontinuation, interruption, and modification rates of 50.6%, 43.7%, and 79.0%, respectively. Median progression-free survival (PFS) and overall survival (OS) were 3.0 and 8.1 months, respectively. RAS/RAF mutation (hazard ratio [HR] 1.5, 95% confidence interval [CI] 1.1–2.3; P = 0.01), pre-treatment carcinoembryonic antigen (CEA) levels (HR 1.6, 95% CI 1.1–2.3; P = 0.008), and toxicity-related treatment interruption or dose adjustment (HR 1.6, 95% CI 1.1–2.4; P = 0.01) were identified as independent prognostic factors for PFS. Dose escalation had no significant effect on PFS but was associated with improved OS (P < 0.001). Independent prognostic factors for OS were the initial TNM stage (HR 1.3, 95% CI 1.0–1.9; P = 0.04) and dose interruption/adjustment (HR 0.4, 95% CI 0.2–0.9; P = 0.03). Our findings demonstrate the efficacy and safety of regorafenib. Treatment line influences the response, with dose escalation being more favorable than adjustment or interruption, thus impacting survival