Vacutainer ve Enjektör ile Kan Alma Tekniğinin Hemoliz Oranına Etkisinin İncelenmesi

Objective: This study was conducted to determine hemolysis rates for venous blood samples drawn by injector and vacutainer holder and to assess the effect of the venipuncture technique on the process of hemolysis. Material and Method: This cross-sectional and analytical study was conducted with 128 patients who were admitted to the Cardiology and Angio clinics of a university hospital and met the inclusion criteria. One group of patients who were to have routine biochemical tests underwent venipuncture with an injector, and another group with a vacutainer. Results: The serum hemolysis level is not significantly different by gender. No significant correlation was found between blood serum hemolysis levels and age or Body Mass Index with blood drawn with an injector or with a vacutainer. While the serum hemolysis level was on average 0.11 g/dl in blood drawn with an injector, the level in blood drawn with a vacutainer was 0.06 g/dl; the difference was not statistically significant. Conclusion: This study revealed that there was no statistically significant difference between hemolysis rates in blood drawn with an injector or with a vacutainer. However, the hemolysis rates in blood drawn with an injector were almost twice the rates noted in blood drawn with a vacutainer, and this difference may be clinically significant. Amaç: Bu araştırma enjektör ve vacutainer kullanılarak alınan venöz kanlarda hemoliz oranını belirlemek ve kan alma tekniğinin hemoliz gelişimi üzerindeki etkisini değerlendirmek amacıyla yapılmıştır. Gereç ve Yöntem: Kesitsel ve analitik tipte olan bu araştırma, bir üniversite hastanesinin Kardiyoloji ve Anjiyo kliniklerine yatışı yapılan ve araştırmaya dahil edilme kriterlerine uyan 128 hasta ile yürütülmüştür. Rutin biyokimyasal tetkikleri istenilen bir grup hastadan enjektörle, diğer gruptaki hastalardan vacutainer ile kan alınmıştır. Bulgular: Serum hemoliz düzeyi cinsiyetler arasında anlamlı olarak farklı değildir. Enjektör ve vacutainer ile alınan kan örneklerindeki serum hemoliz düzeyleri ile yaş ve Beden Kütle İndeksi arasında anlamlı korelasyon saptanmamıştır. Serum hemoliz düzeyi enjektör ile alınan kanlarda ortalama 0.11 g/dl iken vacutainer ile alınan kanlarda ortalama 0.06 g/dl olup bu fark istatistiksel olarak anlamlı bulunmamıştır. Sonuç: Bu araştırmada enjektör ve vacutainer ile alınan kan örneklerindeki hemoliz oranları istatistiksel olarak anlamlı farklılık göstermemiştir. Ancak enjektörle alınan kanlarda ortalama hemoliz oranı vacutainer ile alınan kanlardan neredeyse iki kat fazladır, bu fark klinik açıdan anlamlı olabilmektedir

Antistigma Efforts in Turkey The Turkish Program Against Stigmatization and Discrimination Because of Schizophrenia as a Part of the World Psychiatric Association Global Program

This paper examines the Turkish program against stigmatization and discrimination because of schizophrenia as a part of the World Psychiatric Association (WPA) Global Program. The WPA program attempts to alleviate the problems caused by stigmitization and discrimination, such as social isolation, homelessness, and decreased quality of life, by disproving myths and misunderstandings related to schizophrenia. The article specifically addresses the role of teachers and students, general practitioners, media and journalists, and nongovernmental organizations in building an antistigmatization program in Turkey

Knowledge about Human Papilloma Virus (HPV) and HPV Vaccine at Reproductive Age in Primary Care

Purpose: The aim of this study was to identify the knowledge and awareness about human papilloma virus (HPV) and human papilloma virus (HPV) vaccine of women in reproductive age. Material and Methods: The study covered 294 women aged between 15 and 49. A questionnaire was prepared by the researchers based on the literature review. Results: The mean age of the participants was 30.5 +/- 8.9 years. Only 24.5% had heard about HPV infection and 28.2% had heard HPV vaccine. Of the participants, 188 (63.9%) got zero point from the knowledge questions. Conclusion: This study indicates that the women who apply primary care units have low knowledge levels; it is apperent that personal and social education is needed. Paying importance to patient education on HPV and cervical cancer in primary care health politics will increase knowledge and awareness for HPV infection and HPV vaccination

Hemşirelikte Psikomotor Becerilerin Öğretiminde Senaryo Temelli Öğrenme: Bir Deneyim Paylaşımı/Scenario Based Teaching in Nursing Psychomotor Skills Education: Sharing of an Experience

Kaynakça var.Amaç: Psikomotor beceri eğitiminin etkin yapılandırılması, hemşirelikte profesyonel kimlik gelişimi ve klinik öğretimde hasta güvenliğinin sağlanabilmesi açısından önemlidir. Bunu sağlamak için hemşirelik eğitiminde öğrencilerin interaktif öğrenme yöntemleri ile öğrenme sürecine katılmasını sağlayacak eğitim programları önem taşımaktadır. Gereç ve Yöntem: İnteraktif öğrenme yöntemlerinden biri olan senaryo temelli öğrenme, öğrencinin kendini senaryodaki role koyarak karşılaştıkları sorunları çözebilecek hedef ve davranışları gösterebilmesi temeline dayanan bir öğrenme yaklaşımıdır. Bu bağlamda, İzmir Kâtip Çelebi Üniversitesi Sağlık Bilimleri Fakültesi Hemşirelik bölümü Hemşirelik Esasları Anabilim Dalı olarak psikomotor beceri öğretimi, demonstrasyon yöntemi ve video destekli öğretim yönteminin yanı sıra yenilikçi bir yaklaşım olan senaryo temelli öğretim ile gerçekleştirilmiştir. Hemşirelik Esasları dersini alan öğrencilerin (n=184) becerilerini değerlendirmede standardizasyonu sağlamak amacı ile objektif yapılandırılmış klinik sınav (OSCE) uygulanmıştır. Bulgular: Öğrencilerin (n=184) OSCE sınav ortalaması 76.13±11.74 puan olarak bulunmuştur. Sınav sonuçlarının daha önceki yıllar ile karşılaştırıldığında puan ortalaması olarak olumlu yönde değiştiği belirlenmiştir. Senaryo temelli beceri eğitiminin tamamlanmasının ardından öğrencilerden bu öğretim yöntemine ilişkin geribildirimler alınmış ve bu geribildirimler doğrultusunda 6 tema belirlenmiştir. Sonuç: Psikomotor becerinin öğretiminde kullanılan senaryo temelli öğrenmenin hemşirelik eğitimine katkıları olumlu yönde olmuştur. Senaryo temelli öğrenmeye ilişkin öğrencilerin geribildirimleri, senaryo temelli öğrenmenin hasta ile iletişimi başlatma, hastayı bütüncül olarak değerlendirme, klinik öncesi özgüveni arttırma, bilgide kalıcılık sağlama ve karar verme becerisini arttırdığına yönelik ipuçları içermektedir.Objective: Effective structuring of psychomotor skills training is important in terms of professional identity development in nursing and patient safety in clinical teaching. In order to achieve this, nursing education programs which will provide students participate in the learning process via interactive learning methods within the nursing education, are important. Material and Method: Scenario-based learning, which is one of the active learning methods, is a learning approach based on the ability of the student to demonstrate the goals and behaviours that can solve the problems they meet by putting themselves in the scenario role. Therefore, Department of Fundamentals of Nursing of the Department of Nursing in School of Health Sciences at İzmir Kâtip Çelebi University has performed psychomotor skills training with demonstration method and video assisted learning method as well as scenario based learning which is an innovative approach. For skill evaluation of the students who attended the course entitled Fundamentals of Nursing (n = 184), objectively structured clinical examination (OSCE) was performed with the aim of providing standardization. Findings: The mean OSCE score of the students (n = 184) was found to be 76.13±11.74. It was determined that the mean score changed positively when the test results were compared with the previous years’. After completion of the scenario-based skills training, feedback about this teaching method was received from the students and 6 themes were determined in response to these feedbacks. Conclusion: The contribution of scenario-based learning used in teaching psychomotor training to nursing education was positive . The feedback of students on scenario-based learning included tips for scenario-based learners as initiating the communication with the patient, assessing the patient holistically, increasing pre-clinical self-confidence, providing information retention and improving decision-making skills

A Journey through mental health in primary Care in European Countries

status: publishe

The impact of anemia on sleep quality in 15-49 years old women 15-49 Yaş kadınlarda aneminin uyku kalitesi üzerine etkisi

© 2018 by Türkiye Klinikleri.Objective: Sleep disorders which is approaching 40% of frequency in the general population, are closely related not only to physical and mental health, but also to work and social life. The lack of iron in children has been shown to cause sleep disturbances due to psychological disturbances and possible restlesslegs syndrome by affecting neurotransmitters. In adults, the number of studies showing an association between anemia and sleep disturbances is limited. This study aimed to investigate the effect of anemia on sleep quality in 15-49 years old women. Material and Methods: Our study was conducted with a total of 278 female patients aged 15-49 years who had total blood analyses within the last 1 month and had enough socio-cultural level to understand the questions asked. The hemoglobin level under 12 mg/dL was considered as anemia. The socio-demographic characteristics of the patients were analyzed. The general mood of the patients was rated with 10 point likerts cale (1 depressive, 10 very happy). Sleep characteristics were assessed by the Pittsburgh Sleep Quality Index (PSQI). The scores above 5 was considered good sleep quality. Results: Anemia was present in 37.8% of the patients. Total PSQI scores were similar in patients with and without anemia (6.5±3.1 vs 6.8±3.8, p=0.758). Anemia frequency was similar among patients with poor sleep and good sleep quality (36.4% vs 39.8%, p=0.559). However, body mass index in patients with poor sleep quality was higher than patients with good sleep quality (p<0.001). Smoking was more prevelant in patients with poor sleep quality (30.5% vs18.6%, p=0.026). Conclusion: Sleep quality is not affected by the presence of anemia. However, higher body mass index, poor general mood and smoking were found to be effective on sleep quality

The validity and test-retest reliability of the Leeds Multiple Sclerosis Quality of Life scale in Turkish patients

WOS: 000266568400010PubMed: 19369887The aim of the study was to translate and test the reliability and validity of the Leeds Multiple Sclerosis Quality of Life Scale (LMSQoL) in Turkish patients with multiple sclerosis (MS). Demographic data of MS patients who had a registration in and followed up by a university hospital were recorded. The LMSQoL and Turkish Quality of Life questionnaire were applied to the patients. The internal consistency of the scales was assessed by Cronbach's a coefficient. The validity of LMSQoL was examined by using correlation between the total scores of LMSQoL and Turkish Quality of Life questionnaire. Test-retest reliability was examined by using the correlation for the first and second applications of LMSQoL. Sixty-nine MS patients, (40.6% male, 59.4% female) were enrolled in the study. Cronbach's a coefficient was found as 0.67 for the three positive items of LMSQoL. For the five negative items, Cronbach's a was found as 0.78. The correlation coefficient between the total scores of the scales was 0.80 (P<0.001). The Turkish version of the LMSQoL is a reliable and valid instrument and can be effectively used for measuring the impact of MS on the QoL

Concordance and generalization of an AI algorithm with real-world clinical data in the pre-omicron and omicron era

All viruses, including SARS-CoV-2, the virus responsible for COVID-19, continue to evolve, which can lead to new variants. The objective of this study is to assess the agreement between real-world clinical data and an algorithm that utilizes laboratory markers and age to predict the progression of disease severity in COVID-19 patients during the pre-Omicron and Omicron variant periods. The study evaluated the performance of a deep learning (DL) algorithm in predicting disease severity scores for COVID-19 patients using data from the USA, Spain, and Turkey (Ankara City Hospital (ACH) data set). The algorithm was developed and validated using pre-Omicron era data and was tested on both pre-Omicron and Omicron-era data. The predictions were compared to the actual clinical outcomes using a multidisciplinary approach. The concordance index values for all datasets ranged from 0.71 to 0.81. In the ACH cohort, a negative predictive value (NPV) of 0.78 or higher was observed for severe patients in both the pre-Omicron and Omicron eras, which is consistent with the algorithm's performance in the development cohort