Hemşirelik Öğrencilerinin Aile İçi Şiddete Maruz Kalma Durumları ve Şiddete Bakış Açıları

Aim The study was performed in order to evaluate the domestic violence that the nursing students exposed and their perspectives on violence. Materials and Methods The sample was consisted of 229 students who were selected by simple random sampling method. Percentage, Pearson's chi-square and Fisher's exact tests were used in order to perform statistical analysis by the SPSS 17.0. Results 26.6% of students were exposed to domestic violence, 34.4% of these students were exposed to psychological violence, 26.2% of them were exposed to physical violence, 39.3% of them were exposed to both psychological and physical violence. Among the students who were exposed to domestic violence, the violence application rate was significantly high (p<0.01). Conclusion Our results has showed, predisposition to violent tendencies of the individuals who are personally exposed to domestic violence or any member of their family is exposed to domestic violence increase in a way that cannot be overlooked.Amaç Araştırma Sağlık Yüksekokulu öğrencilerinin aile içi şiddete maruz kalma durumları ve şiddete bakış açılarını değerlendirmek amacıyla gerçekleştirildi. Materyal ve Metod Örneklemi; Basit rastgele örnekleme yöntemiyle belirlenen 229 öğrenci oluşturdu. İstatistiksel analizler için SPSS (Statistical Package for Social Sciences) for Windows 17.0 programında yüzdelik, Pearson Ki-Kare testi ve Fisher exact test kullanıldı. Bulgular Araştırmaya katılan öğrencilerden 61 (% 26,6)’inin aile içi şiddete maruz kaldığı, aile içi şiddete maruz kalan öğrencilerden 21'inin (% 34,4) psikolojik, 16'sının (% 26,2) fiziksel, 24'ünün (% 39,3) hem psikolojik hem de fiziksel şiddete maruz kaldığı saptandı. Şiddete maruz kalan öğrencilerde şiddet uygulama oranı anlamlı olarak yüksek bulundu (p<0,01). Sonuç Bulgularımızda da görüldüğü gibi, kendisi ve ailesinden herhangi birinin şiddete maruz kalmasının, bireylerde şiddet eylemine yatkınlığı arttırdığı göz ardı edilemez bir gerçektir

Urodynamic findings of multiple sclerosis patients at a single institution

Aim: Multiple sclerosis (MS) is a chronic and progressive disease of the central nervous system (CNS). The destructive effect of MS on the urogenital system has been demonstrated in many studies especially in young adults. Urodynamic evaluation is recommended in the diagnosis of urogenital system pathologies for MS patients. Unfortunately, there are not enough studies evaluating the urodynamic examinations of MS patients in our country. In this study, urodynamic findings of patients with MS were evaluated. Material and Method: A total of 58 patients (39 female and 19 male) were included in the study. The urodynamic findings of the patients in the same center between January 2011 and October 2017 were evaluated retrospectively. Urodynamic evaluation was performed with 20 ml of infusion per minute according to the International Continence Society standards. Results: The mean age of the patients was 47.4 +/- 8.8 years. The mean duration of multiple sclerosis was 11.8 +/- 7.4 years. When the features of multiple sclerosis were evaluated, 13 (22.4%) patients had a progressive type, 20 (34.5%) had a secondary progressive type, and 25 (43.1%) had relapsing-remitting (with relapses and remissions). The urodynamic findings of the patients are shown in Table 1. Urodynamic evaluations of patients with urinary incontinence are reported as 'Urge type urinary incontinence' was observed in 30 (83.3%), 'stress type urinary incontinence' in 5 (13.9%) and 'mixed type urinary incontinence' in 1 (2.8%) patient. Discussion: Multiple sclerosis is a common neurological pathology which has different urinary system findings. Detrusor overactivity is the most common urinary manifestation, and patients may also have impaired contractility, detrusor sphincter dyssynergia, urodynamic stress incontinence, and bladder outlet obstruction

The Effects of Reduction Mammaplasty on Body Perception, Quality of Life and Depression in Women with Symptomatic Macromastia

AimThe aim of the present study is to examine the effects of reduction mammaplasty on body perception, quality of life and depression levels in women with symptomatic macromastia.Materials and MethodsThis study included 45 patients with symptomatic macromastia. Quality of life, body perception and depression levels compared before and 6 months after reduction mammaplasty. The Information Form, the SF-36 Quality of Life Form, Body Perception Scale Form, and the Beck Depression Inventory (BDI) were administered to the patients.ResultsThe mean participant age was 41,020 ± 11,526 (range 18–61 years). The mean total weight of the specimens resected from both breasts 2808,890 ± 559,859 gr. Patients preoperative BMI ranged from 24.51 to 46.88 kg/m2, with a mean of. 35,030±5,376 kg/m2. Postoperative BMI ranged from 23.80 to 44.53 kg/m2, with a mean of 33,320±5,083 kg/m2. Compared to preoperative scores, we found significant improvements in SF-36 quality of life scores, body perception scores and depression levels conducted in the sixth month after the surgery (p<0,05).ConclusionOur study has shown that quality of life, body perception and depression was improved after reduction mammaplsty in women with symptomatic macromastia

Organ donation and transplantation in Onsekiz Mart Faculty of Medicine, fine arts and theology : academic staff's awareness and opinions

OBJECTIVE: To detect awareness and opinions of the personnel at university about organ donation and to collect data about this subject. MATERIALS and METHODS: This study included a total of 82 staff in Faculty of Medicine, Fine Arts and Theology. Data were analyzed using number and percentage calculation, and Chi-square test. RESULTS: Of participants, 93,9 % were aware of the organ donation. Some of the participants from The Faculty of Theology and The Faculty of FineArts obtained this information from the newspaper and magazines or journals (% 32.9). Of participants, 72%pointed out that organ donation could be taken from the corpse or alive, 87.8 % of them indicated that it is beneficial and positive. Among participants, 86, 6% haven't donated organs, while 53.7% of the people were willing to donate organs. People who did not want to donate organs (23.2 %) informed that they did not rely on the Health (Medical) Staff. Fifty percent of the people has received support for this issue. Eighty-nine percent of the people were willing to donate organs to their relatives. There were 45,1% people who wanted to get training about organ donation. According to 97.6%, the organ donation was not sufficient in our country. Some people (85,4%) found organ donation useful but there was a big difference among these three groups and this difference was caused by the academics who work at The Faculty of Theology (p< 0, 05). Those who thought that the religious beliefs prevent the necessary organ donation were 70, 7%and there was a great difference among these three groups and this difference was caused by the academicians who work at The Faculty of Theology ( p< 0,05). CONCLUSION: Academic people do not donate organs sufficiently enough.AMAÇ: Bu çalısma Onsekiz Mart Üniversitesi Tıp Fakültesi, Ilahiyat Fakültesi ve Güzel Sanatlar Fakültesi ögretim elemanlarının organ bagısına bakıs açılarının belirlenmesi amacıyla yapılmıstır. GEREÇ ve YÖNTEM: Ilgili literatür incelenerek sosyo-demografik ve organ nakline yönelik inanç ve düsünceler veri formu olusturulmustur. Arastırmayı kabul eden 82 ögretim elemanın organ nakline yönelik düsünceleri belirlenmistir.Elde edilen veriler sayı yüzde ve kikare testi ile degerlendirilmistir. BULGULAR: Arastırmaya fakültelerden katılım esit olarak saglanamamıstır. (Tıp %43,9, Güzel sanatlar %40,2, Ilahiyat % 15,9). Katılımcıların %62,2'si erkek, %46,3'ü yardımcı doçent, %68,3'ü evli, %95,1'i uzun yıllardır ilde yasamıs, annelerinin %42,7'si ilkokul, babalarının %42,7'si üniversite mezunudur. Organ bagısı hakkında bilgisi olan %93, 9 kisidir. Ilahiyat ve güzel sanatlar fakültesi katılımcılarının %32.9'i gazete ve dergilerden bu bilgiyi ögrenmistir. %72 kisi kadavra ve canlıdan organ bagısı alınabilecegini, %87,8'i kadavradan organ alınmasını olumlu ve yararlı buldugunu belirtmistir. %86,6 kisi organ bagısında bulunmamıstır. %53.7 kisi organ bagısı yapmak istemektedir. Bagıs yapmak istemeyenlerin %23.2'si saglık personeline güvenmemektedir. Ailesinden bu konu hakkında destek alanlar %50'dir.Yakınlarına organ bagısı yapmak isteyen %89'dur.Organ bagısı hakkında egitim almak isteyen %45,1 kisi bulunmaktadır. %97,6'sına göre ülkemizde yeterli organ bagısı yapılmamaktadır. Dini yönden organ bagısını olumlu bulan %85,4'tür, ancak üç grup arasında anlamlı bir fark vardır, fark ilahiyat fakültesinde görevli akademisyenlerden kaynaklanmaktadır (p<0,05). %70,7'si dini inanısların yeterli organ bagısını engelledigini düsünmektedir ve üç grup arasında anlamlı bir fark vardır, fark ilahiyat fakültesinde görevli akademisyenlerden kaynaklanmaktadır (p<0,05).Yasarken bagıs yapmak isteyen %24,4 kisidir ve üç grup arasında da bir fark yoktur (p>0,05). SONUÇ: Ülkemizde organ bagısı üç akademisyen grubuna göre de yeterli düzeyde yapılmamaktadır. Dini yönden organ naklinin sakıncalarının oldugunu düsünen, yasarken organ nakli yapmak istemeyen akademisyenler de bulunmaktadır

EVALUATION OF THE ASSOCIATION OF PIGMENTARY MACULOPATHY IN PRIMARY BLADDER PAIN SYNDROME PATIENTS RECEIVING PENTOSAN POLYSULFATE SODIUM TREATMENT

Objective Primary bladder pain syndrome (PBPS) is characterized with suprapubic pain accompanied by at least one lower urinary tract symptoms including frequent urination, urinary urgency and nocturia for more than 6 weeks. While there are many alternative therapies for the treatment of PBPS, the only approved oral medication is PPS (pentosan polysulfate sodium). As it has been associated with retinal toxicity after its widespread use, this study aims to evaluate the relationship between PPS use and maculopathy. Material and Methods The patients diagnosed with PBPS between 2010 and 2020 who may only benefit from PPS use were included into the study after subgroup and phenotype assessment (urinary and non-ulcerative organspecific subgroups). In our study, patients who had history of degenerative maculopathy or diseases predisposing to maculopathy (age-related macular degeneration, diabetes mellitus, hypertension, chronic vascular disorders, central serous chorioretinopathy, retinal dystrophy, epiretinal membrane, and chronic exposure to hydroxychloroquine) were excluded to prevent possible misdirection. Patients underwent best-corrected visual acuity assessment using Snellen chart, anterior segment and fundus examination using slit lamp biomicroscopy, and intraocular pressure measurement. Color vision test (Ishihara test), posterior segment optical coherence examination and 10-2 visual field test were performed, and color images of the fundus and autofluorescence imaging were obtained. Best-corrected visual acuity, color vision results, macular, choroidal and mean retinal nerve fiber thicknesses, mean deviation of the visual field and fundus findings were recorded. Results Out of 15 patients included into the study, 4 (37.5%) were male and 11 (73.3%) were female. The mean age of the patients was 53.3±11.2 years. During the follow-up, the duration of oral PPS use was found to be 33.01±10.59 months, cumulative oral PPS dose to be 216.02±97.63 g and duration of diagnosis to be 66.64±39.37 months. The mean central macular thickness of the patients was measured to be 254.55±33.11 ?m, and the mean choroidal thickness to be 261.82±34.22 ?m. Mean deviation of the visual field of the patients was found to be -1.89 ±-1.25 dB. The mean retinal nerve fiber thickness was measured to be 98.1±17.62 ?m from the fundus autofluorescence images of the patients. Furthermore, in the present study, the ocular findings of the patients who are at below and above the mean cumulative dose and exposure period were compared. Conclusion This study detected no correlation between longterm PPS use and maculopathy. When forming the patient group; it is crucial to exclude patients with comorbidities such as diabetes mellitus and hypertension, and to form a homogeneous group by phenotype and subgroup assessment. Randomized, prospective, multi-center studies are needed to better assess this correlation

Nursing Students Exposed to Domestic Violence and Their Perspectives on Violence

Aim:The study was performed in order to evaluate the domestic violence that the nursing students exposed and their perspectives on violence.Materials and Methods:The sample was consisted of 229 students who were selected by simple random sampling method. Percentage, Pearson's chi-square and Fisher's exact tests were used in order to perform statistical analysis by the SPSS 17.0.Results:26.6% of students were exposed to domestic violence, 34.4% of these students were exposed to psychological violence, 26.2% of them were exposed to physical violence, 39.3% of them were exposed to both psychological and physical violence. Among the students who were exposed to domestic violence, the violence application rate was significantly high (p<0.01).Conclusion:Our results has showed, predisposition to violent tendencies of the individuals who are personally exposed to domestic violence or any member of their family is exposed to domestic violence increase in a way that cannot be overlooked

Determination of Hospitalized Patients’ Satisfaction Level with Nursing Services in Surgical Units

AimThis study was planned to determine the factors related with level of satisfaction of the hospitalized patients about nursing care.Material and Methods184 patients from the surgical departments were included as the sample group of this descriptive research. Data were collected with an inquiry form containing the descriptive properties and ‘’Scale of the Patients’ Satisfaction with Nursing Services’’.ResultsThe mean satisfaction scores of the patients taken in the study were high (146.1±18.5) about the nursing services. Comparing the mean scores of (HHMO) and the descriptive characteristics with the previous hospitalization experience, the difference between the satisfied 146.36 (%94.6) and unsatisfied 124.88 (%5.4) patients was significant. (p=0.045).ConclusionSimilar studies should be planned in larger groups with determined intervals and satisfaction evaluated with clinically specific valid measuring means

The Results of Urodynamics and Pressure Flow Study of Patients with Neurological Disease in a Single Center for 12 Years: Neurogenic Bladder Etiology

Aim:Generally, urodynamic-pressure flow study (U-PFS) is performed on patients with lower urinary tract symptoms (LUTS) for verifying the diagnosis and evaluating the rate of response for treatment. The aim of the study was to assess the results of the U-PFS of patients according to the etiology of neurological disorders.Materials and Methods:The data of 2,489 patients who underwent U-PFS in our clinic between 2010-2022 were analyzed retrospectively. A total of 535 patients with LUTS and neurogenic disorder were included in the study. Patients were divided into subgroups according to their diagnosis. The patient’s age, gender, and U-PFS data (sensation of first urine, maximum cystometric capacity (MSC), maximum detrusor pressures in the filling phase, presence of urgency, and bladder compliance status) were evaluated and compared according to neurological disorders.Results:Cervical and lumbar disc disorder was found in 204 (38.1%) patients, multiple sclerosis (MS) in 103 (19.2%), and cerebrovascular incidents in 74 (13.8%) patients (SVI), spinal cord injury in 48 (8.9%), polyneuropathy in 43 (8.0%), Parkinson’s disease (PD) in 30 (5.6%), diabetic neuropathy in 18 (3.4%), and operated spine bifida (oSB) in 15 (2.8%) was detected. Detrusor pressures in the filling phase were compared according to neurological disorders, and detrusor pressures were statistically significantly higher in patients with oSB and PD (52.66±40.78 mmHg; 45.30±34.43 mmHg, respectively; p<0.001). When the MSCs were compared, it was observed that the bladder capacity was significantly lower in PD and ASD patients, whereas bladder capacity was relatively increased in lomber and servical disc disorder, spinal cord injury and polyneuropathy patients (respectively 308.71±190.25 mL, 264.81±140.25 mL, 491.90±167.49, 474.52±182.92, 447.67±168.03, p<0.001).Conclusion:These specific patient groups (oSB and spinal cord injury) are hazardous groups for the development of end-stage kidney failure. Clinicians should take into consideration that patients and their relatives have to be informed about possible long-term complications

Impact of opioid-free analgesia on pain severity and patient satisfaction after discharge from surgery: multispecialty, prospective cohort study in 25 countries

Background: Balancing opioid stewardship and the need for adequate analgesia following discharge after surgery is challenging. This study aimed to compare the outcomes for patients discharged with opioid versus opioid-free analgesia after common surgical procedures.Methods: This international, multicentre, prospective cohort study collected data from patients undergoing common acute and elective general surgical, urological, gynaecological, and orthopaedic procedures. The primary outcomes were patient-reported time in severe pain measured on a numerical analogue scale from 0 to 100% and patient-reported satisfaction with pain relief during the first week following discharge. Data were collected by in-hospital chart review and patient telephone interview 1 week after discharge.Results: The study recruited 4273 patients from 144 centres in 25 countries; 1311 patients (30.7%) were prescribed opioid analgesia at discharge. Patients reported being in severe pain for 10 (i.q.r. 1-30)% of the first week after discharge and rated satisfaction with analgesia as 90 (i.q.r. 80-100) of 100. After adjustment for confounders, opioid analgesia on discharge was independently associated with increased pain severity (risk ratio 1.52, 95% c.i. 1.31 to 1.76; P &lt; 0.001) and re-presentation to healthcare providers owing to side-effects of medication (OR 2.38, 95% c.i. 1.36 to 4.17; P = 0.004), but not with satisfaction with analgesia (beta coefficient 0.92, 95% c.i. -1.52 to 3.36; P = 0.468) compared with opioid-free analgesia. Although opioid prescribing varied greatly between high-income and low- and middle-income countries, patient-reported outcomes did not.Conclusion: Opioid analgesia prescription on surgical discharge is associated with a higher risk of re-presentation owing to side-effects of medication and increased patient-reported pain, but not with changes in patient-reported satisfaction. Opioid-free discharge analgesia should be adopted routinely