Prevalence of Accessory Sacroiliac Joint and Its Clinical Significance

Objective: To determine the prevalence of the accessory sacroiliac joint (ASIJ) on both computed tomography (CT) images and dry bones and ultimately, to contribute to the literature. Materials and Methods: CT images archived in the Radiology department of Gaziantep University Medical Faculty obtained from 145 individuals (104 males and 41 females) as well as 92 sacral bones were examined. Results: The prevalence of ASIJ among 92 sacral bones was 15.2%. The ASIJ was more commonly (52%) located at the posterior portion of the SIJ at the level of the second dorsal sacral foramen. In 48% of the bones, ASIJ was identified just above the first dorsal sacral foramen. Unilateral ASIJ was observed in 10.8% and bilateral ASIJ in 4.4% of the sacral bones. On CT images, ASIJ was found in 7.8% of the males and 7.2% of the females. The total prevalence of sacroiliac joint variations was 28.9%, and 6.8% of them were ASIJs. Conclusion: It should be kept in mind that ASIJ may be a source of arthritis and chronic hip pain. The presence of ASIJ should be sought through imaging studies for early diagnosis of ASIJ

A rare occurrence of persistent hypoglossal artery and its clinical significance

Persistent Hypoglossal Artery (PHA) is an embryological vascular variation mostly originating from the internal carotid artery. The presence of PHA has been associated with the incidence of some diseases such as cerebral ischemia, atherosclerosis, and aneurysm. Here, a very rare case of PHA that was discovered incidentally by Digital Subtraction Angiography (DSA) in Turkey is reported. Endovascular stenting was not performed for this patient.  Also, its clinical importance is discussed

Nurses’ awareness as a result of short term stoma bag life experienceStoma torbası deneyiminin hemşirelerin farkındalıkları üzerine etkisi

This is an experimental study conducted for raising awareness about being a patient with stoma in nurses working in surgical services where intestinal stoma is opened in Balcalı Hospital, Çukurova University.The stoma bag was inserted after applying “Introduction and Evaluation Form” which involved 11 questions was developed by the researcher via face-to-face interview technique with the nurses participating in the study and administering “Pre-Application Data Form” consisting after studying with stoma bag, whose 1/3 was filled with water, for 6 hours; “Post-Application Data Form” was administered.In nurses’ evaluation of first three feelings that the patients were experiencing before and after the life experience of using stoma bag for a short time; the difference between the exclusion feeling scores was found to be highly significant (z=-3.411; p=0.001). In the evaluation of the nurses for the question “will you share the information that you have stoma with your friend if you were a person with a stoma” before and after the stoma bag life experiment, the difference was determined to be statistically significant (z=-2.000; p=0.001). The difference between the evaluation scores for the patients to cope with their stomas before and after the application was observed to be highly significant (z=-4.724; p=0.000).Extended English abstract is in the end of PDF (TURKISH) file.  ÖzetAraştırma, Çukurova Üniversitesi Balcalı Hastanesi’nde bağırsak stoması açılan cerrahi servislerde çalışan hemşirelerde stomalı hastalarla ilgili farkındalık yaratmak amacıyla yarıdeneysel tipte yapılmıştır.Veriler araştırmacılar tarafından literatür taraması yapılarak hazırlanmış kişisel bilgi formu ve öntest/sontest veri formları ile yüz yüze görüşme tekniği ile toplanmış, sonrasında katılımcı hemşirelere stoma torbası takılmıştır. 1/3’üne kadar su ile doldurulan stoma torbası ile 6 saat çalıştıktan sonra tekrar anket formu uygulanmıştır.Hemşirelerin stoma torbası deneyimi öncesi ve sonrası hastaların en sık yaşadığı ilk üç duyguyu değerlendirmeleri incelendiğinde, dışlanma duygusu puan ortalamalarını diğer ortalamalara göre yüksek olduğu ve aradaki farkın istatistiksel olarak ileri derece anlamlı olduğu saptandı (z=-3.411; p=0.001). Hemşirelerin stoma torbası deneyimi öncesi ve sonrası “stomalı bir birey olsaydınız stomanız olduğunu iş arkadaşlarınız ile paylaşır mıydınız?” sorusunu değerlendirmelerinde farkın istatistiksel olarak anlamlı olduğu belirlendi (z=-2.000; p=0.001).Uygulama öncesi ve sonrası hastaların stomaları ile baş etmelerini değerlendirme puanortalamaları  arasındaki farkın ileri derecece anlamlı olduğu görüldü (z=-4.724; p=0.000)

Nurse's Awareness as a result of short term stoma bag life experience

Taylan S., Akıl Y., Cihan R., Arslan S., "Nurse's Awareness as a result of short term stoma bag life experience", EORNA, Rodos, YUNANISTAN, 4-7 Mayıs 2017, pp.162-16

Nurses’ awareness as a result of short term stoma bag life experience

Araştırma, Çukurova Üniversitesi Balcalı Hastanesi’nde bağırsak stoması açılan cerrahi servislerde çalışan hemşirelerde stomalı hastalarla ilgili farkındalık yaratmak amacıyla yarıdeneysel tipte yapılmıştır. Veriler araştırmacılar tarafından literatür taraması yapılarak hazırlanmış kişisel bilgi formu ve öntest/sontest veri formları ile yüz yüze görüşme tekniği ile toplanmış, sonrasında katılımcı hemşirelere stoma torbası takılmıştır. 1/3’üne kadar su ile doldurulan stoma torbası ile 6 saat çalıştıktan sonra tekrar anket formu uygulanmıştır. Hemşirelerin stoma torbası deneyimi öncesi ve sonrası hastaların en sık yaşadığı ilk üç duyguyu değerlendirmeleri incelendiğinde, dışlanma duygusu puan ortalamalarını diğer ortalamalara göre yüksek olduğu ve aradaki farkın istatistiksel olarak ileri derece anlamlı olduğu saptandı (z=-3.411; p=0.001). Hemşirelerin stoma torbası deneyimi öncesi ve sonrası “stomalı bir birey olsaydınız stomanız olduğunu iş arkadaşlarınız ile paylaşır mıydınız?” sorusunu değerlendirmelerinde farkın istatistiksel olarak anlamlı olduğu belirlendi (z=- 2.000; p=0.001).Uygulama öncesi ve sonrası hastaların stomaları ile baş etmelerini değerlendirme puanortalamaları arasındak

Determination of the intensity of hail damage of the polyethylene greenhouse covers in the Mediterranean region by thermal camera

Amaç: Artan nüfusun ihtiyaçlarının karşılanması amacıyla yoğun sanayileşme sonucunda atmosferdeki sera gazı yoğunluğu hızla artmaktadır. Buna bağlı olarak dünyanın pek çok bölgesinde uç hava olayları meydana gelmektedir. Ülkemizde iklim değişikliğinden etkilenmekle birlikte özellikle seracılık faaliyetlerinin yoğun olduğu Akdeniz Havzasında dolu zararları her geçen yıl artmaktadır. Dolu sonrasında plastik sera örtüleri delinebilir ya da plastik malzeme esneyerek özelliğini kaybedebilir. Yetiştiriciler seralarını sera örtüsünde meydana gelebilecek dolu zararına karşı sigortalatabilmektedir. Doğal afetlerden sonra çiftçilerin zararlarının tespiti aşaması, zararların sigortadan karşılanması sürecinde en önemli aşamadır. Bu çalışmada termal kamera kullanılarak dolu zararının şiddetinin belirlenmesi amaçlanmıştır.. Yöntem ve Bulgular: Bu amaçla bölgede yaygın olarak kullanılan 36 aylık PE UV+IR+LD+EVA katkılı 200 mikron kalınlığa sahip sera örtü malzemesi materyal olarak kullanılmıştır. Farklı şiddetteki dolu yağışının plastik örtüde verdiği zararı belirleyebilmek amacıyla Alergo marka düşme test cihazı kullanılarak 6 farklı ağırlık 78 cm yükseklikten serbest düşüşle sera örtüsüne bırakılmıştır. Elde edilen hasarlı sera örtülerinin deneme iskeletine monte edilmesiyle hasarlı bölge ve sağlam bölge arasındaki sıcaklık farklılıkları termal kamera ile gözlemlenmiştir. Genel Yorum: Bu sıcaklık değişimleri kullanılarak dolu zararının şiddetinin belirlenmesi amacıyla bir model geliştirilmiştir. Çalışmanın Önemi ve Etkisi: Elde edilen modelin bölgesel kalibrasyonun yapılması şartıyla başka bölgelerde de kullanılabileceği düşünülmektedir.Aims: As a result of the intense industrialization in order to meet the needs of the growing population, the greenhouse gas density in the atmosphere is increasing rapidly Climate change also affects our country and hail damages in the Mediterranean basin, where there are intensive greenhouse activities, performed, are increasing every year. After the hail, plastic greenhouse covers can be drilled or lose their plastic material properties due to stretching. Growers can insure their greenhouses against the hail damage to the greenhouse cover. Following the natural disasters, the determination of the damages of the farmers is the most important stage in the process of covering the losses from insurance. Methods and Results: In this study, it was aimed to determine the intensity hail damage by using thermal camera. For this purpose, 36 months-old polyethylene UV+IR+LD+EVA added greenhouse covering material having 200-micron thickness, which are commonly used in the region, were used as material. Alergo brand drop tester was used in order to determine the damage caused by the hail damage of different intensity. Six different weights were released to the greenhouse cover with a free fall from the height of 78 cm. The resulting damaged greenhouse covers were mounted on the test frame and the temperature differences between the damaged zone and the intact zone were observed with a thermal camera. Conclusions: A model was developed to determine the intensity of hail damage by using these temperature changes. Significance and Impact of the Study: It is thought that the obtained model can also be used in other regions on condition that regional calibration is performed

Quality Assessment of Clinical Practice Guidelines Developed by Professional Societies in Turkey.

BACKGROUND:Clinical practice guidelines (CPGs) are systematically developed statements to assist practitioner and patient decisions about appropriate healthcare for specific clinical circumstances. There is a limited number of studies on guidelines in Turkey. The quality of Ministry of Health guidelines have formerly been assessed whereas there is no information on the other guidelines developed in the country. AIM:This study aims to assess the quality of CPGs that are developed by professional societies that work for the health sector in Turkey, and compare the findings with international guidelines. METHODOLOGY:Professional societies that work for the health sector were determined by using the data obtained from the Ministry of Internal Affairs. Inclusion and exclusion criteria were defined for selecting the CPGs. Guidelines containing recommendations about disease management to the doctors, accessible online, developed within the past 5 years, citing references for recommendations, about the diseases over 1% prevalence according to the "Statistical Yearbook of Turkey 2012" were included in the study. The quality of CPGs were assessed with the AGREE II instrument, which is an internationally recognized tool for this purpose. Four independent reviewers, who did not participate in the development of the selected guidelines and were trained in CPG appraisal, used the AGREE instrument for assessment of the selected guidelines. FINDINGS:47 professional societies were defined which provided access to CPGs in their websites; 3 of them were only open to members so these could not be reached. 8 CPGs from 7 societies were selected from a total of 401 CPGs from 44 societies. The mean scores of the domains of the guidelines which were assessed by the AGREE II tool were; SCOPE AND PURPOSE:64%, stakeholder involvement: 37.9%, rigour of development: 35.3%, clarity and presentation: 77.9%, applicability: 49.0% and editorial independence: 46.0%. CONCLUSION:This is the first study in Turkey regarding quality appraisal of guidelines developed by the local professional societies. It adds to the limited amount of information in the literature that comes from Turkey as well as other developing countries

A Multicenter, Retrospective Study to Evaluate the Effect of Preoperative Stoma Site Marking on Stomal and Peristomal Complications

WOS: 000336640400005PubMed ID: 24807019Even though preoperative marking of the stoma area is considered important for the prevention of postoperative complications, not all healthcare institutions have universally adopted this practice. A multicenter, retrospective, descriptive study was conducted to determine the effect of stoma site marking on stomal and peristomal complications. The 1-year study included 748 patients (408 [54.5%] male, mean age 56.60 +/- 16.73 years) from eight stomatherapy units in Turkey. history of preoperative stoma site marking, person per-Patient data, including age, gender, diagnosis, type of surgery, forming the marking, and postoperative complications, were obtained from patient records, abstracted, and analyzed. Cancer was the reason for the operation in 545 (72.9%) of the cases. In 287 patients (38.4%), the stoma and wound care nurse and/or surgeon marked the stoma area; this occurred 1 day before or on the day of surgery according to Wound Ostomy Continence Nurses Society and American Society of Colon and Rectal Surgeons recommendations. Stomal/peristomal complications developed in 248 (33.2%) persons; the most frequently observed complications in patients were parastomal skin problems (136, 48.7%), mucocutaneous separation (52, 18.6%), and retraction (31, 11.1%). The rate of complications was higher among patients whose stoma site was not marked than among those whose stoma site was marked (22.9% and 46%, respectively; P < 0.001). The results of this study confirm the stoma area should be marked preoperatively in all planned surgical interventions in order to reduce the risk of postoperative complications. Additional prospective and experimental studies on effectiveness of preoperative stoma site marking should be conducted with larger sample groups

Interleukin-28 gene polymorphisms may contribute to HBsAg persistence and the development of HBeAg-negative chronic hepatitis B

Background & AimsAim of this study was to investigate whether a potential association exists between several single nucleotide polymorphisms (SNPs) of the IL-28B gene (rs12979860, rs1188122, rs8099917, rs8105790, rs12980275) and HBsAg persistence. Further, a potential effect on the development of HBeAg-negative CHB vs. inactive HBsAg carrier state was assessed in a genotype D HBV cohort. A cohort of chronic HDV patients was also used to see if they behave differently compared to chronic HBV patients

Scores achieved by guidelines in each AGREE II domain.

<p>Scores achieved by guidelines in each AGREE II domain.</p