The relationship between spiritual well-being and hopelessness levels of substance users

This study was carried out to investigate the effect of the spiritual well-being of the individuals diagnosed with substance use disorder on their level of hopelessness. The sample of this study consisted of 256 patients who were hospitalized with the diagnosis of substance use disorder in an alcohol and druc addcition treatment center (ADATC) between October 1, 2018 and April 1, 2019. Patients who did not accept to participate in the study and repeated hospitalizations were excluded. The study was carried out with remaining 201 patients. Data were collected using Sociodemographic Information Form, the Spiritual Well-being Scale and the Beck Hopelessness Scale. Mann Whitney U, Kruskal Wallis test and Spearman Correlation analyses were used in the evaluation of the data. The mean age of the participants was 28.59±8.54 and all participants were male. The total score of the participants from the Spiritual Well-being Scale was 109.89±15.88, and from the Beck Hopelessness Scale was 7.33±5.30. In the study, a negative relationship was found between spiritual well-being and hopelessness levels of the patients (p [Med-Science 2020; 9(1.000): 186-90

X ve Y Kuşağı Hemşirelerin Eleştirel Düşünme Yeteneklerinin İncelenmesi: Elazığ Örneği

Aim: The aim of this study was to examine the critical thinking skills of working nurses in generation-X and -Y. Method: This descriptive cross-sectional study was conducted between 10.01.2019-01.03.2019 in a hospital in Elazıg province, and 107 nurses from different generations participated in the study. Generation-X was selected from nurses born between 1965 and 1979 and Generation-Y was selected from nurses born between 1980 and 1999. "Personal Data Form" and “California Critical Thinking Disposition Inventory” were used in the collection of data. Number, percentage, average, and t-test were employed to evaluate the data. Results: The average age of the nurses participating in the study was 33.42±7.45 and the average of their professional working duration was 10.86±7.65 years. Also, 58.9% of nurses were female, 74.8% were married, 68.2% had undergraduate and graduate degrees. Forty-three percent of the nurses in the study stated that they knew the concept of critical thinking also 57% of the nurses in the study were in generation-Y. The mean California Critical Thinking Disposition Inventory scores of the nurses were 224.64±20.83 and their critical thinking skills were found to be low. Nurses received the highest score from the sub-dimension of analyticity (45.75±5.64) and the lowest score from the sub-dimension of open-mindedness (29.41±6.41) among the sub-dimension of the California Critical Thinking Disposition Inventory scale. The critical thinking tendencies of Generation-Y nurses were higher than those of generation-X and a significant difference was found (p<0.05). Conclusion: Critical thinking ability, which is considered to be effective in clinical decision making, was found to be low in the nurses participating in the study. It is necessary to remove the obstacles to critical thinking of nurses in nursing programs and to develop a curriculum on critical thinking. It is proposed to provide in-service training to improve the critical thinking skills of working nursesAmaç: Bu çalışmanın amacı, X ve Y Kuşağı'nda çalışan hemşirelerin eleştirel düşünme becerilerini incelemektir. Yöntem: Tanımlayıcı kesitsel tipteki bu çalışma 10.01.2019-01.03.2019 tarihleri arasında Elazığ ilinde bir hastanede gerçekleştirilmiş olup, çalışmaya farklı nesillerden 107 hemşire katılmıştır. X kuşağı 1965-1979 doğumlu hemşirelerden, Y kuşağı ise 1980-1999 doğumlu hemşirelerden seçilmiştir. Verilerin toplanmasında "Kişisel Bilgi Formu" ve "California Eleştirel Düşünme Eğilimi Ölçeği" kullanılmıştır. Verilerin değerlendirilmesinde sayı, yüzde, ortalama ve t-testi kullanılmıştır. Bulgular: Araştırmaya katılan hemşirelerin yaş ortalaması 33.42±7.45, mesleki çalışma sürelerinin ortalaması 10.86±7.65 yıldı. Ayrıca hemşirelerin %58.9'u kadın, %74.8'i evli, %68.2'si lisans ve yüksek lisans derecesine sahipti. Araştırmaya katılan hemşirelerin yüzde 43'ü eleştirel düşünme kavramını bildiklerini, ayrıca araştırmaya katılan hemşirelerin %57'si Y kuşağında olduğunu belirtti. Hemşirelerin California Eleştirel Düşünme Eğilimi Ölçeği puanları ortalama 224.64±20.83 ve eleştirel düşünme becerileri düşük bulundu. Hemşireler California Eleştirel Düşünme Eğilimi Ölçeği alt boyutlarından analitik alt boyutundan (45.75±5.64) en yüksek puanı, açık fikirlilik alt boyutundan (29.41±6.41) en düşük puanı almıştır. Y Kuşağı hemşirelerinin eleştirel düşünme eğilimleri X kuşağına göre daha yüksek olup anlamlı bir farklılık olduğu bulundu (p<0.05). Sonuç: Klinik karar vermede etkili olduğu düşünülen eleştirel düşünme yeteneği araştırmaya katılan hemşirelerde düşük bulunmuştur. Hemşirelik programlarında hemşirelerin eleştirel düşünmesinin önündeki engellerin kaldırılması ve eleştirel düşünme üzerine müfredat geliştirilmesi gerekmektedir. Çalışan hemşirelerin eleştirel düşünme becerilerini geliştirmek için hizmet içi eğitim verilmesi önerilmektedir

Anaphylaxis induced by intravenous non-steroidal anti-inflammatory drug in an asthma patient

WOS: 000404541200042

Retrospectif Analysis of 1545 Patients: Neuroimaging in Headache

WOS: 000505071500012Objective: Neuroradiological imaging is also used to differentiate between primary and secondary headaches. The aim of this study was to evaluate retrospectively the significant abnormal neuroradiological imaging results and rates in the primary headache group. In addition, it was also planned to analysis the results of all headaches with imaging and discuss the imaging in the headache with the literature. Methods: Medical records of headache patients of the neurology outpatient clinic at the tertiary care center were reviewed. Patients who required brain imaging and did not have any disease that could cause pathology in imaging were included. Neuroradiological images were grouped as brain computed tomography (CT), brain magnetic resonance imaging (MRI) and others. Results were normal, significant abnormal findings and others. Results: Total 1545 patients were included. Primary headache 992, secondary headache 91, painful cranial neuropathies and other headaches were observed in 462 patients. Significant abnormal radiological findings were found to be 4.3% in primary headache, 14.3% in secondary headache, and 6.6% in painful cranial neuropathy and other headaches. Significant findings in primary headache were Arnold Chiari Malformation, sinus thrombosis, intracranial mass, choroid plexus xanthogranuloma, hydrocephalus, vascular malformation. Conclusion: In this series, the rate of significant findings in neuroradiological imaging in primary headache is low. Secondary headaches require neuroimaging because of the presence of underlying life-threatening causes, although the rate of abnormal neuroradiological imaging is low. History, examination, and red flags in headache may lead to imaging, but patient and physician concerns may also increase imaging rates

Ahter Destan ’ın hayatı ve Türkiye ’de çok sesli koro müziğine bir bakış

Ankara : İhsan Doğramacı Bilkent Üniversitesi İktisadi, İdari ve Sosyal Bilimler Fakültesi, Tarih Bölümü, 2017.This work is a student project of the The Department of History, Faculty of Economics, Administrative and Social Sciences, İhsan Doğramacı Bilkent University.by Özer, Abdürrahim

Gastro-bronchial Fistula, an Uncommon Complication of Transhital Esophagectomy: A Case Report

Abstract Background: Gastro-bronchial fistulas are rare complication of esophagogastric anostomos operations. They occur either in the early or late postoperative period. They have different etiological factors according to time of development. They have different prognostic feature due to the reason which cause fistulas. Therefore, differential diagnosis of gastro-bronchial fistula should be urgently done as soon as possible. Herein, we present a case of gastro-bronchial fistula which is rare and has valuable radiological findings. Case report: A 41 year old woman who had a cough, dyspnea, dysphagia, weight loss and retrosternal pain was admitted to local government hospital of Van. At the end of evaulation, the diagnosis was consistent with esophageal carcinoma. Then transhiatal esophagectomy with gastric pull-up and cervical anastomosis was performed. Three monhts after surgery, she developed cough, dyspnea and aspiration pneumonia. Therefore, chest X-ray was taken and chest computed tomography (CT) demonstrated gastro-bronchial fistula. After diagnosis of gastro-broncial fistula, the patient was consultated with thoracic surgery department and surgical treatment was decided. The patient was taken to the thoracic surgery department. She was cachectic, therefore total parenteral nutrition was started on. While she was waiting for surgical procedure, she had severe dyspnea. Finally she died due to aspiration and cardiopulmonary arrest. Conclusion: Gastro-bronchial fistula is a rare and devastating complication of esophageal resection that may be diffucult to diagnose. Poor prognosis is mainly due to the development of recurrent chest infections, malnutrition and diffuclty in surgical repairing in contrast to esophageal type. The diagnosis can be done either with bronchoscopy or computed tomography of chest. Surgery and endobronchial stenting are main alternative treatment modalities of this rare and fatal complication of esophagectomy