Evaluation of the Readability of Informed Consent Forms Used for Emergency Procedures

INTRODUCTION: The aim of the study was to evaluate the readability levels of informed consent forms used for patient consent before emergency procedures applied in emergency service in Necmettin Erbakan University Meram Medical Faculty Emergency Service Clinic through readability formula. METHOD: Fifteen informed patient consent forms used for emergency medical applications in Necmettin Erbakan University Meram Medical Faculty Emergency Medicine Department were evaluated. Information text available on the forms was transferred into Microsoft Word program. Average word number, syllable number and words with syllable number of four and above were calculated. Ateşman and Bezirci-Yılmaz formulas defined for determining the readability level of Turkish texts and Gunning fog, Flesch kincaid formulas measuring the general readability level were used for calculating the readability level of consent forms. RESULTS: Readability levels of all consent forms were detected at average difficulty level according to Ateşman formula, very difficult according to Flesch-Kincaid formula, difficult according to Gunning fog formula and at high school level according to Bezirci-Yılmaz. CONCLUSIONS: In this study, the readability level of emergency intervention consent forms used in the clinic was detected as hard and required high school or higher education level. The conclusion is that attention should be paid to this subject which is both medically and legally binding for the doctors and verbal and visual support should be provided for informing the patients in addition to consent forms

Musculoskeletal Complaints: When Should We Consult a Pediatric Rheumatologist?

This review aimed to summarize key points that might suggest rheumatologic diseases to physicians dealing with musculoskeletal  (MSK) complaints. Evaluation of a child presenting with MSK findings requires a comprehensive, multidisciplinary, and systematic approach. In children with MSK complaints, detailed anamnesis, appropriate physical examination and joint examination, and the use of correct laboratory tests will be helpful for accurate diagnosis. The algorithm we have suggested for MSK complaints of children will be a guide for the physicians

The Immunohistochemical Evaluation of Kidney An Experimentally Induced Hypertensive And Diabetic Rat Model

AMAÇ: Bu çalışmada, deneysel olarak ayrı ayrı ve birlikte diyabet ve hipertansiyon modeli oluşturulan sıçanlarda, lipoik asidin hipertansif ve diyabetik böbrek üzerindeki tedavi edici/hasar önleyici etkisinin araştırılması amaçlandı. YÖNTEMLER: Çalışmamızda Wistar cinsi ratlar 8 gruba ayrıldı (n=7). I. grup; Kontrol, II. Grup; Diabetes Mellitus, III. grup; 5/6 Nefrektomi, IV. Grup; Lipoik asit, V. Grup; 5/6 Nefrektomi+Diyabet, VI. grup, Diyabet+Lipoik asit VII. Grup; 5/6 Nefrektomi+Lipoik asit ve VIII. Grup; 5/6Nefrektomi+Diyabet+Lipoik asit. Diyabet modeli 45mg/kg STZ enjeksiyonu ile oluşturuldu ve hipertansiyon modeli için 5/6 nefrektomi modeli uygulandı. dl-α-Lipoik asit 30mg/kg/gün olacak şekilde 8 hafta oral gavaj yöntemi ile deneklere uygulandı. Böbrek dokuları rutin ışık mikroskobik doku takip işlemlerinden geçirilip parafin bloklara gömüldü. İmmünohistokimyasal olarak AT1 (Anjiyotensin II tip I reseptörü), VEGF (Vasküler Endotelial Büyüme Faktörü) ve ET1 (Endotelin 1) antikorları işaretlendi. BULGULAR: Diyabet ve nefrektomi modellerinin ayrı ayrı ve birlikte uygulandığı deneysel gruplarda (Grup 2, 3, 5), glomerüloskleroz, mononükleer hücre infiltrasyonu, intersitisiyel fibrozis, damarlarda ve tübüllerde dilatasyon ve hiyalin materyal birikimi ile tübüler yapıların dejenerasyonu gözlendi. Aynı gruplarda tübülointersitisiyel ve glomerüler AT1 azalırken, VEGF ve ET1 artış göstermişti. Lipoik asit tedavi gruplarında ise AT1'de artış, VEGF ve ET1'de ise Kontrol ve Lipoik asit grubuna benzer şekilde azalma gözlendi. SONUÇ: Diyabet ve hipertansiyonun birlikte gözlenmesinin böbrek hasarının hızlı ilerlemesine neden olduğu, lipoik asidin bu hastalıklara karşı böbrek üzerinde tedavi edici etkisinin olduğu sonucuna varıldı. OBJECTIVE: In this study, experimental diabetes and nephrectomy have been applied separately and together in order to investigate possible therapeutic/damage prevention effects of Lipoic acid on hypertensive and diabetic rat kidneys. METHODS: Wistar rats were divided into 8 groups (n=7); Group 1; Control, Group 2; Diabetes Mellitus, Group 3; 5/6 Nephrectomy, Group 4; Diabetes Mellitus+5/6 Nephrectomy, Group 5; Lipoic acid administration, Group 6; Diabetes Mellitus+Lipoic acid, Group 7; 5/6 Nephrectomy+Lipoic acid, Group 8; Diabetes Mellitus+5/6 Nephrectomy+Lipoic acid groups respectively. Diabetes was formed by 45mg/kg STZ injection and for hypertension nephrectomy 5/6 model was applied. dl-α-Lipoic acid 30mg/kg/day was fed by oral gavage for 8 weeks. Kidney tissues were embedded into paraffin block after routine light microscopic preparation. AT1 (Angiotensinojen II type 1 receptor), VEGF (Vascular Endothelial Growth Factor) and ET1 (Endothelin) antibodies were labelled immunohistochemically in same group. RESULTS: In groups where diyabetes and nephrectomy were applied separately and together, glomerulosclerosis, mononuclear cell infiltration, interstitial fibrosis, vascular and tubular dilatation and hyalin deposition and degeneration of tubular structures were seen in glomerules. In the same group: tubulointerstitial and glomerular AT1 was decreased but VEGF and ET1 were increased. In Lipoic acid treatment groups, AT1 was increased and VEFG and ET1 were decreased similar to Control and Lipoic acid group. CONCLUSION: We have come to the conclusion that diabetes nd hypertension together increases the rate of renal injury and lipoic acid has therapeutic effect on kidney

COVID-19 in pediatric nephrology centers in Turkey

Background/aim: There is limited data on COVID-19 disease in children with kidney disease. We aimed to investigate the characteristics and prognosis of COVID-19 in pediatric nephrology patients in Turkey. Materials and methods: This was a national, multicenter, retrospective cohort study based on an online survey evaluating the data between 11th March 2020 and 11th March 2021 as an initial step of a detailed pediatric nephrology COVID-19 registry. Results: Two hundred and three patients (89 girls and 114 boys) were diagnosed with COVID-19. One-third of these patients (36.9%) were between 10–15 years old. Half of the patients were on kidney replacement therapy: kidney transplant (KTx) recipients (n = 56, 27.5%), patients receiving chronic hemodialysis (n = 33, 16.3%) and those on peritoneal dialysis (PD) (n = 18, 8.9%). Fifty-four (26.6%) children were asymptomatic. Eighty-two (40.3%) patients were hospitalized and 23 (28%) needed intensive care unit admission. Fifty-five percent of the patients were not treated, while the remaining was given favipiravir (20.7%), steroid (16.3%), and hydroxychloroquine (11.3%). Acute kidney injury developed in 19.5% of hospitalized patients. Five (2.4%) had MIS-C. Eighty-three percent of the patients were discharged without any apparent sequelae, while 7 (3.4%) died. One hundred and eight health care staff were infected during the study period. Conclusion: COVID-19 was most commonly seen in patients who underwent KTx and received HD. The combined immunosuppressive therapy and frequent exposure to the hospital setting may increase these patients’ susceptibility. Staff infections before vaccination era were alarming, various precautions should be taken for infection control, particularly optimal vaccination coverage

Effects of acute taurine consumption on single bout of muscular endurance resistance exercise performance and recovery in resistance trained young male adults

Study aim: This study investigated the effect of taurine supplementation on exercise performance and recovery from resistance exercise. The study was conducted with a cross-over design in a double-blind manner

Enhancing interprofessional education readiness in undergraduate dental students: a scenario-based peer learning programme

Abstract Background Interprofessional Education (IPE) is an educational approach that brings together students from different healthcare professions to foster collaborative learning and teamwork. Before integrating IPE into the curriculum of health preprofessional students, it is necessary to increase their readiness for IPE. Dentistry increasingly values interprofessional collaboration and teamwork for enhanced patient care and healthcare team competencies, an emphasis also echoed by recent dental education authorities. The aim of this quasi-experimental research was to assess the influence of Scenario Based Learning Peer Learning (SBPL) programme, which involved scenarios necessitating interprofessional communication, on the readiness for IPE among a cohort of undergraduate dental students studying within the framework of the European Higher Education Area (EHEA). Methods This study investigates undergraduate dental students’ readiness for IPE and the influence of SBPL programme on their readiness. Participants (n = 25) from 18 EHEA countries completed the Readiness for Interprofessional Learning Scale (RIPLS) before and after SBPL programme, held at the 70th European Dental Students’ Association (EDSA) meeting. Data were analyzed using the Wilcoxon Signed Rank Test (p = 0.05). Results After the SBPT programme, there was a statistically significant increase (p < 0.05) in the mean of the total scale, teamwork and collaboration, roles and responsibilities and professional identity subscale. In general, SBPL programme showed a constructive effect on interprofessional readiness. Although there was no statistically significant increase only in items 9,12,18 of the 19 items of the RIPLS, there was an increase in the averages in all except item 12. Conclusion Our research emphasizes the importance of diverse perspectives and IPE in the realm of dental education. Within the limits of this study, it showcases the efficacy of a brief half-day SBPL programme with interprofessional scenarios in enhancing participants’ readiness. The programme notably enhanced dental students’ readiness in grasping crucial aspects of IPE: teamwork and collaboration, professional identity, and roles and responsibilities. However, this study does not delve into the potential impact of a comprehensive, long-term curriculum integrating IPE principles. This gap underscores the need for further exploration into the sustained influence of IPE on the interprofessional skills of dental school graduates