Hastane Çalışanlarının İş Doyumu Ve Tükenmişlik Durumlarının Aile Yaşamına Etkisi: Kurum Ev İdaresi Personeli Üzerine Bir Uygulama

The present study aims to determine the effect of job satisfaction and burn-out level on the family life of housekeeping personnel working in hospitals. The population comprised the institution and housekeeping personnel serving in the hospitals of Ankara. The housekeeping personnel who worked at Higher Specialization Hospital, Numune Hospital, Ankara Education and Research Hospital, Hacettepe Hospital, Ankara University Faculty of Medicine Hospital and Ankara University Faculty of Medicine İbni Sina Hospital and who agreed to participate in the study were given a questionnaire (n=684).The questionnaire was comprised of four sections: the first section included 31 closed-ended questions about some personal characteristics. In the second section of the questionnaire, "Minnesota Job Satisfaction Questionnaire" was used in order to determine the workers' job satisfaction levels.Bu araştırma, hastanelerde çalışan kurum ev idaresi personelinin iş doyum ve tükenmişlik düzeylerinin aile yaşamlarına olan etkisinin belirlenmesi amacıyla planlanmış ve yürütülmüştür. Araştırmanın evrenini, Ankara da faaliyet gösteren hastanelerdeki kurum ve ev idaresi personeli oluşturmaktadır. Araştırmayı kabul eden Yüksek İhtisas Hastanesi, Numune Hastanesi, Ankara Eğitim Araştırma Hastanesi, Hacettepe Hastanesi, Ankara Üniversitesi Tıp Fakültesi Hastanesi ve Ankara Üniversitesi Tıp Fakültesi İbni Sina Hastanesi nde görev yapan kurum ev idaresi personeline (n=684) anket uygulanmıştır.Araştırmada kullanılmak üzere hazırlanan anket formu dört bölümden oluşmakta olup, birinci bölümde, hastanelerde çalışan ev idaresi personelinin bazı bireysel özelliklerini belirlemeyi amaçlayan 31 kapalı uçlu soruya yer verilmiştir. Anketin ikinci bölümünde çalışanların iş doyum düzeylerini belirlemeye yönelik Minnesota İş Doyum Ölçeği kullanılmıştır

Bipolar Bozukluk Tanılı Hastalarda Nörokognitif İşlevler ile Nitrik Oksit ve Asimetrik Dimetilarjinin Düzeyleri Arasındaki İlişki

Amaç: Bu çalışmada bipolar bozukluk tanısı olan hastalarda bilişsel işlevlerin, serum nitrik oksit (NO) ve asimetrik dimetilarjinin (ADMA) düzeyleri ile ilişkisinin belirlenmesi planlanmıştır.Gereç ve Yöntemler: Çalışmanın örneklemi Afyon Kocatepe Üniversitesi Tıp Fakültesi Psikiyatri Polikliniği tarafından ayaktan takip edilen, DSM-5’e göre bipolar bozukluk tanısı konulmuş ötimik dönemdeki 45 hasta ile yaş, cinsiyet ve eğitim süresi yönünden eşleştirilmiş 45 sağlıklı gönüllüden oluşturuldu. Çalışmaya katılanlara sosyodemografik veri formu, Hamilton Depresyon Derecelendirme Ölçeği ve Young Mani Derecelendirme Ölçeği uygulandı. Nörokognitif fonksiyonlar Sözel Bellek Süreçleri Testi, Wisconsin Kart Eşleştirme Testi, Stroop Testi ve İz Sürme Testi ile incelendi. Serum NO ve ADMA düzeyleri ELİSA kiti kullanılarak ölçüldü.Bulgular: Yaş, cinsiyet ve eğitim durumu açısından eşleştirilmiş iki grup arasında ailevi psikiyatrik soygeçmiş sorgulamasında anlamlı farklılık (p=0,002) olduğu ve hasta grubunun %31’inin ailesinde bipolar bozukluk olduğu tesbit edildi. Hasta grubunun nöropsikolojik test sonuçlarının kontrol grubundan istatistiksel olarak anlamlı derecede düşük olduğu bulundu. Serum ADMA düzeyinin ise hasta grubunda kontrol grubuna göre daha düşük düzeyde olduğu gözlendi (p=0,001). ADMA düzeyi ile kendiliğinden hatırlama puanı (p=0,037), kavramsal düzey tepki yüzdesi (p=0,029), Stroop Test puanları (p=0,043) ve İz Sürme A testi süresi (p=0,002) arasında istatistiki olarak anlamlı ilişki olduğu saptandı.Sonuç: Bu çalışmanın sonuçlarına göre bipolar bozukluk hastalarında bellek, öğrenme, dikkat, işlem hızı, strateji değiştirme, problem çözme gibi bilişsel alanlarda bozulma olduğu fakat bu bozulmanın serum NO düzeyi ile ilişkisi olmadığı fakat kendiliğinden hatırlama, kavramsal tepki yüzdesi, Stroop Testi tamamlama süresi, İz Sürme A testi süresi puanlarının ADMA ile ilişkisi olduğu belirlenmiştir

A Preliminary Study on Cell Wall Architecture of Titanium Foams

International audienceno abstrac

Is Biochemical Follow Up Possible in Peripheral Arterial Disease Treatment: Hypoxia Inducible Factor-1 Alpha?

Purpose: The hypoxia inducible factor (HIF)-1 is a dimeric protein complex that plays an integral role in the body’s response to hypoxia. This study aimed to analyze the regulation of HIF-1α following vascular and/or endovascular surgery in peripheral arterial disease (PAD) patients. Materials and Methods: A total of 40 patients with PAD (≥Rutherford category 3) were included in this prospective study. The mean age was 61.9±9.2 years. Open surgery was performed in 16 patients, and endovascular intervention was performed in 34 patients. At preoperative (T1), postoperative day 1 (T2), and month 3 (T3), the serum HIF-1α levels were checked using the ELISA technique. Results: At T3, the ankle-brachial index was significantly higher than the preoperative value (P<0.001). Serum HIF-1α levels at T1, T2, and T3 were 2.0±1.7 ng/mL, 1.9±1.7 ng/mL, and 1.6±1.4 ng/mL, respectively. Serum HIF-1α levels between T1 and T3 and between T2 and T3 were significantly different (P<0.05). The preoperative HIF-1α levels were lowest in iliac lesions compared to femoropopliteal or tibial lesions. Conclusion: The HIF-1α levels were decreased in all patients on postoperative days, T2 and T3, compared with the preoperative values. Our results indicated that HIF-1α may be a surrogate marker after revascularization in patients with PAD. Further studies are needed to analyze the sensitivity, specificity, and cut-off values of HIF-1α in patients with PAD

Pulmonary Embolism in Childhood: A Multicenter Experience from Turkey

Background: Pulmonary embolism is a clinical condition caused by the obstruction of the pulmonary artery and its branches with endogenous, exogenous embolism, or local thrombus formation. It is a rare but potentially life-threatening event in the pediatric population. Pediatric pulmonary embolism has many unknown characteristics.Aims: To evaluate clinical features, genetic and acquired risk factors, diagnostic imaging, and treatment strategies with long-term results in children with pulmonary embolism.Study Design: A retrospective multicenter clinical trialMethods: Patients aged 0-18 years who were diagnosed with pulmonary embolism with computed tomography pulmonary angiography (CTPA) findings (intraluminal filling defect in the lobar or main pulmonary artery) in 3 university hospitals between 2006 and 2021 were included in the study. A form was created for data standardization, and variables were collected retrospectively through medical record review. In addition to the features given above, we also evaluated in situ pulmonary artery thrombosis (ISPAT) and patients' Wells scores. Follow-up CTPA results were evaluated for patient response to treatment. Complete recovery means that there were no lesions, incomplete recovery if there was still embolism, and no response if there was no change.Results: Twenty-four patients (female:13, male:11) were included in the study. The mean age was 13.5 years. All patients but one had at least one or more genetic or acquired risk factors. Factor V Leiden mutation (16.6%) was the most common genetic risk factor. Six of 16 patients with Doppler ultrasonography were diagnosed with ISPAT because there was no sign of thromboembolic thrombosis. Nine (41.6%) patients had a Wells score of >4 (pulmonary embolism clinically strong), and 15 (58.4%) patients scored <4 (pulmonary embolism clinically likely weak), indicating that an alternative diagnosis was more likely than pulmonary embolism (sensitivity %37.5). The mean follow-up period was 23 (+/- 17) months. Complete and incomplete recovery was observed in 15 (62.5%) and 7 (29.1%) patients, respectively, among the patients who underwent follow-up evaluation. No response was obtained in 2 patients (8.3%) who died.Conclusion: The Wells scoring system seems insufficient to diagnose pulmonary embolism in children and should be improved by adding new parameters. ISPAT may be more common in children with congenital heart disease and systemic disease

Pregnancy and its outcomes in hemodialysis patients in Turkey

Background/aim: This study aimed to investigate pregnancy frequency and evaluate the factors affecting live births in hemodialysis (HD) patients. Materials and methods: Female HD patients whose pregnancy was retrospectively reported between January 1, 2014, and December 31, 2019. The duration of HD, primary disease, and the information on whether the pregnancy resulted in abortion, stillbirth, or live birth, whether the HD duration was prolonged after diagnosing the pregnancy and whether it accompanied preeclampsia were recorded. Results: In this study, we reached 9038 HD female patients' data in the study. A total of 235 pregnancies were detected in 145 patients. The mean age was 35.42 (35 +/- 7.4) years. The mean age at first gestation was 30.8 +/- 6.5 years. The average birth week was 32 (28 -36) weeks. A total of 53.8% (no = 78) of the patients had live birth, 51.7% (no = 70) had at least one abortion in the first 20 weeks, and 13.1% (no = 19) had at least one stillbirth after 20 weeks. The rate of patients' increased numbers of dialysis sessions during pregnancy was 71.7%. The abortion rate was 22.4% in those with increased HD sessions, whereas 79.3% in those not increased HD sessions (p < 0.001). Live birth frequency was 67.2% in the increased HD sessions group and 3.4% in those who did not differ in HD sessions (p < 0.001). Conclusion: For the first time, we reported pregnancy outcomes in HD female patients, covering all regions of Turkey. It has been observed that; increasing the number of HD sessions in dialysis patients will decrease fetal and maternal complications and increase live birth rates