"I should live and finish it": A qualitative inquiry into Turkish women's menopause experience

<p>Abstract</p> <p>Background</p> <p>While bio-medically, menopause could be treated as an illness, from a psychosocial and cultural perspective it could be seen as a "natural" process without requiring medication unless severe symptoms are present.</p> <p>Our objective is to explore the perceptions of Turkish women regarding menopause and Hormone Therapy (HT) to provide health care workers with an insight into the needs and expectations of postmenopausal women.</p> <p>Methods</p> <p>A qualitative inquiry through semi-structured, in-depth interviews was used to explore the study questions. We used a purposive sampling and included an equal number of participants who complained about the climacteric symptoms and those who visited the outpatient department for a problem other than climacteric symptoms but when asked declared that they had been experiencing climacteric symptoms. The interview questions focused on two areas; 1) knowledge, experiences, attitudes and beliefs about menopause and; 2) menopause-related experiences and ways to cope with menopause and perception of HT.</p> <p>Results</p> <p>Most of the participants defined menopause as a natural transition process that one should go through. Cleanliness, maturity, comfort of not having a period and positive changes in health behaviour were the concepts positively attributed to menopause, whereas hot flushes, getting old and difficulties in relationships were the negatives. Osteoporosis was an important concern for most of the participants. To deal with the symptoms, the non-pharmacological options were mostly favoured.</p> <p>Conclusion</p> <p>To our knowledge, this is the first qualitative study which focuses on Turkish women's menopausal experiences. Menopause was thought to be a natural process which was characterised by positive and negative features. Understanding these features and their implications in these women's lives may assist healthcare workers in helping their clients with menopause.</p

Prospective Observational Study on acute Appendicitis Worldwide (POSAW)

Background: Acute appendicitis (AA) is the most common surgical disease, and appendectomy is the treatment of choice in the majority of cases. A correct diagnosis is key for decreasing the negative appendectomy rate. The management can become difficult in case of complicated appendicitis. The aim of this study is to describe the worldwide clinical and diagnostic work-up and management of AA in surgical departments.Methods: This prospective multicenter observational study was performed in 116 worldwide surgical departments from 44 countries over a 6-month period (April 1, 2016-September 30, 2016). All consecutive patients admitted to surgical departments with a clinical diagnosis of AA were included in the study.Results: A total of 4282 patients were enrolled in the POSAW study, 1928 (45%) women and 2354 (55%) men, with a median age of 29 years. Nine hundred and seven (21.2%) patients underwent an abdominal CT scan, 1856 (43.3%) patients an US, and 285 (6.7%) patients both CT scan and US. A total of 4097 (95.7%) patients underwent surgery; 1809 (42.2%) underwent open appendectomy and 2215 (51.7%) had laparoscopic appendectomy. One hundred eighty-five (4.3%) patients were managed conservatively. Major complications occurred in 199 patients (4.6%). The overall mortality rate was 0.28%.Conclusions: The results of the present study confirm the clinical value of imaging techniques and prognostic scores. Appendectomy remains the most effective treatment of acute appendicitis. Mortality rate is low.</p

Prospective Observational Study on acute Appendicitis Worldwide (POSAW)

Acute appendicitis (AA) is the most common surgical disease, and appendectomy is the treatment of choice in the majority of cases. A correct diagnosis is key for decreasing the negative appendectomy rate. The management can become difficult in case of complicated appendicitis. The aim of this study is to describe the worldwide clinical and diagnostic work-up and management of AA in surgical departments.info:eu-repo/semantics/publishedVersio

A Situation Assessment on the Comprehension of Written Ironic Texts (A Study of Newspaper Columns)

This study aims to assess the situation concerning the problems encountered in comprehending written ironic texts. The comprehension problems encountered in written forms of irony, which we use orally at any time in our daily lives, constitute the problem statement of this study. The ironic discourse which we encounter especially in critical reviews, and other genres such as poetry, novel and newspaper columns, has the function of implying the opposite of the words uttered, just like in oral irony. Ironic texts have discourses which can be assessed within the framework of critical and cultural literacy. The attitude assumed by the reader who encounters such a text is important in terms of either social and cultural awareness or cognitive awareness. Depending on qualitative research, this study was carried out with 40 undergraduate students studying at the Department of Turkish Language Education. In this context, two newspaper columns with ironic discourse and some questions related to these two columns were given to the participants. The participants were asked to answer these questions, which aimed at an understanding of the deep, surface, and critical structure. Consequently, it has been observed that the participants mostly did not understand the texts with ironic discourse, and they showed a text-oriented approach during the reading proces

Hydrolysis, polycondensation, and catalytic properties of Ru(II) complex of 3-4,5-dihydroimidazol-1-ylpropyltriethoxysilane

WOS: 000167503200028The preparation and measurements of some properties of organic-inorganic hybrid materials derived from Ru(II)-3-4,5-dihyroimidazol-1-yl-propyltriethoxysilane inside a polysiloxane network have been achieved. The hydrolysis and polycondensation of Ru(II)-3-4,5-dihyroimidazol-1-yl-propyltriethoxysilane were performed in different experimental conditions, producing a new organic-inorganic silica. The alkoxysilyl groups available were used for the construction of inorganic backbone by the sal-gel process, and the imidazole group was found suitable for incorporating Ru(II) by coordination. The coordination of metal complex is retained because there is no leaching from the metal complex containing gels. To ensure sufficient catalytic properties, a series of hybrid materials from tetraethoxysilane was prepared. These materials were identified and catalytic activities were tested for cyclization of (Z)-3-methylpent-2-en-4-yn-1-ol to 2,3-dimethylfuran. Heterogeneous Ru(II) catalyst can also be recycled and reused without significant loss of selectivity or activity. (C) 2001 John Wiley & Sons, Inc