The effect of median nerve mobilization on two point discrimination

[Purpose] Two-point discrimination (TPD) is expressed as the minimum distance at which two mechanical stimuli applied simultaneously to the skin can be perceived as two separate points. The aim of this study was to investigate the effect of median nerve mobilization on TPD in healthy adults. [Participants and Methods] This study included 120 healthy adults. Participants were randomized according to their gender into the Neural Mobilization Group (NMG) and Control Group (CG). Demographic data of the participants (gender, age, height, weight, BMI, smoking) were recorded and TPD measurement was performed with baseline aesthesiometer on the palm with distal phalanges of the thumb, index and middle finger on the right-left hand. After the baseline TPD test, participants in the NMG performed Median Nerve Mobilization for 14 days. Measurements were taken before and after training. [Results] A statistically significant difference was found in all other measurements in both groups, except for the right and left palm TPD measurements in the control group. [Conclusion] It is thought that it would be beneficial to investigate the healing effects of the neural mobilization applications, which include all parts of the nerve line in disease conditions

Misdiagnosis of Bipolar Disorder: Rare or Frequent?

Background: As much there have been limited number of studies which have examined misdiagnosis of bipolar disorder, it is so difficult to say that there are enough systematic research to identify the diagnostic rate of bipolar disorder. On the other hand, we did not find any research in Turkey. For this reason, we wondered what is situation in our country in terms of misdiagnosis of bipolar disorder. Methods: The present study was done at xxx University, School of Medicine, Department of Psychiatry. Patients who were from both out-patient and in-patient clinics were included in the study. After a selection process, 171 patients with bipolar disorder were enrolled. In this group of patients, misdiagnosis of bipolar disorder were investigated. Results: 56.14 percent of patients had misdiagnosis of bipolar disorder. The most frequent misdiagnosis was fetermined to be major depressive disorder (in fifty cases, 54.3%). Followings were schizoaffective disorder (in eighteen cases, 24.3%), schizophrenia (in thirteen patients, 24.3%), delusional disorder (in thirteen patients, 24.3%), dysthymic disorder (in ten cases, 15.9%), generalized anxiety disorder ((in ten cases, 15.9%), obsessive compulsive disorder (in seven cases, 12.6%), paranoid personality disorder (in two cases, 4.1%). Conclusions: The results of the study suggest that bipolar disorder is frequently misdiagnosed one and that the most frequent misdagnoses were majör depressive disorder and following psychotic spectrum disorders. Clinicians should be aware of frequent misdiagnosis in patients with bipolar disorder

Feelings of guilt, shame, and forgiveness of the detainees and convicts in a psychiatric prisoner’s service

Introduction: In the present study, the purpose was to examine whether there is a difference in the feelings of guilt, shame, and forgiveness in prisoners who committed one or more crimes. Also, the relationship between the number of crimes involved, the diagnosis of existing or past psychiatric diseases, and demographic data was examined. Methods: This cross-sectional study was conducted with 107 inpatients in the prisoner’s ward. The demographic data forms Beck Depression Inventory (BDI), Beck Anxiety Inventory (BAI), Guilt and Shame Scale (GSS), and Heartland Forgiveness Scale (HFS) were administered in the study. Results: A total of 107 people (51 people involved in one single crime and 56 people involved in more than one crime) were included in the study. The education level was lower in many crimes than in a single crime (p=0.032). Although the diagnosis of mood disorder was higher in the group that was involved in one single crime (36.6%), the diagnosis of antisocial personality disorder was higher in the group that was involved in multiple crimes (41.9%). No differences were detected between the groups in terms of BAI (p = 0.903) and BDI (p = 0.557) scores. No differences were detected between the groups in terms of GSS (guilt and shame) and HFS scores (p values of 0.745 and 0.676, respectively). A positive correlation was detected between the BDI and BAI of all prisoners and the HFS-forgiveness subscale. A positive correlation was detected between the GSS-guilt and shame subscales and all subscales and the total score of HFS. Conclusion: The study showed that anxiety and depression are more common in individuals who were exposed to violence in childhood. It was considered that identifying the prisoners who were involved in the crime for the first time and who felt remorseful and guilty could prevent further crimes. Finally, it is considered that the rate of crime can be reduced by preventing childhood violence and providing psychiatric support to individuals with psychiatric symptoms in order to raise individuals who are mentally healthy and have a low tendency to harm

AMYAND HERNIA AND SURGERY: IS APPENDECTOMY NECESSARY? HOW SHOULD HERNIA REPAIR BE DONE?

Amaç: Amyand herni, kasık fıtığı kesesi içinde normal veya inflame appendiks vermiformisin bulunmasıdır. Amyand hernili olguların çoğunluğu erişkinler, geri kalan kısmı ise 0-1 yaş arası çocuklardır. Klinik olarak Amyand hernili hasta serimizi sunarak cerrahi tedavi protokolünü literatür eşliğinde tartışmayı amaçladık. Yöntemler: 1974 - 2010 yılları arasında Dışkapı Yıldırım Beyazıt Eğitim Araştırma Hastanesi genel cerrahi polikliniği ve acil servise kasıkta şişlik ve ağrı şikayeti ile başvuran ve inguinal herni tanısıyla operasyona alınan, fıtık kesesi içinde appendiks saptanarak apendektomi yapılan 15 hasta tedavi edilmiştir. Bulgular: On beş hastanın yaş ortalaması 40,36 ± 21,82 idi. Kadın /erkek oranı ¼ idi. Hastaların 14'ünde sağ inguinal bölgede, birinde situs inversus nedeniyle sol inguinal bölgede Amyand herni olgusu saptandı. On bir hasta elektif şartlarda opere olurken, 4 hasta irredükte inguinal herni nedeniyle ameliyata alındı. İntraoperatif 4 olguda akut apandisit hali saptandı. Hastaların tamamına apendektomi uygulanırken ve 3 hastaya mesh herniorafi, 12 hastaya da anatomik onarım yapıldı. Sonuç: Amyand herni tanısı genellikle intraoperatif olarak konur. Fıtık kesesi içinde inflame olmayan apendiks saptanmasında tedavi tartışmalıdır ama apandisit saptanan durumlarda apendektomi yapılmalıdır. Apandisit saptanması durumunda da fıtık onarım tipi tartışma konusudur. Genelde mesh herniorafi uygulanırken, peritonit hali mevcutsa anatomik onarım tercih edilmelidir Objective: Amyand hernia is determined as the presence of normal or inflamed appendix in the hernia sac. It is commonly encountered in adult patients or in children up to 1 year of age. We aimed to discuss the treatment protocol of Amyand hernia cases under the light of the literature. Methods: There were 15 patients included the study in 1974 - 2010. They were admitted to Dışkapı Yıldırım Beyazıt Teaching and Researsh Hospital for elective or incarcerated inguinal hernia repair and appendix was found incidentally in hernia sacs, so appendectomy operations were performed additional procedure to hernioraphy. Results: The mean age was 40.36 (std dev 21.823), female/male ratio was ¼. Fourteen patients had right, one had left inguinal hernia but also situs inversus. Eleven cases were operated in elective condition, four patients for incarcerated hernia. We found acute appendicitis findings intra operatively in four patients. Appendectomies were done for all of the patients. Hernia repairing were performed with mesh in 3 cases, but with anatomic repairing were done in 12 patients. Conclusion: Amyand hernia is generally diagnosed intra operatively. Operation in the presence of non-inflamed appendix in the sac is controversial but inflamed appendix undoubtedly should be operated. This time, in these cases mesh usage is controversial due to the risk of infection. Generally m

Eyelid tumors in dogs: 47 cases retrospective study (2006-2017)

Çalışmada 2006-2017 yılları arasında İstanbul Üniversitesi Veteriner Fakültesi Cerrahi Anabilim Dalı Kliniği’ne göz kapağında kitle şikayeti ile getirilen ve sağaltımları yapılan toplam 47 köpeğe ait göz kapağı tümörleri olguları retrospektif olarak değerlendirildi. Olguların ayrıntılı göz muayenesi yapıldı. Kitlelerin uzaklaştırılmasında V şeklinde eksizyon yeğlenerek, tümör tam katlı olarak bölgeden uzaklaştırıldı. Yapılan histopatolojik inceleme sonucu, meibomian bezlerden köken alan neoplazmaların çoğunlukta olduğu belirlendi. Çalışma sonunda elde edilen veriler ile göz kapağı tümörü oluşumunda ırk predispozisyonu, yaşın ve cinsiyetin etkisi ile en yaygın görülen göz kapağı tümörü belirlenip, kullanılan cerrahi yöntemin rekonstruktif blefaroplastiye gerek kalmadan, kitlelerin uzaklaştırılmasında yeterli olduğu görüldü.In this study, the eyelid tumors and the treatment results of 47 dogs referred to Istanbul University Faculty of Veterinary Medicine Department of Surgery with a complaint of eyelid masses were evaluated retrospectively. Cases underwent detailed ophtalmic examination. A V-shaped excision was performed and the tumor was removed in full-thickness. Histopathological examination revealed that most of the neoplasms originating from the meibomian glands were observed. The most common eyelid tumors and formation of the eyelid tumors with respect to the race predisposition, and effects of age and sex were defined. The surgical method used were sufficient for removal of the masses without the necessity of a reconstructive blepharoplasty

Determination of surgical nurses' willingness to provide care to elderly patients and discrimination

Günümüzde yaşlı bireylere cerrahi tedavi uygulanma oranlarının artmasına rağmen cerrahi servislerde çalışan hemşirlerin yaşlı hastaya bakım verme istekliliği ve ayrımcılıkları konusundaki veriler sınırlıdır. Bu çalışma cerrahi servislerde çalışan hemşirlerin yaşlı hastaya bakım verme istekliliği ve ayrımcılıklarını belirlemek amacıyla yapıldı. Araştırmaya başlmadan önce etik onay alındı (Onay no: 2022/54) Araştırma 15 Ağustos-01 Kasım 2022 tarihleri arasında Muş ilinde bulunan hastanelerin cerrahi servislerinde çalışan hemşireler ile yapılan tanımlayıcı ve ilişki arayıcı bir çalışmadır. Araştırma 200 gönüllü hemşire ile yapıldı. Araştırma verilerinin toplanmasında yaşlı hastaya bakım verme istekliliği ölçeği, pozitif ve negatif yaşlı ayrımcılığı ölçeği kullanıldı. Araştırma verileri yüz yüze anket yöntemi ile toplandı. Veriler SPSS 22.0 programında analiz edildi. İstatistiksel anlamlılık için p0.05). Araştırma sonuçları, cerrahi servislerde çalışan hemşirelerin yaşlı hastalara bakım verme istekliliğinin orta düzeyde olduğunu, ancak pozitif yaşlı ayrımcılığı ile pozitif yönde orta seviyede bir ilişki olduğunu göstermektedir. Araştırma bulguları, cerrahi servislerde çalışan hemşirelerin yaşlı hastalara yönelik bakım verme istekliliğini artırmak ve pozitif yaşlı ayrımcılığı azaltmak için farkındalık ve eğitim programları geliştirmenin önemini ortaya koymaktadır.Although the rates of surgical treatment among elderly individuals have been increasing in recent times, there is limited data regarding the willingness of surgical nurses working in surgical units to provide care to elderly patients and their discriminatory practices. This study aimed to determine the willingness of surgical nurses to provide care to elderly patients and their discriminatory tendencies. Ethical approval was obtained prior to the commencement of the research (Approval No: 2022/54). The study was conducted between August 15 and November 1, 2022, with nurses working in surgical units of hospitals in the province of Muş. It employed a descriptive and correlational design. A total of 200 volunteer nurses participated in the research. The Caregiving Willingness Scale for the Elderly and the Positive and Negative Ageism Scale were used for data collection. Data were collected through face-to-face interviews. The collected data were analyzed using SPSS 22.0 software. A significance level of p0.05). The findings of the research indicate that surgical nurses have a moderate level of willingness to provide care to elderly patients, but there is a moderate positive correlation with positive ageism. The research findings underscore the importance of developing awareness and educational programs to increase the willingness of surgical nurses working in surgical units to provide care to elderly patients and to reduce positive ageism