Two Infant Cases Admitted with Atypical Presentation and Diagnosed as Type IV Hiatal Hernia

Type IV paraesophageal hiatal hernias are diaphragmatic hernias that are extremely rare in the pediatric age group in which the stomach and other intra-abdominal organs herniate from the esophageal hiatus of the diaphragm into the mediastinum. Since the defect in the hiatus is large, serious complications such as gastric volvulus may develop in these giant hernias as a result of the passage of a large part of the stomach into the thoracic cavity. Patients may present with atypical clinical manifestations such as growth retardation, not gaining weight, and recurrent pulmonary infections. In this report, two cases in the pediatric age group who were admitted with different clinical course and were diagnosed as type IV paraesophageal hiatal hernia who were successfully treated with surgical intervention are presented

Identifying the care behavior perception of nursing students and the time they allocated to the direct care practices

Amaç: Araştırma, hemşirelik öğrencilerinin klinik uygulamalar sırasında doğrudan bakım uygulamalarına ayırdıkları zamanı ve öğrencilerin bakım davranışları algısını belirlemek amacıyla planlanmıştır. Yöntem: Araştırma tanımlayıcı tipte olup araştırmanın örneklemini bir vakıf üniversitesinin hemşirelik bölümünde öğrenim gören birinci sınıflar hariç toplam 80 öğrenci oluşturmuştur. Çalışmanın verileri “Klinik Uygulamada Hemşirelik Öğrencilerinin Aktivitelerini İzlem Formu” ve “Bakım Davranışları Ölçeği” ile toplanmıştır. Veriler gözlem yoluyla elde edilmiştir. Bulgular: Öğrencilerin klinikte bir uygulama gününde doğrudan bakım uygulamalarına harcadıkları süre; ikinci sınıflarda 138,8±57,0 dakika, üçüncü sınıflarda 105,6,7±40,3 dakika, dördüncü sınıflarda 99,8±60,1 dakika olarak belirlenmiştir, Bakım uygulamaları dışındaki faaliyetlere ikinci sınıfların 50,2±40,3, üçüncü sınıfların 6,1±15,6, dördüncü sınıfların 38,4±43,3 dakika harcadıkları belirlenmiştir. Sınıflara göre öğrencilerin doğrudan bakım ve diğer faaliyetlere harcadıkları süreler arasında istatistiksel olarak fark bulunmuştur (p<0,05). Öğrencilerinin Bakım Davranışları Ölçeği-24’ten aldıkları toplam puan ortalaması 5,14±0,59 puan olarak belirlenmiş, mesleği isteyerek seçen öğrencilerin puanları diğerlerine göre yüksek bulunmuştur. (p<0,05). Öğrencilerin bakım davranışları algıları olumlu olmasına rağmen, doğrudan bakım uygulamalarına ayırdıkları sürenin az olduğu belirlenmiştir. Sonuç: Öğrencilerin bakım kalitesi algılarının yüksek olmasına rağmen, doğrudan bakım uygulamalarına ayırdıkları sürenin az olduğu belirlenmiştir.Aim: The research was planned for the purpose of identifying the time allocated by nursing students to direct care practices during clinical practices and the students’ care behavior perceptions. Method: The research was conducted as a descriptive type and the sample of the research consisted of 80 students in total, excluding first-year students studying in the nursing department of a foundation university. The data of study were collected with “Inspection Form for Nursing Students’ Activities in Clinical Practices” and “Care Behaviors Scale”. Data were collected by observation. Results: The time allocated by the students to direct care practices during a practice day in clinic was identified as; 138,8±57,0 minutes on average in second graders, 105,6,7±40,3 minutes on average in third graders, and 99,8±60,1 minutes on average in fourth graders, It was identified that the second graders spend 50,2±40,3 minutes, the third graders spend 6,1±15,6 minutes, and the fourth graders spend 38,4±43,3 minutes for the practices other than care practices. It was statistically found a difference between the times allocated by the students to direct care and other practices with regard to grades (p<0,05). The total average score of the students in Care Behaviors Scale-24 was identified as 5,14±0,59, and the scores of the students who chose the profession voluntarily were found as higher than the other students. (p<0,05). Although the students' perceptions of care behaviors were positive, it was determined that the time they allocated to direct care practices was less. Conclusion: It was identified that although the care quality perception of the students are high, the time they allocated to direct care practices is low

Using complementary and alternative medicine in patients with breast cancer diagnosis at Afyon Kocatepe University

AMAÇ: Bu çalışmada Afyon Kocatepe Üniversitesi’nde meme kanseri nedeniyle takip edilmekte olan hastalarda tamamlayıcı ve alternatif tedavi (TAT) kullanım sıklığının ve TAT ile ilgili uygulamaların belirlenmesi ve incelenmesi amaçlanmıştır. GEREÇ VE YÖNTEM: Çalışmamıza Afyon Kocatepe Üniversitesi Tıp Fakültesi Hastanesi, Tıbbi Onkoloji Polikliniği ile Fizik Tedavi ve Rehabilitasyon Ana Bilim Dalı’na başvuran toplam 70 meme kanserli hasta dahil edilmiştir. Hastaların sosoyodemografik özellikleri ile, kullanılan TAT yöntemlerine yönelik sorgulamayı içeren 44 soruluk bir form doldurulmuştur. BULGULAR: Ortalama yaşları 57.5 ± 11.2 yıl olan hastaların en az bir TAT yöntemi kullanma oranı %85.7 (60 kişi) olarak belirlenmiştir. TAT yöntemi olarak en çok dua etmenin (%85.7) ve bitkilerin (%30) tercih edildiği saptanmıştır. TAT yöntemi kullanan meme kanserli hastaların %55’i TAT kullanmaya kendisi karar verirken, %13.3’ü ailesinin etkisiyle TAT kullanmaya başlamış. Çalışmamızda TAT kullanan hastaların sadece %35’inin bu konuda doktoruna bilgi verdiği görülmüştür. TAT kullanan hastaların %32.9’u çok fayda gördüğünü belirtirken, bu hastaların %44.3’ü tanı aldıktan hemen sonra tedavi süreci başlamadan bu yöntemlere başvurduğunu ifade etmiştir. SONUÇ: Hastalarımızın TAT yöntemlerini sık olarak kullandıkları, çoğunlukla da dua ve bitkisel yöntemleri tercih ettikleri saptanmıştır. Ayrıca meme kanserli kadınların TAT kullanımı ile ilgili sağlık çalışanlarına bilgi vermediği, özellikle kemoterapi, radyoterapi/ hormon tedavisi devam edenlerin büyük çoğunluğunun beraberinde TAT kullandığı belirlenmiştir. Ayrıca; sağlık çalışanlarının hastaları TAT kullanma yönünden sorgulamaları, böylelikle bu yöntemlerin kullanımı ile ilgili oluşabilecek yan etkilerin önlenmesine de yardımcı olunabileceğini düşünmekteyiz.OBJECTIVE: We aimed to determine the frequency of complementary and alternative therapy (CAM) usage and CAM related applications in patients with breast cancer at Afyon Kocatepe University. MATERIAL AND METHODS: Our study included a total of 70 patients with breast cancer who applied to the Afyon Kocatepe University Medical Faculty Hospital, Medical Oncology and Physical Medicine and Rehabilitation outpatient clinics. A 44-question form including questionnaires on the sociodemographic characteristics of the patients and the CAM methods used were filled out. RESULTS: Patients with a mean age of 57.5 ± 11.2 years were assigned at least one CAM method as 85.7% (60 people). It was determined that; praying (85.7%) and plants (30%) were as the most preferred CAM method. While 55% of breast cancer patients using the CAM method decided to use oneself, 13.3% of them started to use CAM due to the influence of their family. In our study, only 35% of the patients using CAM were informed about this issue by their doctor. While 32.9% of patients using CAM indicated that they were very beneficial, 44.3% of the patients stated that they applied to these methods immediately after the diagnosis was started. CONCLUSIONS: It has been determined that our patients use CAM methods frequently, mostly they prefer prayer and herbal methods. In addition, breast cancer patients do not inform health workers about the use of CAM, especially the majority of those continuing with chemotherapy, radiotherapy / hormone therapy were using CAM together. As a result; we also think that health professionals can also interrogate patients in terms of using CAM so that they can also help prevent side effects from using these methods

Methionine-supplemented diet augments hepatotoxicity and prooxidant status in chronically ethanol-treated rats

The purpose of this study was to investigate whether high methionine (HM) diet may influence the development of ethanol induced hepatotoxicity and prooxidant-antioxidant balance the liver. Rats received drinking water containing ethanol (20% v/v) and/or methionine supplemented diet (2% w/w) for 75 days. Although prooxidant-antioxidant balance did not change in the liver of rats in HM group, ethanol treatment was observed to increase plasma transaminase activities, and malondialdehyde (MDA) and protein carbonyl (PC) levels, but not glutathione (GSH), vitamin E and vitamin C levels, and superoxide dismutase (SOD), glutathione peroxidase (GSH-Px) and glutathione transferase (GST) activities in the liver of rats as compared to controls. However, ethanol plus HM diet caused further increases in plasma transaminase activities and hepatic MDA and PC levels. In addition, SOD, GSH-Px and GST activities were observed to decrease, but GSH, vitamin E and vitamin C levels remained unchanged in the liver as compared to ethanol, HM and control groups. Our results show that HM diet may augment hepatotoxicity and oxidative stress in the liver of chronically ethanol-treated rats. (c) 2007 Elsevier GmbH. All rights reserved

A Rare Cause of Reversible Splenial Lesion Syndrome (RESLES): Benign Convulsions with Mild Gastroenteritis

Transient lesions involving the splenium of corpus callosum is defined as reversible splenial lesion syndrome (RESLES). Benign convulsions with mild gastroenteritis is a rare condition which may be associated with RESLES. Since the prognosis is excellent, the awareness of this association is important to prevent unnecessary investigations and anti-epileptic drug therapy

N-acetylaspartate concentration in corpus callosum is positively correlated with intelligence in adolescents

The corpus callosum is the largest white matter bundle in the brain and integrates inter-hemispheric cortices during sensory-motor and high-order cognitive processes. The aim of the present study was to investigate the associations between the metabolite concentrations in the corpus callosum and intelligence among adolescents. Thirty male adolescents aged between 14 and 16 years were included into the study. We measured the intelligence quotient (IQ) scores of the subjects by using the Wechsler Intelligence Scale for Children-Revised (verbal, performance and full-scale IQ) test. We used proton MR spectroscopy to measure the absolute concentrations of N-acetylasparate (NAA), creatine (Cr) and choline (Cho) in the genu, midbody and isthmus/splenium regions of the corpus callosum. We also measured the whole brain parenchymal size and used it as a confounding factor in the statistical analyses. We assessed the correlations between neurometabolite concentrations and verbal, performance and full-scale IQ scores. We found a significant positive correlation between the whole brain parenchymal size and the full-scale IQ scores. And, the NAA concentration in the isthmus/splenium region was positively correlated with the performance IQ and full-scale IQ scores. NAA is a marker of neuro/axonal integrity. NAA concentration in white matter is related to the structural and functional integrity of axonal fibers. The positive correlation of the IQ scores with the NAA concentrations in the isthmus/splenium region indicates that more efficient inter-hemispheric data transfer between parieto-occipital cortices may enhance intellectual performance. (C) 2011 Elsevier Inc. All rights reserved