Unilateral Absence of the Pulmonary Artery Incidentally Found in Adulthood

Unilateral absence of the pulmonary artery (UAPA) or pulmonary artery agenesis is a rare congenital disorder presenting with a wide spectrum of symptoms. UAPA is usually associated with cardiac anomalies and surgically treated in childhood. We report a rare case of a 50-year-old woman who was diagnosed with left pulmonary artery agenesis without any other cardiac anomalies. Clinicians should be aware of the possibility of undiagnosed cases of UAPA in patients through a chest radiograph that suggests the diagnosis. Confirmation of the diagnosis and anatomic details can be discerned by CT scanning

Smoking Among Patients Who Applied to Family Practice Outpatients of an Hospital: Ankara Sample

Objective: The aim of this study was to investigate the relationship between the socio-demographic variables and nicotine dependence levels of the patients who applied to the Family Medicine Outpatient Clinic. Methods: The convenience sampling method was used in this cross-sectional quantitative research. This research was carried out at Dışkapı Yıldırım Beyazıt Training and Research Hospital Family Medicine Polyclinic between 01.02.2018 and 01.04.2018. Among the patients who applied to the outpatient clinic, interviews were conducted with those who accepted to participate in the study. The researchers obtained the data from the patients face to face. Demographic data form and Fagerstrom Nicotine Addiction Test (FNBT) were used for data collection. The data obtained were analyzed by SPSS v. 20 program and the purpose of the study was examined. Continuous variables are expressed as mean or standard deviation, categorical variables are expressed as frequency and percentage. p<0.05 value was determined as the significance level. Results: During the interviews with 177 patients; 97 (54.8%) male and 80 (45.2%) female. The mean age of the patients was 39 and there was no significant difference between the genders. Eight of the patients (46.9%) had never smoked, 26 (14.7%) had previously smoked, but 66 (37.3%) had been smoking and 2 had passive smoking. stated. The mean age of starting smoking was 18 and there was no significant difference between the genders (p> 0.05). There was no significant difference in nicotine dependence scores between males and females (p> 0.05). Of the 66 patients who were smoking, 25% were mildly nicotine-dependent, 36.4% were moderate nicotine-dependent, 34.8% were severe nicotine-dependent and 3% were very severe nicotine-dependent. A significant relationship was found between sex and smoking status and males were more frequently compared to females (p <0.05). There was a correlation between daily smoking and smoking age. There was no significant relationship between sex and daily smoking (p> 0.05). While 72% of smokers thought to quit smoking, 28% stated that they did not intend to quit. Conclusion: İn this study where smoking status of the patients were examined there was no significant difference between sex and addiction level in this study. When smoking intensity is observed among males and females, smoking is more common among males. While 60% of men smoke, this rate is 26% in women. The majority of smokers stated that they wanted to leave

The Relationship Between Anxiety, Coping Strategies and Characteristics of Patients with Hypertension

Objective:The aim of this study was to explore and define the trait anxiety levels of hypertension patients, their coping strategies, socio-demographic characteristics, and the relationship between anxiety and coping strategies.Materials and Methods: In the study, 20-item Trait Anxiety Scale (STAI TX-2) was used to measure the level of anxiety and a 28-item Brief Cope which scale developed by Carver et al. (1989) was used to measure coping strategies. Results:The sample of the study consisted of 147 people diagnosed with hypertension who were treated in Ankara Dışkapı Yıldırım Beyazıt Training and Research Hospital. The mean age was 61.16 (SD = 10.52), with a range from 34 to 89 years. The majority of the participants were female (57.1%). In the research, 95.9% of the participants (n = 141) exceeded the 42 points with trait anxiety threshold. Acceptance and religion, were the most frequently used problem-focused coping strategies. On the other side, self-distraction and self-blame were the most frequently used emotion-focused coping strategies. Conclusion:Significant correlations were found between socio-demographic and health characteristics, anxiety and coping strategies. The findings point to the importance of considering individual coping strategies when evaluating the impact of hypertension on psychosocial well-being

Differences between rural and urban primary care units in Turkey: Implications on residents′ training

Context: Family practice training takes place at primary care based training centers linked to Education and Research State Hospitals in Turkey. There is a discussion if these units are adequate to train primary care staff and if the patients of these units reflect the applicants of primary care. Aims: The aim of our study is to investigate the demographic characteristics, the effect of distance on primary care utilization, and most common diagnosis of the patients who applied to two different outpatient clinics: One urban and one rural. Settings and Design: Study was conducted from the electronic health records of the patients applied to outpatient clinics of Ankara Diskapi Yildirim Beyazit Training and Research Hospital Department of Family Medicine between 1 January and 31 December 2009. Results: Total number of patients applied to both of the outpatient clinics was 34,632 [urban clinic: 16.506 (47.7%), rural clinic: 18.126 (52.3%)]. Leading three diagnoses were upper respiratory tract infection (URTI), general medical examination (GME), and hypertension (HT) in the most common 10 diagnosis. Conclusion: In our study, the rural outpatient clinic is regarded as a primary care unit in the neighborhood of living area and the urban clinic as close to working environment. We found statistically meaningful differences in most common diagnosis, gender, age, and consultation time between the rural and urban clinics. According to our results, family practitioners′ field training should take place at different primary care units according to sociodemographic characteristics of each country

KINETIC CHARACTERIZATION OF GAGCE PHOSPHOR

DergiPark: 338649klujesThermoluminescence (TL) kinetic characterization of cerium (Ce3+)doped gadolinium aluminum garnet (GAG) prepared bywet chemical synthesis method arepresented in this study. Thermoluminescenceglow curve of GAG phosphor after UV irradiated has two peaks at about 350 and 501K with a heating rate of 2 Ks-1. Thermoluminescence kinetic parameters such asorder of kinetics, frequency factor and activation energy associated with the mainglow peak of the GAG:Ce phosphor have been calculated using various heatingrates (VHR) computerized glow curve deconvulation (CGCD) and  peak shape (PS) methods in this study. Theactivation energies obtained by VHR, PS and CGCD methods are calculated to be1.24, 1.11 and 1.14 eV, respectively. The frequency factors attained by these methodswere found as 3.41x1011, 1.80x1010 and 2.63x1010s-1, respectively. Results acquired using all methods are discussed andcompared.Buçalışmada, ıslak kimyasal sentez metodu ile hazırlanmış seryum (Ce+3)katkılı gadolinyum alüminyum garnetin termolüminesans (TL) kinetikkarakterizasyonu sunulmuştur. UV ile ışınlanmasının ardından GAG fosforunun, termolüminesansışıma eğrisi 2 Ks-1ısıtma hızı ile yaklaşık olarak 350 ve 501 K de iki pike sahiptir. ÇalışmadaGAG:Ce fosforunun ana ışıma piki (501 K) ile ilişkili kinetik derece, frekansfaktörü ve aktivasyon enerjisi gibi termolüminesans kinetik parametreleri,çeşitli ısıtma hızları (VHR), bilgisayarlı ışıma eğrisi dekonvulasyonu (CGCD)ve pik şekli (PS) metotları ile hesaplanmıştır. VHR, PS ve CGCD metotları ile elde edilen aktivasyon enerjileri sırasıyla 1,24,1,11 ve 1, 14 eV olarak hesaplanmıştır. Bu metotlarla ulaşılan frekansfaktörleri 3,41x1011, 1,80x1010 ve 2,63x1010 s-1olarak bulunmuştur. Tüm metotlardan elde edilen sonuçlar kıyaslanmış vetartışılmıştır

GAG:CE Fosforunun Kinetik Karakterizasyonu

Thermoluminescence (TL) kinetic characterization of cerium (Ce^+3) doped gadolinium aluminum garnet (GAG) prepared by wet chemical synthesis method is presented in this study. Thermoluminescence glow curve of GAG phosphor after UV irradiation has two peaks at about 350 and 501 K with a heating rate of 2 Ks^-1. Thermoluminescence kinetic parameters such as order of kinetics, frequency factor and activation energy associated with the main glow peak of the GAG:Ce phosphor have been calculated using various heating rates (VHR) computerized glow curve deconvulation (CGCD) and peak shape (PS) methods in this study. The activation energies obtained by VHR, PS and CGCD methods were calculated as 1.24, 1.11 and 1.14 eV, respectively. The frequency factors attained by these methods were found as 3.41x10^11, 1.80x10^10 and 2.63x10^10 s^-1, respectively. Results acquired using all methods are discussed and compared.Bu çalışmada, ıslak kimyasal sentez metodu ile hazırlanmış seryum (Ce^+3) katkılı gadolinyum alüminyum garnetin termolüminesans (TL) kinetik karakterizasyonu sunulmuştur. UV ile ışınlanmasının ardından GAG fosforunun, termolüminesans ışıma eğrisi 2 Ks^-1 ısıtma hızı ile yaklaşık olarak 350 ve 501 K de iki pike sahiptir. Çalışmada GAG:Ce fosforunun ana ışıma piki (501 K) ile ilişkili kinetik derece, frekans faktörü ve aktivasyon enerjisi gibi termolüminesans kinetik parametreleri, çeşitli ısıtma hızları (VHR), bilgisayarlı ışıma eğrisi dekonvulasyonu (CGCD) ve pik şekli (PS) metotları ile hesaplanmıştır. VHR, PS ve CGCD metotları ile elde edilen aktivasyon enerjileri sırasıyla 1,24, 1,11 ve 1,14 eV olarak hesaplanmıştır. Bu metotlarla ulaşılan frekans faktörleri 3,41x10^11, 1,80x10^10 ve 2,63x10^10 s^-1 olarak bulunmuştur. Tüm metotlardan elde edilen sonuçlar kıyaslanmış ve tartışılmıştır