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Health Risks in Nursing Students' Clinical Applications
(Dokuz Eylul University, 2019) Günay İsmailoğlu E.; Özdemir H.; Erol A.; Zaybak A.
Background: In the health care system, the more easily measurable physical needs of the individual are addressed first, whereas the spiritual requirements are overlooked. It is difficult to measure because spiritual needs are more abstract and complex. When the literature is examined, it is seen that in our country there is no scale to determine the spiritual care needs of the patients. Objectives: The aim of this study was to determine the validity and reliability of the Turkish version of the Spiritual Care Needs Inventory. Methods: This methodological study was carried out at the internal medicine and surgical clinics of Ege University Medical Faculty Hospital between April and August 2016. The study's universe consisted of patients in internal medicine and surgical clinics. The sample of the study included 110 patients who agreed to participate in the study and who met the inclusion criteria. Results: The KGO value calculated to determine the scope coverage in the study is in the range of 3-4 points’ average. The factor loadings of the scale which is found to be composed of two factors as a result of explanatory factor analysis are between 0.41 and 0.88 for the first factor and between 0.33 and 0.90 for the second factor. The Cronbach alpha internal consistency coefficient of the scale is ? =.935. The item total score correlation of the complete scale and subgroups of the scale was found to be above r =.30. Conclusion: The Spiritual Care Need scale has been determined to be valid and reliable to determine the spiritual care needs of patients in Turkey. © 2019, Dokuz Eylul University. All rights reserved.
Investigating the role of organizational culture in the digitalization process: A critical analysis of the literature through co-word analysis
(Nova Science Publishers, Inc., 2023) Bilgiç E.; Aydoğan T.
This study investigates the role of organizational culture in the digitalization process across various dimensions. For this purpose, a literature review was conducted in two steps. Firstly, co-word analysis is employed to identify relevant keywords that highlight various dimensions of the relationship between organizational culture and the process of digitalization. Secondly, main themes and sub-themes were qualitatively extracted based on these keywords to illustrate important aspects of the digitalization process in relation to organizational culture. As a result of this investigation, the importance of cultivating a culture that enables a successful digital transformation by focusing on organizational readiness, resilience, and learning becomes evident. It was found that an adaptive and data¬driven culture encourages flexibility, innovation, and data-informed decision-making. Effective leadership, change management, and knowledge sharing were identified as vital managerial aspects. Employee engagement, collaboration, and a supportive culture were observed to have a positive impact on digital outcomes. It was determined that ethical considerations are shaped by an organizational culture that promotes transparency and integrity. Finally, it was understood that the value of sustainability enables organizations to integrate environmentally conscious practices into digitalization strategies. Overall, it was concluded that a culture embracing adaptability, communication, ethics, and sustainability is the key to navigate digitalization and achieve sustainable growth. © 2023 Nova Science Publishers, Inc. All rights reserved.
The use of artificial intelligence in human resource management: A basic evaluation through co-word analysis
(Nova Science Publishers, Inc., 2023) Değirmenciler D.
It is observed that the developments in the field of information communication and technology are effective in the digital transformation of HRM. The continuation of activities, functions, and processes related to HR with AI tools created an environment in which the workflows and design of new resource management processes were redesigned, and it was also reflected in the organizational dimension with the effects of transformation. For this reason, it is important to discover and learn the applications, effects, and dimensions of AI and its applications in HRM. The rapid spread of applications significantly affects research motivation. In this sense, research in the literature is new and is in the process of being discovered. This research aims to recognize and evaluate the use of AI in HRM by using the bibliometric research technique with Co-Word analysis. The analysis was carried out with 137 articles representing the literature after determining the elements to be excluded and included in the WoS search (ii) according to the selected keywords in the general framework (i). The main findings of the analysis indicate that the impact of AI applications and tools on HR will continue. It is a multidimensional perspective in understanding its impact and size. In the context of the organization, the need for innovation and transformation is felt for the next period. In future research, the impact size can be expanded and explored in various contexts for parties involved in human resource management. © 2023 Nova Science Publishers, Inc. All rights reserved.
A Review of Challenges and Recommendations for Novice EFL Teachers in Turkey
(Children Research Center, 2020) Akçor G.; Savaşçi M.
This qualitative systematic review synthesizes the challenges and recommendations for novice English as a foreign language (EFL) teachers in the Turkish context. To this end, this study reviewed the studies which investigated the challenges encountered by novice EFL teachers and the recommendations for dealing with these challenges. Empirical studies published between 2010 and 2020 and those that appeared in locally and internationally peer-reviewed indexed journals as well as theses and/or dissertations were searched thoroughly in the literature. Adhering to the steps of the systematic review process, nine studies which fit the predefined inclusion criteria were selected and meticulously examined. As a result of the analysis, the data were categorized under two main themes as challenges and recommendations. Specifically speaking, the analysis yielded two major themes related to common challenges novices face: professional and social adaptation challenges. Also, the overall analysis indicated recommendations in relation to pre-service teacher education and in-service teacher training. In the final section of the study, this review not only offers a discussion of challenges that novice EFL teachers experience but also provides future directions and implications for novice EFL teachers as well as all the stakeholders including mentors, teacher trainers, and school administrators. © 2020 Authors. All rights reserved.
INVESTIGATION USING FINITE ELEMENT ANALYSIS OF EFFECT TO EARRING OF ANISOTROPY PARAMETERS IN DEEP DRAWING PROCESS
(ModTech Publishing House, 2023) Gök K.; Taş H.; Gök A.; Alkan M.A.
The investigation mentioned focuses on utilizing finite element analysis to study the impact of anisotropy parameters on the behavior of earrings during the deep drawing process. deep drawing is a manufacturing technique used to transform flat sheet metal into three-dimensional shapes, and anisotropy refers to the directional dependence of material properties. by analyzing and understanding how anisotropy parameters affect the behavior of earrings during the deep drawing process, this investigation aims to provide valuable insights for optimizing the manufacturing process and enhancing the quality and durability of earrings. In this study, an Al6061-T6 sheet material with different planar anisotropies with a single thickness of 2 mm was employed to simulate the effects of anisotropy parameters on the earring by using finite element method. The effects of anisotropy parameters on the earring were examined by using FEM. Variations force obtained in ?r2 are higher than ?r1 . This is due to the anisotropy of the material. It can be said that the FEM simulations give reasonable results in view of earring for deep drawing processes. So, experimental costs can therefore be avoided using a suitable FEM model. © International Journal of Modern Manufacturing Technologies.
Relationship Between C-Reactive Protein, Uric Acid and Fibrinogen Levels and Insulin Resistance in Different Body Mass Indexes: Descriptive Research
(OrtadogÂŸu Reklam Tanitim Yayincilik Turizm Egitim Insaat Sanayi ve Ticaret A.S., 2023) Aksit M.; Zeytinli Aksit M.
Chronic inflammation in obesity is the main factor that increases insulin resistance by causing changes in insulin sensitivity. Our study aimed to investigate the relationship between insulin resistance and C-reactive protein (CRP), uric acid, and fibrinogen levels in different body mass indexes (BMI). Material and Methods: In our study, patients who applied to our hospital with the complaint of overweight in 2021-2022 were retrospectively analyzed, and 149 women aged 20 and over were included in the study. Glucose, uric acid, total cholesterol, high-density lipoprotein cholesterol, low-density lipoprotein cholesterol, triglyceride (TG), CRP, insulin, fibrinogen results, which were measured simultaneously with the height and weight measurements of the patients, were obtained from the laboratory information system. Results: The patients included in the study were 25 normal weight, 56 overweight, 53 obese and 15 morbidly obese according to BMI. The uric acid and TG levels of the overweight group were found to be significantly higher than the normal group (respectively; p=0.012, p=0.031), the CRP level of the morbidly obese group was found to be significantly higher than the normal, overweight, and obese groups (respectively; p<0.001, p<0.001, p=0.006). A significant positive correlation was found between Homeostatic Model Assessment for Insulin Resistance and CRP and uric acid (respectively; r=0.219, p=0.009; r=0.353, p<0,001). Conclusion: We think that uric acid levels in the early stage of obesity and CRP levels in the advanced stage may be a guide for insulin resistance and obesity-related diseases. 2146-9032 / Copyright © 2023 by Türkiye Klinikleri. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
The relationship between lymphedema, posture, respiratory functions, exercise capacity, and the quality of life after breast cancer treatment
(Wroclaw University of Health and Sport Sciences, 2023) Kutlu E.; Ergin G.; Alptuğ B.; Karadibak D.
Introduction. To evaluate the relationship between lymphedema, posture, respiratory functions, exercise capacity, and the quality of life after breast cancer treatment. Methods. This cross-sectional study consisted of 38 women who had unilateral breast cancer treatment. Pulmonary function with a spirometer, functional exercise capacity via a six-minute walk test, postural alignment changes, and quality of life were evaluated. Circumferential measurements were used to determine the severity of lymphedema. Results. The median age of the female participants was 53 years (range 40–64). The mean body mass index was 26.66 ± 2.96 kg/m2, of which 76% had lymphedema. The expected changes in posture were moderate. The mean of the 6-minute walking distance decreased, corresponding to 58.55% of normative values. MIP and MEP values were significantly lower than the expected values. An intermediate negative correlation was observed between postural changes and body mass index (r = –0.348; p = 0.05). More-over, there was a positive correlation between forced expiration volume and forced vital capacity values, and walking distance (p < 0.05). Conclusions. After breast cancer treatment, 76% of the female patients had lymphedema; the functional exercise capacity, MIP and MEP, were below the expected values. As functional capacity decreased, respiratory parameters were affected negatively. © Wroclaw University of Health and Sport Sciences.
The Impact of JAK2 Mutation on Thrombosis in Philadelphia Chromosome-Negative Chronic Myeloproliferative Neoplasms
(UHOD - Uluslararasi Hematoloji Onkoloji Dergisi, 2023) Arslan Kapuci A.; Tiglioglu P.; Hanci L.T.; Saat H.; Malkan U.Y.
Chronic myeloproliferative neoplasms (CMNs) are related to clonal over-proliferation of hematopoietic stem cells. Polycythemia vera,essential thrombocythemia and primary myelofibrosis are included in CMNs.An important complication of these diseases is thrombotic events. The relationship between Janus Kinase gene mutation and thrombosis in CMNs is still debated. Herein, we have aimed to investigate the impact of JAK2 mutation on thrombosis in philadelphia negative (Ph-) CMNs. The present study included 208 patients with Ph-CMNs who applied to the hematology clinic of Diskapi Yildirim Beyazit Training and Research Hospital for treatment and followed-up between 2013-2019. The patient data were retrospectively reviewed.Statistical analysis was performed with SPSS V.25.0. The statistical significance level was accepted as p< 0.05.Multivariate analysis was performed to the variables with p< 0.01 in the univariate analysis. When comparing the thrombosis and non-thrombosis groups in univariate logistic regression analysis, there was a borderline statistically significant difference in gender (p= 0.058) and statistically significant differences were found in the presence of diabetes mellitus (p= 0.001), hypertension (p< 0.001), hyperlipidemia (p= 0.025) and serum calcium (p= 0.028).According to multivariate logistic regression analysis,gender (p= 0.032), diabetes mellitus (p= 0.027),and serum calcium (p= 0.031) were found to be associated with thrombosis. When these three parameters were examined together, 94.2% sensitivity and 43.8% specificity were detected. The overall predictive accuracy for thrombosis was found to be 84.2%.Also there was statistically significant difference in sedimentation, C-reactive protein, AST levels and size of liver between the thrombotic and non-thrombotic patients in univariate analysis. There was no statistically significant relationship between the presence of JAK2 mutation (p= 0.637) and JAK2 allele burden (p= 0.885) with thrombosis. Cardiovascular risk factors were found to be related with thrombosis in Ph-CMNs rather than presence of JAK2 mutation or JAK2 allele burden. © 2023, UHOD - Uluslararasi Hematoloji Onkoloji Dergisi. All rights reserved.
The Effect of Health Literacy Level of Parents with 0-12 Years-Old Children on Perceptions of Rational Antibiotic Use
(Dokuz Eylul University, 2023) Pınar Gürkan K.
Background: Antibiotic resistance, which occurs as a result of incorrect and unnecessary use of antibiotics, is an important public health problem. Children’s antibiotic use is managed by their families. Objective: This study was carried out to the effect of the health literacy levels of parents with children aged 0-12 on rational antibiotic use. Methods: This descriptive and relational study was conducted with 708 parents in three Family Health Centers between December 2021-March 2022. Data were collected with descriptive information form, parental perceptions on antibiotics scale, health-literacy scale. Mean, t-test, one-way analysis of variance, pearson correlation, and regression analysis were used to evaluate the data. Results: Parents’ perception of rational antibiotic use is mostly related to health insurance (?=-6.57), mother’s education level (?=5.15), antibiotic use in the last year (?=1.78), place of residence (?=-1.47) and health literacy level (?). =.444). Conclusion: It was found that parents’ perceptions of rational antibiotic use were affected by health literacy levels and some socio-demographic characteristics. It is recommended that health literacy training be given to increase the rational antibiotic use perceptions of parents, especially in risk groups. © 2023, Dokuz Eylul University. All rights reserved.
Evaluation of Patients with COVID-19 Followed Up in Intensive Care Units in the Second Year of the Pandemic: A Multicenter Point Prevalence Study
(AVES, 2024) Güngör S.; Ediboğlu Ö.; Moçin Ö.Y.; Adıgüzel N.; Tunçay E.; İşcanlı İ.G.E.; Er B.
OBJECTIVE: A 1-day point prevalence study was planned to obtain country data by determining the clinical characteristics, follow-up and treatment methods of coronavirus disease 2019 (COVID-19) cases that required intensive care unit (ICU) treatment in the second year of the pandemic. MATERIAL AND METHODS: All patients who were hospitalized in the ICUs due to COVID-19 between March 11, 2022, 08.00 am, and March 12, 2022, 08.00 am, were included in the study. Demographic characteristics, intensive care and laboratory data, radiological characteristics, and follow-up results of the patients were recorded. RESULTS: A total of 811 patients from 59 centers were included in the study, 59% of the cases were male, and the mean age was 74 ± 14 years. At least one comorbid disease was present in 94% of the cases, and hypertension was the most common. When ICU weight scores were examined, Acute Physiology and Chronic Health Evaluation-II: 19 (15-27) and Sequential Organ Failure Assessment: 7 (4-10) were seen. Sepsis was present in 37% (n = 298) of cases. PaO2 /FiO2 ratios of the patients were 190 the highest and 150 the lowest and 51% of the cases were followed via invasive mechanical ventilation. On the study day, 73% bilateral involvement was seen on chest x-ray, and ground-glass opacities (52%) were the most common on chest tomography. There was growth in culture in 40% (n = 318) of the cases, and the most common growth was in the tracheal aspirate (42%). CONCLUSION: The clinical course of COVID-19 is variable, and ICU follow-up was required due to advanced age, comorbidity, presence of respiratory symptoms, and widespread radiological involvement. The need for respiratory support and the presence of secondary infection are important issues to be considered in the follow-up. Despite the end of the second year of the pandemic and vaccination, the high severity of the disease as well as the need for follow-up in ICUs has shown that COVID-19 is an important health problem. © Author(s).
Is Paranasal Sinus Computed Tomography Required before Every Septorhinoplasty Surgery?
(AVES, 2021) Aysel A.; Koç A.M.; Zorlu M.E.; Yıldırım O.; Muderris T.
Background: Septorhinoplasty is one of the most common surgical intervention for patients with nasal obstruction and nasal deformities. We aimed to determine the pathologies detected in the preoperative Paranasal Sinus Computed Tomography (PNS CT) in patients who have undergone septorhinoplasty, to compare the planned surgery with the surgical method performed after the CT scan and to determine the patients who should be preoperatively evaluated with PNS CT. Methods: In this retrospective study, a total of 100 patients who performed septorhinoplasty who had PNS CT scan due to nasal obstruction and nasal discharge symptoms were enrolled. Results: According to PNS CT, nasal septal deviation was mild in 51 patients, moderate in 21 patients, and severe in 28 patients. Concha bullosa was detected in 36 patients, and paradox concha was detected in four patients. Inferior turbinate fracture, lateralization, and submucosal cauterization were performed in 23 of 51 patients with inferior turbinate hypertrophy. In nine of the patients (9%) (n ¼ 3, functional endoscopic sinus surgery; n ¼ 6, concha bullosa lateral lamellar resection), the surgery plan was changed according to findings in PNS CT. Conclusion: If a sinonasal vegetative mass lesion is detected in nasal endoscopy, or the nasal cavity and nasopharynx cannot be evaluated with the endoscope due to severe deviation, middle turbinate obstructing the nasal cavity, and a complication of chronic sinusitis, PNS CT can be applied. © Author(s).
Course of Treatment of Chronic Bleeding and Anemia with Systemic Bevacizumab Treatment in Hereditary Hemorrhagic Telangiectasia: A Retrospective Cohort
(Turkiye Klinikleri, 2023) Durak E.; Uğur M.C.; Gediz F.
Objective: Hereditary hemorrhagic telangiectasia (HHT), is an autosomal dominant disorder that causes abnormal angiogenesis. Interest in targeted therapies has been increasing in recent years, especially for the treatment of severe forms of HHT. One of these treatment options is the vascular endothelial growth factor inhibitor bevacizumab. Purpose of this study is to investigate the effect of systemic bevacizumab use on the treatment of chronic bleeding course and anemia in patients diagnosed with HHT. Material and Methods: The treatment response and adverse events of patients with bevacizumab were evaluated retrospectively. Results: The mean age was 51,5. Mean duration of treatment was 15.4 (4-25 months) months. The first 4 doses of 5 mg/kg intravenous bevacizumab were administered at 2-week intervals in all patients. Bevacizumab maintenance continued at a dose of 5 mg/kg in monthly periods. With bevacizumab treatment, an increase in hemoglobin values, a decrease in epistaxis severity score, parenteral iron and erythrocyte transfusion requirement were achieved. Side effects observed were allergic rash in one patient and arthralgia in one patient. None of the patients required discontinuation of treatment due to side effects. Conclusion: Bevacizumab is a promising treatment option in HHT, which can be mortal if not controlled. However, there remains a need for more comprehensive studies in order to achieve a global consensus on treatment protocols and management of adverse events. © 2023 by Türkiye Klinikleri.
Good Death Perception in End-of-Life Care: Nursing Students Experience
(Dokuz Eylul University, 2022) Zorba Bahçeli P.; Çinar D.; Kiliç Akça N.
Background: One of the main goals of end-of-life care, which is defined as an approach that improves the quality of life of patients and their families in life-threatening diseases, is good death. Objectives: The sudy was carried out to determine the views of postgraduate nursing students working in end-of-life care on the perception of good death. Methods: The study was designed in qualitative type. Data were collected online through focus group interview method with 17 postgraduate nursing students actively working in end-of-life care between 10 October and 10 November 2020. In order to collect the data of the research, an introductory information form containing the socio-demographic characteristics of the students and a semi-structured interview form were used. Results: In the study, it was determined that the average age of postgraduate nursing students was 27.94 ± 3.39, 59% of them were women and the professional experience was five and a half years. All of the students stated that they did not receive vocational training on the concept of good death. Postgraduate nursing students indicated that although they are affected by the death of young patients, they become desensitized as their professional experience increases. Students identified good death; painless, saying goodbye to their loved ones until the last moment, avoiding unnecessary medical intervention, being in the preferred place and not creating a burden of care. Conclusion: As a result of the study, students described good death; painless, saying goodbye to their loved ones until the last moment, avoiding unnecessary medical intervention, being in the preferred place and not creating a burden of care, but it was determined that nurse numbers in the clinics and levels of knowledge were insufficient to achieve a good death. It can be recommended to integrate the courses that include the principles of good death into the nursing syllabus and to follow empowering in-house policies so that nurses can achieve good death in clinics. © 2022, Dokuz Eylul University. All rights reserved.
Did radiation exposure increase with chest computed tomography use among different ages during the COVID-19 pandemic? A multi-center study with 42028 chest computed tomography scans
(Galenos Publishing House, 2023) Coşkun M.; Çilengir A.H.; Çetinoğlu K.; Horoz M.; Sinci A.; Demircan, Betül; Uluç E.
PURPOSE To determine whether radiation exposure increased among different ages with chest computed tomography (CT) use during the coronavirus disease-2019 (COVID-19) pandemic. METHODS Patients with chest CT scans in an 8-month period of the pandemic between March 15, 2020, and November 15, 2020, and the same period of the preceding year were included in the study. Indications of chest CT scans were obtained from the clinical notes and categorized as infectious diseases, neoplastic disorders, trauma, and other diseases. Chest CT scans for infectious diseases during the pandemic were compared with those with the same indications in 2019. The dose-length product values were obtained from the protocol screen individually. RESULTS The total number of chest CT scans with an indication of infectious disease was 21746 in 2020 and 4318 in 2019. Total radiation exposure increased by 573% with the use of chest CT for infectious indications but decreased by 19% for neoplasia, 12% for trauma, and 43% for other reasons. The mean age of the patients scanned in 2019 was significantly higher than those scanned during the pandemic (64.6 vs. 50.3 years). A striking increase was seen in the 10–59 age group during the pandemic (P < 0.001). The highest increase was seen in the 20–29 age group, being 18.6 fold. One death was recorded per 58 chest CT scans during the pandemic. Chest CT use was substantially higher at the beginning of the pandemic. CONCLUSION Chest CT was excessively used during the COVID-19 pandemic. Young and middle-aged people were exposed more than others. The impact of COVID-19-pandemic-related radiation exposure on public health should be followed carefully in future years. © 2023, Turkish Society of Radiology. All rights reserved.
COMPARISON OF SOME COPPER COMPOUNDS IN TERMS OF THEIR INTERACTIONS WITH DNA USING AGAROSE GEL ELECTROPHORESIS, UV-ABSORBANCE AND FLUORESCENCE SPECTROPHOTOMETRY TECHNIQUES
(Malaysian Society for Biochemistry and Molecular Biology, 2023) Akanbong E.A.; Devrim A.K.; Şenol A.; Sudagidan M.
In this study, to investigate the interaction of genomic DNA with some copper compounds (CuSO4, CuCO3, and CuCl2) at various concentrations (1000 ?M, 500 ?M, 250 ?M, 125 ?M and 62.5 ?M); UV-absorbance spectrophotometry, agarose gel electrophoresis, and fluorescence spectrophotometry techniques were used. When the UV-spectrophotometry data were examined within the wavelength range of 220-320 nm, the hyperchromic effect of CuCl2 was evaluated to be proportional to its concentrations. Within the wavelength range, the copper compounds produced their strongest hyperchromic effect on the DNA at 1000 ?M. When the fluorescent spectrophotometry data were evaluated, the hypochromic effect of CuCl2 within the wavelength range of 400-700 nm was determined at 1000 ?M. CuSO4 showed a hypochromic effect at concentrations above 62.5 ?M. Also, it was observed that CuCO3 did not interact with DNA. According to the agarose gel electrophoresis findings, the copper compounds investigated decreased DNA band intensity as their concentrations increased. It was observed that the most significant decrease in band intensity was caused by CuCl2 at 1000 ?M. Again, it was observed that the copper compounds did not cause any cleavage in the genomic DNA within the concentration range 62.5-1000 ?M. Consequently, the copper compounds bind to DNA, most probably by non-intercalative mode. In this regard, they could have the potential to be used in the development of new therapeutic agents. Thence, conducting further studies on the interaction of the copper compounds with DNA, their possible DNA uncoiling activities, and also the investigation of these compounds in cancer cell lines will provide useful results. © 2023 Malaysian Society for Biochemistry and Molecular Biology. All rights reserved.
End of life care
(Nova Science Publishers, Inc., 2023) Bahceli P.Z.
Developments in diagnosis and treatment have led to an increase in chronic diseases and also in life expectancy. The incidence of chronic diseases requiring palliative care has also increased due to the growing elderly population; therefore, the need for end-of-life care has increased over the past decades. End-of-life care improves the quality of life for patients facing life-threatening illnesses. It aims to relieve physical symptoms, provide psychological, social and spiritual support, and fulfil the wishes of patients and families. © 2023 by Nova Science Publishers, Inc. All rights reserved.
FACTORS CAUSING COMPLICATIONS AND DISABILITY IN PATIENTS OPERATED FOR SPINAL STENOSIS WITH POSTERIOR DECOMPRESSION, INSTRUMENTATION AND FUSION
(Galenos Publishing House, 2023) Akdemir M.; Turan A.C.; Kiliç A.I.; Kurt C.; Çapkin S.
Objective: Spinal stenosis, characterized by spinal canal narrowing and neural structure compression, leads to debilitating symptoms and impacts quality of life. Surgical interventions for spinal stenosis are on the rise because of an aging population and advancing surgical techniques. However, complications can undermine outcomes. Understanding the factors contributing to complications is crucial for optimizing outcomes. This study aimed to identify complications and disability factors in patients undergoing posterior spinal instrumentation for spinal stenosis. Materials and Methods: Data from patients who underwent surgery for degenerative spinal stenosis were retrospectively analyzed. Factors including age, gender, cage usage, instability, and preoperative mobility were evaluated. Complications, including infection and adjacent segment degeneration, were documented. Statistical analysis was performed to identify correlations and significant differences. Results: Sixty four patients were included in the study. 79.7% of the patients were women. The mean follow-up time was 46.56 months. The study revealed correlations between preoperative mobility status and infection rates, with immobile patients at higher risk (p=0.034). Gender disparities were noted, with female patients exhibiting more functional disability (Oswestry score female 12.41, male 7.00, p=0.044). Cage usage correlated with worse outcomes (p=0.007), and spinal instability was associated with poorer functional scores (p=0.015). Complications were observed in 13 (20.3%) patients. Infection was detected in 5 patients, postoperative neurodeficiency in 2 patients, re-operation in 13 patients (20.3%), and adjacent segment degeneration in 9 patients (14.1%). Conclusion: Despite limitations, this study provides valuable insights into factors influencing complications and disability in spinal stenosis surgery. Tailoring interventions based on these findings could enhance patient outcomes. © 2023 The Author.
The Effect of White Noise and Brahms’ Lullaby on Pain in Infants during Intravenous Blood Draw: A Randomized Controlled Study
(InnoVision Communications, 2023) Midilli T.S.; Ergin E.
Objective • This study investigates the effects of white noise and Brahms’ lullaby in managing pain in infants who were administered with intravenous blood draws in a pediatric blood-sampling unit. Design • This study was an experimental, randomized controlled trial. Setting • This study was conducted on 0–12-month-old infants admitted to a pediatric blood-sampling unit of a university hospital in Turkey between July and October 2019. Participants • The sample comprised 59 infants 0–12 months of age. The infants were randomly assigned to three groups: (a) white noise, (b) Brahms’ lullaby, and (c) control. Outcome measures • We evaluated the pain of the infants according to the Neonatal Infant Pain Scale (NIPS). We measured their pain and crying time before, during, and after the procedure. Results • The means of the NIPS scores of the infants in the white noise and Brahms’ lullaby groups were lower than that of the control group before, during, and after the procedure. The means of the NIPS scores of the infants in the white noise and Brahms’ lullaby groups were significantly lower than that of the control group during and after the procedure (P <.05). The crying time of the infants in the white noise and Brahms’ lullaby groups were significantly lower than that of the control group after the procedure (P <.05). Conclusion • The white noise and Brahms’ lullaby used during the intravenous blood draw procedure reduced the pain of infants. © 2023, InnoVision Communications. All rights reserved.
Vaccination in Individuals with Multiple Sclerosis – Part II
(Turkish Neurosurgical Society, 2023) Piri Çınar B.; Tuncer A.; Bilge N.; Bünül S.D.; Gözübatık-çelik R.G.; Çiftçi E.D.; Genç G.
Multiple sclerosis (MS) is an autoimmune and demyelinating disease of the central nervous system. It is a chronic disease, and in the evaluation of all other health and vital processes, decisions about vaccination should be made considering the disease process and the medications used by the patient. Since vaccination can be performed at any stage of life, immune system activity should be reviewed in patients with MS except where it is characteristic of the vaccine. In this review, the applications of different vaccines in patients with MS are discussed in two separate sections (part 1 was published in the previous issue). © 2023 by the Turkish Neurological Society.
Vaccination in Individuals with Multiple Sclerosis – Part I
(Turkish Neurosurgical Society, 2023) Çınar B.P.; Tuncer A.; Bilge N.; Bünül S.D.; Gözübatık-çelik R.G.; Çiftçi E.D.; Genç G.
Multiple sclerosis (MS) is an autoimmune and demyelinating disease of the central nervous system. It is a chronic disease, and in the evaluation of all other health and vital processes, decisions should be made by considering the disease process and the drugs used by the patient. Since vaccination can be performed at every stage of life, from childhood to adulthood, immune system activity, except where it is characteristic of the vaccine, should be reviewed in patients with MS. In this review, the applications of different vaccines in individuals with MS are discussed in two separate sections. © 2023 by Turkish Neurological Society Turkish Journal of Neurology published by Galenos Publishing House.

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