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Öğe Hemşirelerin iş yaşam kalitesi ve etkileyen faktörlerin belirlenmesi(TR- Dizin, 2021) Tamer, Ezgi; Özturk, HavvaAmaç: Hastanede çalışan hemşirelerin iş yaşam kalitesini ve iş yaşam kalitelerini etkileyen faktörleri belirlemektir. Yöntem: Araştırmanın evrenini, Trabzon’daki kamu ve üniversite hastanelerinde çalışan toplam 1752 hemşire oluştururken, örneklemini hastanelere göre tabakalı örnekleme yöntemiyle seçilen 315 hemşire oluşturmuştur. Veriler; bilgi formu, hemşirelik iş yaşam kalitesi ölçeği ile toplanmış, ANOVA, t-testi, korelasyon ve regresyon testi ile analiz edilmiştir. Bulgular: Hemşirelerin %57.8’i lisans/lisansüstü eğitime sahip, %77.1’i 4A kadrosunda ve %58.7’si kamu hastanelerinde çalışmaktadır. Hemşirelerin iş yaşam kalitesi ölçeğinden aldıkları toplam puan 2.85±0.46’dır. Ayrıca 6-10 yıl arasında mesleki deneyime sahip, dahili ve cerrahi servislerde çalışan, mesleğinden ve çalıştığı kurumdan memnun olmayan, iş yaşam kalitelerini genel olarak kötü bulan ve yönetici-ast ilişkilerini iş yaşam kalitesi faktörü olarak değerlendiren hemşirelerin toplamda iş yaşam kalitesi ölçek puanları diğerlerinden daha düşüktür ve bu bulgular istatistiksel olarak anlamlıdır (p<0.05). Özellikle hemşirelerin çalıştıkları kurumdan (ß=- 12.231) ve meslekten (ß=-7.136) memnun olmadıklarını belirtmeleri, iş yaşam kaliteleri üzerinde olumsuz etkiye sahiptir (F=35.379; p=0.000<0.05). Sonuç: Hemşirelerin iş yaşam kalite düzeyleri orta düzeydedir. Özellikle çalışılan kurumdan ve hemşirelikten memnun olmamak hemşirelerin iş yaşam kalite düzeyleri üzerinde olumsuz algıya neden olmaktadır.Öğe Fresh versus frozen-thawed blastocyst transfer in high responders(Via Medica, 2018) Kalem, Ziya; Namlı Kalem, Müberra; Ruso, Halil; Bakirarar, Batuhan; Gurgan, TimurObjectives:This study aimed to investigate and compare the pregnancy and live birth rates in IVF cycles of frozen-thawed embryo transfers and fresh embryo transfers in a group of women with a high risk of Ovarian hyperstimulation syndrome (OHSS). Material and methods: The study group consisted of 254 women with a high level of response to controlled ovarian hyperstimulation. The patients who received fresh cycle embryo transfers with calcium infusions are referred to as the Fresh Ca+ group, and those without the calcium therapy are called the Fresh Ca- group; and we used correspondingly similar terminology for the Frozen group. Results: We observed no statistically significant differences between the cycles of fresh and frozen-thawed embryo transfers in patients with a high risk of OHSS in terms of implantation, clinical pregnancy, and live birth rates. Furthermore, these implantation, clinical pregnancy and live birth rates were not different in the cycles with or without calcium treatment. There was no statistical difference in the OHSS rates between the fresh and frozen-thawed cycles; although, the OHSS rates were less in the two calcium infusion groups (Fresh Ca+ and Frozen-thawed Ca+) than in the without-calcium group.There was no OHSS development in the subjects of the Frozen-thawed Ca+ group. Conclusions: Our study results suggest that fresh and frozen-thawed embryo transfers have similar IVF results in patients with a high risk of OHSS. Calcium infusion is beneficial in preventing OHSS without altering pregnancy rates. Both IVF protocols with calcium infusion can safely be applied in high-responder patients without lowering success rates.Öğe Neutrophil/lymphocyte ratio and echocardiographic parameters in suspected acute coronary syndrome(Aves Press Ltd, 2018) Temrel, Tuğba Atmaca; Günaydın, Gül Pamukçu; Gökhan, Servan; Özhasenekler, Ayhan; Çelik, Gülhan Kurtoğlu; Coşkun, Selçuk; Atmaca, FatihBACKGROUND/AIMS The aim of this study is to evaluate the relationship between the neutrophil-lymphocyte ratio and echocardiographic parameters and the role of these in predicting critical coronary stenosis requiring urgent intervention in patients with suspected acute coronary syndrome. MATERIAL AND METHODS This is a prospective, observational, analytical clinical study. A total of 88 patients who were hospitalized in the cardiology department with the suspicion of acute coronary syndrome were included in the study. All the patients underwent echocardiography and angiography. Of those, 24 patients had no critical stenosis requiring coronary intervention, and they were assigned to the control group. RESULTS The ratio of patients with critical coronary stenosis on angiography was 72.7% (n=64). The median neutrophil/lymphocyte ratio value was 2.78 in the patient group and 2.42 in the control group; the difference was not statistically significant (P=0.38). There were no significant differences between the systolic/diastolic septum and posterior wall thicknesses of the patients depending on whether critical stenosis. CONCLUSION We did not find any statistically significant relation between neutrophil/lymphocyte ratio and echocardiographic parameters and critical stenosis. Although no critical stenosis that required intervention was identified in these patients, coronary stenosis and plaque in varying degrees were observed.Öğe Successful retrograde visualization and recanalization of chronic ostial occlusion of the left main coronary artery via a saphenous vein graft with the drilled balloon technique(Sage Publications Ltd, 2019) Balaban, Yakup; Elevli, Murat GucluWe are representing a case of successful retrograde recanalization of a chronic ostial occlusive lesion of the left main coronary artery (LMCA) via a saphenous vein graft. A 70-year-old male patient, with a history of previous (3 years ago) coronary artery bypass surgery, was evaluated with coronary angiography because of his recent anginal symptoms. Left main coronary artery could not be visualized from the aortic root. It could be visualized with drilled balloon technique which was introduced retrogradely from a saphenous vein graft, and the chronic ostial lesion of the LMCA could be treated with balloon dilatation and stenting. Coronary occlusions can be treated retrogradely via the native collaterals and grafts. The coronaries that are not visualized with an antegrade fashion can be visualized with a retrograde way with the drilled balloon introduced through a patent graft. We could not find any publication about this technique on the web-based research. When encountered with a totally occluded ostial lesion of the LMCA, that cannot be visualized even from the aortic root, it may be tried to be visualized through a patent graft retrogradely. This is a safe and reliable method in patients with a total occlusion of the LMCA who also have a patent saphenous vein graft.Öğe XEN gel stent versus trabeculectomy: short-term effects on corneal endothelial cells(SAGE Publications Ltd, 2020) Olgun, Ali; Düzgün, Eyüp; Mavi Yıldız, Ayşegül; Atmaca, Fatih; Yıldız, A. Atakhan; Şendul, S.YektaPurpose: To compare the short-term changes in corneal endothelial cells after trabeculectomy or XEN Gel Stent implantation. Design: Prospective, interventional, comparative study. Methods: Changes in corneal endothelium in patients that underwent XEN Gel Stent implantation or trabeculectomy were prospectively evaluated. Eighty eyes of 62 diagnosed with open-angle glaucoma were divided into two the trabeculectomy and XEN Gel Stent groups. Corneal specular microscopy was performed at the central cornea using a noncontact specular microscope preoperatively and 3 months after surgery. Results: The baseline mean corneal endothelial cell density in the trabeculectomy group was 2390.3 ± 324.8 cells/mm2, and this was significantly reduced to 2148 ± 352.5 cells/mm2 3 months after surgery, representing a cell loss of 10.0% (p < 0.001). The baseline mean corneal endothelial cell density in the XEN Gel Stent group was 2156.2 ±559.7 cells/mm2, and this was significantly reduced to 2098.4 ± 556.2 cells/mm2 3 months after surgery, representing a cell loss of 2.1% (p = 0.002). The corneal endothelial cell density change rate of the trabeculectomy group (?10.0% ± 9.7%) was statistically higher than the XEN Gel Stent group (?2.1% ± 13.8%) (p = 0.002). A statistically significant difference was observed in the trabeculectomy group between the baseline and postoperative values in the coefficient of variation (p = 0.029). Conclusion: Trabeculectomy caused more endothelial cell damage than XEN Gel Stent implantation in the short-term follow-up period. The XEN Gel Stent may be the treatment of choice in patients with a significantly low preoperative corneal endothelial cell density. © The Author(s) 2020.
