Medicine and Health Sciences Commons^™

Treatment Results In Patients With Ductal Carcinoma In Situ Treated With Adjuvant Radiotherapy, Zeli̇ha Güzelöz Çapar, Lütfi̇ye Zümre Arican Alicikuş, Nesri̇n Aktürk, Meri̇h Güray Durak, Ali̇ İbrahi̇m Sevi̇nç, Pinar Balci, İlknur Görken

Turkish Journal of Medical Sciences

Background/aim: The aim of this study was to evaluate the treatment results of patients undergoing adjuvant radiotherapy (ART) after breast surgery with the diagnosis of ductal carcinoma in situ (DCIS).Materials and methods: A total of 61 women who had undergone radiotherapy following extensive surgical excision were enrolled. All patients underwent 50 Gy ART. Survival analysis was performed using Kaplan?Meier analysis and SPSS 20.0.Results: The median age was 52 years (range: 28?86). The median follow-up period after RT was 92 months (range: 23?237). The median overall survival and distant and regional recurrence-free and disease-specific survival was 96 months (range: 26?240), while …

Bloodstream Infections In Pediatric Hematology/Oncology Patients: Six Years? Experience Of A Single Center In Turkey, Tuğçe Tural Kara, Tuğba Erat, Aysun Yahşi̇, Hali̇l Özdemi̇r, Di̇lber Tali̇a İleri̇, Eli̇f İnce, Nurdan Taçyildiz, Emel Ünal, Ergi̇n Çi̇ftci̇, Erdal İnce

Turkish Journal of Medical Sciences

Background/aim: Bloodstream infections are the major cause of morbidity, increased cost, prolonged hospitalization, and mortality in pediatric patients. Identifying the predominant microorganisms and antimicrobial susceptibilities in centers helps to select effective empirical antimicrobials which leads to positive clinical outcomes. We aimed to identify the causative microorganisms and their antimicrobial susceptibilities in patients with bloodstream infections.Materials and methods: Data belonging to patients with hematological and/or oncological diseases admitted to our hospital with fever between January 2010 and November 2015 were analyzed. Results: In total, 71 patients who had 111 bloodstream infection episodes were included. Responsible pathogens were detected as follows: 35.1% …

Effect Of Parathyroidectomy On Epicardial Fat Thickness As A Cardiovascular Risk Factor In Patients With Primary Hyperparathyroidism, Muhammed Kizilgül, Mustafa Çalişkan, Selvi̇han Beysel, Mustafa Özbek, Erman Çakal

Turkish Journal of Medical Sciences

Background/aim: Several studies demonstrated that primary hyperparathyroidism is related to increased risk for cardiovascular diseases (CVDs), and risk is decreased by parathyroidectomy. Epicardial fat thickness (EFT) has been postulated as a new marker of CVD risk. We evaluated the impact of parathyroidectomy on EFT in patients with primary hyperparathyroidism (PHPT).Materials and methods: Thirty-four PHPT patients (29 female, 5 male) and 28 age- and sex-matched controls (19 female, 9 male) were included in the study. Demographic, anthropometric, and biochemical data were recorded both before parathyroidectomy and 6 months after the procedure. Epicardial fat thickness was measured by transthoracic echocardiography.Results: Mean age …

Comparison Of Inferior Vena Cava Collapsibility, Distensibility, And Delta Indices At Different Positive Pressure Supports And Prediction Values Of Indices For Intravascular Volume Status, Aykut Saritaş, Çi̇ler Zi̇nci̇rci̇oğlu, Peli̇n Uzun Saritaş, Uğur Uzun, Işil Güldoğan, Ni̇met Şenoğlu

Turkish Journal of Medical Sciences

Background/aim: To compare the inferior vena cava (IVC) indices, identify their variation rates at positive pressure values and accurate predictive values for the volume status in patients with spontaneous respiration receiving different positive pressure support.Material and methods: The study included 100 patients who were divided into 4 pressure support groups, according to the different pressure supports received, and 3 volume groups according to their CVP values. Ultrasonography was applied to all of the patients to define their IVC diameters at different pressure supports. Dynamic parameters were derived from the ultrasonographic assessment of the IVC diameter [collapsibility (CI-IVC), distensibility (dIVC), and …

A Promising Method For The Salvage Of Thrombosed Native Hemodialysis Fistulas: Percutaneous Ultrasound-Guided Thrombolytic Injection, Hasanali̇ Durmaz, Erdem Bi̇rgi̇

Turkish Journal of Medical Sciences

Background/aim: It was aimed to describe the technical aspects and outcomes of percutaneous ultrasound-guided recanalization of thrombosed hemodialysis fistulas by thrombolytic injection.Materials and methods: A retrospective review was performed on patients with thrombosed native hemodialysis fistula who were treated using the percutaneous ultrasound-guided thrombolytic agent injection technique at the interventional radiology department. A total of 17 patients [7 women (41.2%) and 10 men (58.8%)] were included in this study. All of the data, including demographic information and clinical findings, were obtained from the patients? medical records and follow-up form of the procedure.Results: The mean fistula age was 5.6 years (range: …

The Effects Of Cervical Kinesiotaping On Neck Pain, Range Of Motion, And Disability In Patients Following Thyroidectomy: A Randomized, Double-Blind, Sham-Controlled Clinical Trial, Aysun Genç, Süleyman Utku Çeli̇k, Volkan Genç, Derya Öztuna, Bi̇rkan Sonel Tur

Turkish Journal of Medical Sciences

Background/aim: This was a randomized, double-blind, sham-controlled study.Thyroidectomy is a frequently performed surgical procedure and head and neck extension during this operation facilitates surgery. Patients may experience postoperative neck pain and cervical range of motion (ROM) limitation due to the surgical position following thyroidectomy. It was aimed herein to investigate the short-term effects of kinesiotaping(KT) applied to the cervical spine on neck pain, ROM, and disability in patients following thyroidectomy. Materials and methods: A total of 74 patients were randomly assigned to be treated with either KT (Group 1, n = 37) or sham taping (Group 2, n = 37) …

Risk Factors For Bacteremia In Children With Febrile Neutropenia, Soner Sertan Kara, Hasan Tezer, Meltem Polat, Burcu Ceylan Cura Yayla, Tuğba Bedi̇r Demi̇rdağ, Arzu Okur, Ali̇ Fettah, Sali̇ha Kanik Yüksek, Anil Tapisiz, Zuhre Kaya, Namik Özbek, İdi̇l Yeni̇cesu, Hüsni̇ye Neşe Yarali, Ülker Koçak

Turkish Journal of Medical Sciences

Background/aim: Bacteremia remains an important cause of morbidity and mortality during febrile neutropenia (FN) episodes. We aimed to define the risk factors for bacteremia in febrile neutropenic children with hemato-oncological malignancies. Materials and methods: The records of 150 patients aged ?18 years who developed FN in hematology and oncology clinics were retrospectively evaluated. Patients with bacteremia were compared to patients with negative blood cultures.Results: The mean age of the patients was 7.5 ± 4.8 years. Leukemia was more prevalent than solid tumors (61.3% vs. 38.7%). Bacteremia was present in 23.3% of the patients. Coagulase-negative staphylococci were the most frequently isolated …

The Role Of Multislice Computerized Tomography Angiography In Assessing Postoperative Vascular Complications In Liver Transplant Patients, Yaşar Türk, Artür Salmaslioğlu, Hadi̇ Sasani̇

Turkish Journal of Medical Sciences

Background/aim: Vascular complications can be detected in liver transplant patients. Digital subtraction angiography has served as the gold standard to make this diagnosis; however, due to its invasive nature, ultrasonography is used for the preliminary evaluation. The purpose of this study was to evaluate the role of multislice computerized tomography angiography (MSCTA) in the detection of vascular complications of symptomatic and asymptomatic liver transplant patients and to compare the results with Doppler ultrasound (Doppler US) findings. Materials and methods: Fifty-three liver transplant patients (6 symptomatic, 47 asymptomatic) underwent Doppler US examination followed by an MSCTA. The findings in each modality …

Validity And Reliability Of The Turkish Version Of The Cold Intolerance Symptom Severity Questionnaire, Nurten Gi̇zem Tore, Mesken Gümüşsoy, Deran Oskay

Turkish Journal of Medical Sciences

Background/aim: The aim of this study was to determine validity and reliability of the Turkish version of the Cold Intolerance Symptom Severity (CISS-T) Questionnaire. Materials and methods: The translation and back translation steps of the study were based on the Beaton guidelines. Sixty-eight patients between 18 and 65 years old with cold intolerance after amputation, replantation, multiple crush syndrome, and peripheral nerve injury were included in the study. Patients completed the Disabilities of the Arm, Shoulder, and Hand Questionnaire (DASH), the SF-36 Quality of Life Questionnaire, and the single questions assessing the cold sensitivity and cold intolerance once and the …

Intensive Care Psychological Assessment Tool (Ipat): Turkish Validity And Reliability Study, Berker Duman, Zeynep Kotan, Vahap Ozan Kotan, Nevzat Mehmet Mutlu, Beyza Doğanay Erdoğan, Damla Sayar Akaslan, Safi̇ye Zeynep Tatli, Hakan Kumbasar

Turkish Journal of Medical Sciences

Background/aim: It is of crucial importantance to be able to detect acute psychological distress in patients. The Intensive Care Psychological Assessment Tool (IPAT) was developed for this purpose in intensive care units. This study aims to evaluate the validity and reliability of the Turkish version of IPAT.Materials and methods: In total, 98 patients were included. To assess concurrent validity, the Intensive Care Experiences Scale (ICES) and the Hospital Anxiety Depression Scale were performed. Cronbach?s alpha coefficient was used to estimate internal consistency. Interitem and item-total score correlations were also performed. Sensitivity and specificity were derived for concurrent anxiety and depression.Results: …

Validity And Reliability Study Of The Turkish Version Of The Hand20 Questionnaire, Nurten Gi̇zem Tore, Deran Oskay

Turkish Journal of Medical Sciences

Background/aim: This study aimed to translate and validate the Turkish version of the Hand20 questionnaire.Materials and methods: Patients who had upper extremity involvement and stable symptoms for the previous 4 weeks in their upper extremities were included in the study. Patients who were illiterate or used a splint during the day were excluded from the study. Participants completed the Turkish version of the Disabilities of the Arm, Shoulder, and Hand (DASH-T) questionnaire once and the final version of the Hand20 questionnaire twice in a 7-day interval. Internal consistency and reliability of the questionnaire was assessed. Moreover, correlations between Hand20 and …

Additional Effects Of Erythropoietin Pretreatment, Ischemic Preconditioning, And N-Acetylcysteine Posttreatment In Rat Kidney Reperfusion Injury, Mohammed Elshiekh, Mehri Kadkhodaee, Behjat Seifi, Mina Ranjbaran

Turkish Journal of Medical Sciences

Background/aim: Since the nature of ischemia/reperfusion (IR)-induced tissue damage is multifactorial and complex, in the current study, the effects of multiple treatment strategies via concomitant administration of erythropoietin (EPO) and N-acetylcysteine (NAC) with an ischemic preconditioning (IPC) regimen on renal IR injury were examined.Materials and methods: Thirty male Wistar rats were subjected to bilateral occlusion of the renal pedicles for 50 min followed by reperfusion. EPO (1000 IU/kg) was administered for 3 days, as well as IPC before the IR and NAC (150 mg/kg) administration for 4 days after IR. The animals were randomly allocated into 6 groups (n = …

Genetic Predictors Of Match Performance In Sub-Elite Australian Football Players: A Pilot Study, Ysabel Jacob, Paola Chivers, Ryan S. Anderton

Health Sciences Papers and Journal Articles

The current study aimed to determine whether previously identified candidate polymorphisms were associated with match performance in sub-elite Australian Rules Football (ARF) players. The genotypes of thirty players were analysed along with 3x1-kilometre time trial results, ARF-specific skill assessments (handball and kicking), and match performance (direct game involvements) per minute (DGIs/min) to investigate if there was a relationship between any of the variables. Results support previous findings that aerobic time trials are a significant predictor of DGIs/min in sub-elite ARF players. Significant associations were found for genotypes ADRB2 CC (p = .001), PPARGC1A AA (p = .001), PPARGC1A …

Validity Of The Falls Risk For Older People In The Community (Frop‑Com) Tool To Predict Falls And Fall Injuries For Older People Presenting To The Emergency Department After Falling, Marlon Mascarenhas, Keith D. Hill, Anna Barker, Elissa Burton

Health Sciences Papers and Journal Articles

The aims of this study were to (1) externally validate the accuracy of the Falls Risk for Older People in the Community (FROP-Com) falls risk assessment tool in predicting falls and (2) undertake initial validation of the accuracy of the FROPCom to predict injurious falls (requiring medical attention) in people aged ≥ 60 years presenting to emergency departments (EDs) after falling. Two hundred and thirteen participants (mean age = 72.4 years; 59.2% women) were recruited (control group of a randomised controlled trial). A FROP-Com assessment was completed at a home visit within 2 weeks of ED discharge. Data on falls …

The Peer Experience For Older People Encouraging Other Older People To Engage In Resistance Training: A Qualitative Study, Elissa Burton

Health Sciences Papers and Journal Articles

Resistance training (RT) can maintain and improve physical and mental health in 2 older adults, but this population has low levels of participation in RT. Linking older people 3 already participating in RT (i.e. peers) with those who have not may promote and maintain 4 adherence to RT participation. This qualitative study explored the experience of peers in 5 encouraging participation in RT among older community-dwelling adults. Data were collected 6 using focus groups, researcher observations, and semi-structured interviews. Thematic 7 analysis was conducted. Older people (n=8) who had engaged in RT for at least two months 8 prior to …

The Association Between Hysterectomy And Ovarian Cancer Risk: A Population-Based Record-Linkage Study, Suzanne C. Dixon-Suen, Penelope M. Webb, Louise F. Wilson, Karen Tuesley, Louise M. Stewart, Susan J. Jordan

Health Sciences Papers and Journal Articles

Background: Recent studies have called into question the long-held belief that hysterectomy without oophorectomy protects against ovarian cancer. This population-based longitudinal record-linkage study aimed to explore this relationship, overall and by age at hysterectomy, time period, surgery type, and indication for hysterectomy.

Methods: We followed the female adult Western Australian population (837 942 women) across a 27-year period using linked electoral, hospital, births, deaths, and cancer records. Surgery dates were determined from hospital records, and ovarian cancer diagnoses (n¼1640) were ascertained from cancer registry records.We used Cox regression to estimate hazard ratios (HRs) and 95% confidence intervals (CIs) for the …

Does Exercise Impact Gut Microbiota Composition In Men Receiving Androgen Deprivation Therapy For Prostate Cancer? A Single-Blinded, Two-Armed Randomised Controlled Trial, Robert U. Newton, Claus T. Christophersen, Ciaran M. Fairman, Nicolas H. Hart, Dennis R. Taaffe, David Broadhurst, Amanda Devine, Raphael Chee, Colin I. Tang, Nigel Spry, Daniel A. Galvao

Health Sciences Papers and Journal Articles

Introduction: A potential link exists between prostate cancer (PCa) disease and treatment and increased inflammatory levels from gut dysbiosis. This study aims to examine if exercise favourably alters gut microbiota in men receiving androgen deprivation therapy (ADT) for PCa. Specifically, this study will explore whether: (1) exercise improves the composition of gut microbiota and increases the abundance of bacteria associated with health promotion and (2) whether gut health correlates with favourable inflammatory status, bowel function, continence and nausea among patients participating in the exercise intervention.

Methods and analysis: A single-blinded, two-armed, randomised controlled trial will explore the influence …

A Randomized Trial Of Prenatal N-3 Fatty Acid Supplementation And Preterm Delivery, Maria Makrides, Karen Best, Lisa Yelland, Andrew Mcphee, Shao Zhou, Julie Quinlivan, Jodie Dodd, Elinor Atkinson, Huda Safa, Jacqueline Van Dam, Gustaaf Dekker, Monika Skubisz, Amanda Anderson, Beth Kean, Anneka Bowman, Carly Mccallum, Kara Cashman, Robert Gibson

Health Sciences Papers and Journal Articles

Background: Previous studies have suggested that maternal supplementation with n−3 long-chain polyunsaturated fatty acids may reduce the incidence of preterm delivery but may also prolong gestation beyond term; however, more data are needed regarding the role of n−3 long-chain polyunsaturated fatty acids in pregnancy.

Methods: We performed a multicenter, double-blind, randomized trial in which women who were pregnant with single or multiple fetuses were assigned to receive either fish-oil capsules that contained 900 mg of n−3 long-chain polyunsaturated fatty acids (n−3 group) or vegetable-oil capsules that contained trace n−3 long-chain polyunsaturated fatty acids (control group) daily, beginning before 20 weeks …

Reliability Of Mechanical Sprint Profiles In State U16 Female Basketball Athletes, Toby Edwards, Jacob Joseph, Brendon Lewis, Ashley Cripps

Health Sciences Papers and Journal Articles

BLUF: Mechanical sprint characteristics produce acceptable trial to trial reliability in state U16 female basketball athletes.

INTRODUCTION: Sprint acceleration is a key component of basketball performance that occurs frequently during competition that is commonly measured over various distances using timing gates. Sprint profiling is a topical area of research that provides practitioners an insight into the underlying mechanical characteristics that contributed to the performance. These include theoretical maximal force, theoretical maximal velocity, maximum power, slope of the force velocity relationship, maximum ratio of force, decrease in ratio of force and max speed. This study aimed to investigate the reliability of …

Study To Assess The Prevalence Of Breakfast Skipping And Its Associated Factors Among Nursing Students In Selected College, Mangaluru, Derina Benny Ms, Anu Varghese Ms, Ashly Susan Baby Ms, Aishwarya Roy Ms

Manipal Journal of Nursing and Health Sciences

Introduction: Nowadays breakfast skipping is a tradition in the adolescent group. Breakfast actually means breaking the fast over the night. One of the most important meals which is required for a normal growth is breakfast. If we fail to have breakfast it can lead to the poor concentration, obesity, high blood pressure, irritability, fatigue, etc. Objectives: The objective of the study was to identify the prevalence among nursing students in relation to their breakfast skipping pattern and find out the factors associated with it. Methods: The approach used was a descriptive survey design. The sample comprised of 349 students. The …

Management In Paediatric Burns: A Case Report, Sangeetha Priyadarshini Ms, Pramod Kumar Dr, Elsa Sanatombi Devi Dr, Anice George Dr

Manipal Journal of Nursing and Health Sciences

Burns are common childhood injuries among children, mainly caused by scald, fire or abuse. The authors presented the case of a one-year child who presented with second degree thermal burns due to fall of hot liquid on the child. Most of the burn injuries, which occur in the early ages of life, are mostly due to the negligence or lack of supervision of the child during the growing period. So, proper management of burn injury and adequate education of parents should be considered as an important aspect in prevention of burns in children. Further, the classification of burns injury helps …

Activities Of Daily Living, Peter F. Edemekong, Deb Bomgaars, Sukesh Sukumaran, Shoshana B. Levy

Faculty Work Comprehensive List

The activities of daily living (ADLs) is a term used to collectively describe fundamental skills that are required to independently care for oneself such as eating, bathing, and mobility. The term activities of daily living was first coined by Sidney Katz in 1950. ADL is used as an indicator of a person’s functional status. The inability to perform ADLs results in the dependence of other individuals and/or mechanical devices. The inability to accomplish essential activities of daily living may lead to unsafe conditions and poor quality of life. Measurement of an individual’s ADL is important as these are predictors of …

Well-Being And Health Promotion Template, Nichole Arn, Cody Mach

Occupational Therapy Capstones

Purpose: The purpose of this scholarly project was to develop an occupational therapy intervention template that could be utilized at LaGrave on First. LaGrave on First is a new Housing First facility that opened in Grand Forks, ND during the summer of 2018. Literature reviews regarding occupational therapy and its' role with the homeless population were limited and challenging to find, especially with a Housing First emphasis. Within this scholarly project, the reviewed literature was used to develop an intervention guide that could be implemented in conjunction with other occupational therapy interventions for this population. The interventions were created for …

Therapeutic Use Of Self: A Guide To Integrate The 5 Love Languages Into Practice, Haley Folkens, Emily Roberts

Occupational Therapy Capstones

Healthcare institutions have become businesses and, subsequently, these institutions are oftentimes structured to maximize profits consequently leading to a sacrifice in quality of care (Beltrán-Salazar, 2014). The emphasis on business in healthcare results in a push for productivity and reimbursement consequently decreasing attention to the therapeutic relationship. There are many definitions that offer a better understanding to the idea of therapeutic use of self, but they offer little to guide therapists in what using therapeutic use of self looks like in everyday practice (Solman & Clouston, 2016). Additionally, a vast majority of occupational therapists perceive the therapeutic relationship to be …

An Occupational Therapy Referral Screening Tool For Children In Adoptive And Foster Care Placements, Alli Fox, Emily Kollodge

Occupational Therapy Capstones

The purpose of this scholarly project was to identify the needs of children in the adoption and foster care systems (AFCS) by creating a screening tool to refer them to occupational therapy services. In the United States (US), the number of adopted children has grown to 1.8 million (Vandivere, Malm, & Radel, 2009), and to 400,000 children in the foster care system at any given time (Bramlett & Radel, 2017). These children are considered an at-risk population due to their life experiences. Occupational therapists (OTs) are uniquely qualified to work with this population. Due to stress and adversity, children who …

Occupational Therapy’S Role In Post Cva Education, Sadie Larson, Brooke Westrich

Occupational Therapy Capstones

The average literacy rate for healthcare client education materials is currently 11th-16th grade (Dignan & Hunter, 2015). Due to cognitive impairments, difficulty understanding healthcare education materials increases after experiencing a stroke (Danzl et al., 2016). Poor health education results in lower adherence to treatment and limited participation in everyday activities at home (DeMarco, Nystrom, & Salvatore, 2011). Clients and caregivers specifically reported a lack of understanding of post-stroke impairments (O'Connell, Baker, & Prosser, 2003).

A literature review was conducted on topics related to health literacy, post-stroke residual deficits, client education, and occupational therapy’s role in client education. There was an …

Life History Of Provost Beth Cada, Ed.D., Otr/L, Faota, Janice Finley, Emily Utech

Oral History Posters

The life history of Provost Beth Cada was one of 9 life history interview which are a part of a larger project of Life Histories of Individuals Who Have Been Influential in Developing Occupational Therapy (OT) in North Dakota and Wyoming. The purpose of the project is to obtain information about the history and evolution of OT practice in North Dakota and Wyoming. This study intends to provide current and future generations of occupational therapists a view of the history and how OT practice has evolved. The life history of Beth Cada is a case study that examined her life …

Life History Of Elizabeth Crepeau, Phd, Otr/L, Faota, Nathina Crabtree, Sara Gregoire

Oral History Posters

The purpose of the study is to provide current and future generations of occupational therapists a view of the history and how occupational therapy practice has evolved from its inception to current practice through the life history stories of occupational therapists who have held leadership roles at the national level and beyond. It is anticipated that the life history process will be a powerful way to gather this information. This life history is part of the larger study consisting of 30 occupational therapists. The larger project is Histories of Individuals Who Have Been Influential in Developing Occupational Therapy (OT) at …

Evolution Of Occupational Therapy Practice: Life History Of Anne Macrae, Phd, Otr/L, Bcmh, Faota, Danielle Cox, Brock Wahlert

Oral History Posters

This life history is one of 30 life history interviews which are part of a larger project, Histories of Individuals Who Have Been Influential in Developing Occupational Therapy (OT) at the National Level and Beyond. The purpose of study is to provide current and future generations of occupational therapists a view of the history and how occupational therapy practice has evolved from its inception to current practice through the life history stories of occupational therapists who have held leadership roles at the national level and beyond. It is anticipated that the life history process will be a powerful way to …

Evolution Of Occupational Therapy Practice: Life History Of Kuzhilethu “Shep” Kshepakaran, M. Ed., Otr/S, Caps, Faota, Roxana Chirinos, Carly Derouin

Oral History Posters

The purpose of study is to provide current and future generations of occupational therapists a view of the history and how occupational therapy practice has evolved from its inception to current practice through the life history stories of occupational therapists who have held leadership roles at the national level and beyond. It is anticipated that the life history process will be a powerful way to gather this information. An in-depth interview with the selected participant, Kuzhilethu “Shep” Kshepakaran, as well as his resume and the internet were used to gather information. The categories created symbolized Shep’s life history which included …