Medicine and Health Sciences Commons^™

Low Handgrip Strength Is Associated With Diabetic Foot Disease In Geriatric Patients With Type 2 Diabetes, Eren İmre, Neşe Koçakgöl, Erdi̇ İmre

Turkish Journal of Medical Sciences

Background/aim: This study aims to reveal the prevalence of low handgrip strength in older patients with type 2 diabetes who have diabetic foot disease and to assess the association of handgrip strength with diabetic foot disease in older patients with type 2 diabetes. Materials and methods: Eighty-nine geriatric patients with diabetic foot ulcers and 69 patients without diabetic foot ulcers who presented to the endocrinology outpatient clinic between August 2020 and November 2021 were included in the study. The exclusion criteria were the usage of steroids, stroke-induced quadriplegia, myopathy, disability, hemodialysis treatment, type 1 diabetes, patients under 65 years of …

Clinicoradiological Evaluation Of Oxidative Stress Activity In Acute Cerebral Infarction In The First 24 H And The Qualitative Importance Of Dysfunctional Hdl In Stroke, Esra Demi̇r Ünal, Gönül Vural, Funda Eren, Sali̇m Neşeli̇oğlu, Özcan Erel

Turkish Journal of Medical Sciences

Background/aim: Acute cerebral infarction (ACI) occurs as a result of instant disruption of vascular flow that causes disbalance between oxidative/antioxidative activity. We examined the relationship of serum neuro-oxidative stress parameters with stroke severity and infarct volume in ACI and emphasized the qualitative importance of high-density lipoprotein (HDL) on its relationship with myeloperoxidase (MPO) and paraoxonase-1 (PON1) in the acute period of stroke. Materials and methods: One hundred ACI patients applied within the first 24 h and 50 healthy volunteers were included. The patient group was evaluated with demographic data (including arrival serum biochemical assessment), clinical disability scores, infarct volume, serum …

Central Vein Sign: Comparison Of Multiple Sclerosis And Leukoaraiosis, Hüseyi̇n Gökhan Yavaş, Ergi̇n Sağtaş

Turkish Journal of Medical Sciences

Background/aim: Leukoaraiosis produces white matter lesions (WML) similar to multiple sclerosis (MS) on brain magnetic resonance imaging (MRI), and the distinction between these two conditions is difficult radiologically. This study aimed to investigate the role of the central vein sign (CVS) in susceptibility-weighted imaging (SWI) sequence in distinguishing MS lesions from leukoaraiosis lesions in Turkish population. Materials and methods: In this prospective study, axial SWI and sagittal three-dimensional fluid-attenuated inversion recovery (3DFLAIR) were obtained in 374 consecutive patients. The study consisted of 169 (89 MS patients, 80 patients with leukoaraiosis) patients according to the inclusion and exclusion criteria. Two observers …

Bio-Clinical Evaluation Of Collateral Score In Acute Middle Cerebral Artery Occlusion, Esra Demi̇r, Hesna Bektaş, Hasan Bayindir, Oğuzhan Kurşun

Turkish Journal of Medical Sciences

Background/aim: Acute ischemic stroke (AIS) is characterized as a neurological deficit owing to an acute focal damage to the brain by cerebral infarction. A collateral score is the most significant factor evaluating the prognosis of AIS, its relationship with demographic data, serum biochemical parameters, and clinical disability in this field. Materials and methods: We conducted a single-center retrospective study with 100 patients with AIS within the first 6 h of ischemic stroke. Data for consecutive AIS patients were collected from February 2019 to May 2020. The collateral score was assessed by using developed scoring systems defined by Maas et al. …

Antimicrobial Activities Of Ankaferd Bloodstopper, Hypochlorous Acid, And Chlorhexidine Against Specific Organisms, Ahmet Koluman, Alper Aktaş, Selen Adi̇loğlu

Turkish Journal of Medical Sciences

No abstract provided.

Predictive Values Of Carotid High-Resolution Magnetic Resonance Imaging For Large Embolus Shedding In Carotid Artery Stenting, Xingyue Zheng, Erling Wang, Xiaoqian Guo, Chan Gu, Zhongrui Yan, Peng Yan, Shan Li, Chuanqiang Qu, Jifeng Li, Xiyun Ruan, Qinjian Sun

Turkish Journal of Medical Sciences

Background/aim: Embolus shedding is one of the important complications in carotid artery stenting (CAS). Carotid high-resolution magnetic resonance imaging (HR-MRI) is often used to directly reflect important biological characteristics, such as plaque size and composition, as well as the structure of the carotid artery wall. The aim of this study was to investigate the predictive values of carotid HR-MRI for large embolus shedding in CAS. Materials and methods: In total, 195 patients with carotid stenosis were enrolled. Preoperative carotid HR-MRI was performed to define the nature of the carotid plaques. CAS was performed in all patients, and intraoperative embolic protection …

The Relationship Between Ethmoidal Foramina And Orbital Fat Herniation, Fati̇h Çankal, Mustafa Kaya, İbrahi̇m Tekdemi̇r

Turkish Journal of Medical Sciences

Background/aim: The aims of this study are to determine the incidence and more frequent localizations of orbital fat tissue herniation accompanying dehiscences in the medial orbital wall and to investigate the relationship between orbital fat tissue herniations and the anterior and posterior ethmoidal foramina. Material and methods: One thousand two hundred patients who had undergone computed tomography with a preliminary diagnosis of sinusitis and who had no previous facial, orbital, paranasal sinus surgeries or history of trauma were retrospectively analyzed. The localization of the ethmoidal foramina and orbital fat tissue herniations were marked. In patients with orbital fat tissue herniation, …

The Effect Of Covid-19 Pandemic In A Large Series Of Patients With Takayasu Arteritis, Ali̇ Karakaş, Tuba Yüce İnel, Fatoş Önen, İsmai̇l Sari

Turkish Journal of Medical Sciences

Background/aim: Patients with inflammatory rheumatic diseases faced several challenges during the COVID-19 pandemic. Uncertainties such as the lack of evidence regarding the use of immunosuppressive (IS) therapies and deferred patient care because of limited health resources affected negatively on many aspects of treatment decisions and routine follow-up of the patients. In this study, we aimed to investigate the prevalence and severity of SARS-CoV-2 infection, the impact of the pandemic on delays in routine clinical follow-up, changes in IS treatment, and COVID-19 vaccination status of patients with Takayasu arteritis (TAK). Materials and methods: The study was performed between July and September …

The Risk Of Cancer In Patients With Primary Sjögrensyndrome; A Single-Center Study From Turkey, Bengi̇su Aslan, Tahi̇r Saygin Öğüt, Funda Erbasan, Meli̇s Di̇lbi̇l, Ece Çeli̇k, Mustafa Ender Terzi̇oğlu, Veli̇ Yazisiz

Turkish Journal of Medical Sciences

No abstract provided.

Executive Functions And Personality Traits Of Juvenile Myoclonic Epilepsy Patients: Single-Center Experience Of 23 Cases, Beri̇n Gülatar Türkoğlu, İpek Mi̇di̇, Kadri̇ye Ağan Yildirim

Turkish Journal of Medical Sciences

No abstract provided.

Investigation Of Mirna And Cytokine Expressions In Latent Tuberculosis Infection And Active Tuberculosis, Cengi̇z Çavuşoğlu, Muhsi̇n Özgür Çoğulu, Asude Durmaz, Zehra Cengi̇si̇z, Fethi̇ye Ferda Yilmaz, Mehmet Sezai̇ Taşbakan, Meltem Taşbakan, Cumhur Gündüz, Can Bi̇çmen, Onur Karaman, Hasan Taşlidere, Haluk Akin, Tülay Akarca, Mustafa Şevket Dereli̇

Turkish Journal of Medical Sciences

No abstract provided.

Assessment Of Subclinical Cardiovascular Alterations In Non-Functioning Adrenal Incidentalomas, Bülent Can, Peli̇n Karaca Özer, Büşra Can, Özge Telci̇ Çaklili

Turkish Journal of Medical Sciences

No abstract provided.

Determination Of Mirna Expression Profile In Patients With Prostate Cancer And Benign Prostate Hyperplasia, Okan Sancer, Pinar Aslan Koşar, Muhammet Yusuf Tepebaşi, Osman Ergün, Murat Demi̇r, Ali̇m Koşar

Turkish Journal of Medical Sciences

No abstract provided.

Assessment Of Tp-E Interval, Tp-E/Qt And Tp-E/Qtc Ratios In Patients With Acromegaly, İbrahi̇m Etem Çeli̇k, Sevde Nur Firat, Uğur Bozkurt, Mi̇kai̇l Yarloğlueş, Mustafa Duran, Sani̇ Namik Murat

Turkish Journal of Medical Sciences

No abstract provided.

Comparison Of International Classification Of Orofacial Pain (Icop) And Diagnostic Criteria For Temporomandibular Disorders (Dc/Tmd) Algorithms For Diagnosing Myofascial Orofacial Pain, Thi Thu Hang Phung

Chulalongkorn University Theses and Dissertations (Chula ETD)

The International Classification of Orofacial Pain (ICOP) is a new classification system for orofacial pains, which was published in February 2020. However, this clinical diagnostic criteria has not been validated or tested to be reliable for diagnosing myofascial orofacial pain (MOP). This study aimed to determine whether the ICOP diagnostic algorithm can effectively identify MOP when compared with the gold standard, Diagnostic Criteria for Temporomandibular Disorders (DC/TMD) algorithm. This retrospective cross-sectional study constructed the diagnostic algorithm from the ICOP and the DC/TMD criteria. The clinical data of MOP patients was extracted from clinical charts in the Occlusion and Orofacial Pain …

Comparative Effectiveness Of Tongue Exercises On Tongue Strength, Endurance, And Movement In Healthy Young Adults : A Randomized Controlled Trial Study, Janistar Lekvichittada

Chulalongkorn University Theses and Dissertations (Chula ETD)

Background and rationale: Tongue strengthening exercise (TSE) is a program to re-educate the neuromuscular pattern of the tongue muscle to improve tongue posture and swallowing function. Various TSEs have been introduced. However, most studies have been conducted on TSEs focusing on instruments such as tongue blade, Iowa oral performance instrument (IOPI) and JMS tongue pressure measuring device. Only a few have focused on self-tongue strengthening exercises, which has yet to show which method is the best for improving tongue strength, endurance, and movement. Objective: This study aimed to investigate tongue-strengthening exercise methods that had the most significant impact on increasing …

Factors Associated With Unsafe Children's Stool Disposal: An Analysis From 2015-2016 Myanmar Demographic And Health Survey, Naw Lah Say Wah

Chulalongkorn University Theses and Dissertations (Chula ETD)

Introduction: Safe sanitation is essential for preventing the transmission of diarrhoeal diseases and other infections. Sanitation projects and programs targeted at household sanitation have paid little focus to the disposal of children's stools. Due to the common misconception of children’s stool as less infectious, parents improperly manage children's stools for disposal. Unsafe disposal of children's stools has become an unhindered part of public health problems primarily in low and middle-income countries. Objective: To identify the association between children's stool disposal methods and factors associated with unsafe children’s stool disposal methods in Myanmar Method: This study is the cross-sectional secondary data …

A Pathway For Inclusive Innovation In Pediatric Mental Health: Prevention And Intervention Using Technology, Kate Corinne Bennett

DSW Capstone Projects

It is no secret that access to quality healthcare is difficult for citizens to achieve in the United States. Racism, discrimination, and oppression further exist at the root of compounding social problems, including limits in minority access to mental health services. The COVID-19 pandemic has also exacerbated mental health problems for young children, especially those who are already underserved and at risk. For these reasons, it is imperative that the social work profession emphasizes innovative approaches to equitable treatment access, including a focus on early intervention and the use of technology. Product one of this capstone engages a systematic review …

Self-Care And Cultural Humility: Expanding The Practice Of Social Work Leaders, Donia Addison

DSW Capstone Projects

Social workers experience vicarious trauma, secondary traumatic stress, and compassion fatigue regularly. Well documented in the literature, self-care has the ability to assuage these negative consequences, as well as, positively impact retention rates, decrease burnout and increase the quality of services provided to clients. Despite a burgeoning of research on self-care and burnout over the last few decades, continued empirical research is necessary. This capstone project sought to add to the knowledge base on self-care and provide pragmatic recommendations for future research and social work practice.

This capstone project was comprised of three scholarly products and focused on fostering cultural …

The Underlying Issue: Acknowledging The Impact The Race-Based Bias Of Some White Teachers Poses For Black Adolescents, Cerenity Leavell-Barker

DSW Capstone Projects

Current literature fails to assess the race-based bias of some white teachers and its impact on the school-to-prison pipeline. The actions of some white teachers due to unconscious or conscious race-based bias can increase race-based stress experienced by Blacks students and lead to racial trauma. Racial trauma is a traumatic experience that can alter this stage of development and have significant impact on the academic achievement of Black adolescents and influence behaviors perceived as negative. The purpose of this capstone is to enhance awareness and knowledge on the traumatic impact the race-based bias of some white teachers poses for Black …

Assessing The Accuracy And Deficits Of Popular Drug-Interaction Software Programs In Detecting Interactions Between Cannabis And Pharmaceutical Drugs, Nathan C. Ramsbacher

Undergraduate Theses, Professional Papers, and Capstone Artifacts

- Purpose – The management of drug interactions in healthcare is a large concern for pharmacists and other healthcare professionals, especially for patients requiring large amounts of medications. Healthcare professionals and patients alike utilize drug-interaction software programs (DISPs) frequently to manage medications and make clinical decisions. There is a large discrepancy between DISPs in terms of detecting clinically significant drug interactions. Notably, cannabis does not flag as an interaction as reliably as pharmaceutical drugs on many DISPs. With rising cannabis use in the United States, patients deserve to make decisions on how to safely use cannabis with their prescription drugs …

Parental Perspective On Functional Behavior Post Hippotherapy, Matthew Lichter Ots, Rebecca Simon Edd, Otr/L, Faota, Sheila Stahl Pt/R

Occupational Therapy Doctorate Capstones

Hippotherapy originates in ancient Greece and through time has evolved into an evidence-based practice for occupational therapists, physical therapists, and speech & language pathologists (AHA, 2020a). Hippotherapy uses horses as a modality to promote clients in achieving therapeutic goals. Through large amounts of neuromotor inputs, therapists are able to facilitate functional outcomes (AHA, 2020b).

The purpose of this study is to gain insight into the latency effect hippotherapy may have on children through the observations of their caregivers. A better understanding of the amount of time the effects on function brought on through the use of hippotherapy could provide a …

Improving Teacher Knowledge Of Sensory Strategies In Elementary Classrooms, Sukhman Matharu Ots, Tania Rosa Otd, Otr/L, Rebecca Simon Edd, Otr/L, Faota

Occupational Therapy Doctorate Capstones

Research states teacher education by occupational therapy (OT) has been shown to have a positive impact on children as well as school systems as a whole as occupational therapists are skilled at recognizing and treating sensory related disorders (Miller-Kuhaneck & Watling, 2017). Teacher collaboration with OT is essential to provide effective interventions and create a comfortable classroom environment where a child feels safe both mentally and physically (Miller-Kuhaneck & Watling, 2017). The classroom environment should accommodate students’ sensory differences and promote strengths in order for them to be successful (Prestia, 2004). However, there is a lack of research on the …

Identifying And Enhancing Key Competencies For Emergency Nursing In Rural Alaska: A Quality Improvement Project, Denise Plano

DNP Scholarly Projects

Identifying and

Enhancing Key Competencies for Emergency Nursing in Rural Alaska:

A Quality Improvement Project

Denise Plano

University of New Hampshire

Faculty Mentor: Cathleen Colleran, DNP

Practice Mentor: Lynn Van Vactor, RN CPHQ

Content Expert: Marianne Murray, DNP

Date of Submission: April 19, 2022

Abstract

BACKGROUND: Rural nurses practice in challenging environments that include remote villages and towns. They are faced with providing emergency care to patients without the resources that are available at larger tertiary hospitals. Low volume and high-risk scenarios challenge the nurse's ability to maintain competencies and respond to emergent patient needs. Identifying the most critical competencies …

Implementation Of A Standardized Suicide Risk Screening Tool: An Improvement Project In A University Counseling Center, Clint Emmett

DNP Scholarly Projects

This article describes a quality improvement project undertaken at the University of Idaho Counseling and Testing Center (CTC). This quality improvement project describes the use of the Ask Suicide Questions (ASQ) screening tool to accurately assess the severity of suicide risk during an initial assessment or crisis visit. Clinicians were provided with education and demonstration of the ASQ and shown how to incorporate this tool into their practice. 86 eligible appointments were included in the project for analysis. Simple descriptive statistics were used to present the resulting data. Results indicate that 30.3% of eligible appointments were screened. 43.8% of clinicians …

Workplace Violence Prevention For Nurses And Healthcare Workers In The State Of Maine A Health Policy Initiative, Gretchen Forsley

DNP Scholarly Projects

Abstract

Background: Health care workplace violence is a pervasive and persistent problem, underreported, and when reported it is tolerated, excused, or ignored. Prior to the pandemic, the “normal” demands of a stressful workplace for a resilient nurse might include short staffing, a lack of resources, violence, bullying, and disruptive behaviors from patients or families. Since the pandemic, the rates of increasing healthcare violence can be attributed to several factors such as delays in care and services, reducing admissions and procedures, consistent understaffing, a lack of adequate mental health services, increased violence against women, limited or no visitor policies, low-security coverage, …

Engaging Nurses In Public Policy, Carlene Ferrier

DNP Scholarly Projects

Background: Nurses have been engaged in public policy since the inception of the profession. Academicians and thought leaders recognize the importance of nurses engaging in public policy to improve health and healthcare. Nurses are also the largest healthcare group and the most trusted profession for twenty years, yet they are minimally represented in the state and federal legislature. Nurses possess a skill set that is directly transferable to the policy arena such as listening and communicating effectively, leading by inspiring a shared vision, applying evidence-based research, and collaborating and building relationships to achieve a common goal. Locally, the New Hampshire …

Implementation And Evaluation Of A Psychoeducation Training Program For Correctional Psychiatric Nurses, Katie Lyn Araja

DNP Scholarly Projects

This article describes a quality improvement project undertaken at a northeastern prison focusing on the psychiatric hospital unit. The project's primary aim is to implement training in nurse-led psychoeducation groups for psychiatric hospital unit nurses with the outcome of increasing confidence and competency through improved self-efficacy. The secondary aim of this project is to positively impact the psychiatric hospital unit nurses' intuition as a component of clinical decision-making through skill training that improves KSAs and care delivery to the highest level of the nurses' licensure. Participating nurses received pre and post-intervention surveys, including the Psychiatric Nurse Self-Efficacy Scales and the …

Tackling Burnout: Investing In Nurse Managers To Secure The Future Of Nursing, Enhance Manager Effectiveness, And Support High Quality Patient Care, Corey French

DNP Scholarly Projects

Background: Burnout is a widespread, pervasive issue the healthcare industry. Many efforts related to burnout reduction have been focused on front line caregivers but there is continued opportunity to address burnout in leadership. The global aim of this quality improvement project was to reduce burnout among the nursing leadership team at a large, academic medical center in the greater Boston area.

Problem Description: A preliminary survey was completed to assess for the presence of burnout within the leadership team. Results revealed that more than half of the nurse leaders surveyed were experiencing burnout at least 50% of the time. This …

Promoting A Culture Of Self-Care: Application Of A Caring Science Framework To Prevent Nursing Faculty Burnout, Angela M. Braswell

DNP Scholarly Projects

BACKGROUND: Threats to nurses’ well-being from chronic workplace stress often leads to burnout. Lack of self-care contributes to nursing faculty burnout due to the inability to maintain well-being. Emerging evidence points to theory guided self-caring practices as effective coping strategies to manage the negative effects of workplace environments on well-being.

METHODS: This quality improvement project aimed to provide nursing faculty and staff in the academic workplace with opportunities to cultivate and enhance self-care practices to promote overall health and well-being following principles of Caring Science and Jean Watson’s 10 Caritas Processes^®. A multifaceted set of interventions were provided: …