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The aging of the world population and the increase in chronic diseases have increased the need for palliative care. The aim of palliative care is to relieve and alleviate pain and other symptoms, to meet the needs of the patient and their caregivers according to their individual needs and to increase the quality of life. It is the important responsibility of the professional health team to eliminate the problems of patients and caregivers who are coping with a serious illness. During the palliative care service, which starts as soon as the individual is diagnosed with the disease, it is expected that the healthcare team will support the patient and their families, evaluate them comprehensively with a holistic perspective and support them to maintain their well-being. Palliative care service continues with the elimination of the problems of caregivers during the post-death mourning process. Members of the palliative care team must be qualified about palliative care so that care and treatment are at the desired level. In the field of palliative care, where education and clinical experience are important, evaluating the knowledge of health professionals about palliative care with valid and reliable measurement tools will increase the quality of palliative care. Although the number of measurement tools evaluating palliative care information is increasing, there are limited, valid and reliable measurement tools to measure palliative care information in our country., Dünya nüfusunun giderek yaşlanması, kronik hastalıklardaki artış palyatif bakıma olan ihtiyacı arttırmıştır. Palyatif bakımın amacı, ağrı ve diğer semptomların giderilmesi, hafifletilmesi, hasta birey ve bakım verenlerinin bireysel ihtiyaçlarına göre gereksinimin karşılanması ve yaşam kalitesinin arttırılmasıdır. Ciddi hastalıkla baş eden hasta birey ve bakım verenlerinin sıkıntılarının giderilmesi profesyonel sağlık ekibinin önemli sorumluluğudur. Birey, hastalık tanısını alır almaz başlayan palyatif bakım hizmeti boyunca sağlık ekibinin, hasta birey ve ailesine destek olması, bütüncül bakış açısı ile kapsamlı bir şekilde değerlendirip iyilik hallerini sürdürmelerini desteklemesi beklenmektedir. Ölüm sonrası yas sürecinde bakım verenlerin sıkıntılarının giderilmesi ile palyatif bakım hizmeti devam etmektedir. Palyatif bakım ekibinin üyeleri, bakım ve tedavinin istenilen düzeyde olması için palyatif bakım hakkında nitelikli olmalıdır. Eğitim ve klinik deneyimin önemli olduğu palyatif bakım alanında, sağlık profesyonellerinin palyatif bakım hakkında bilgilerinin geçerli ve güvenilir ölçüm araçları ile değerlendirilmesi palyatif bakımın kalitesini arttıracaktır. Palyatif bakım bilgisini değerlendiren ölçüm araçlarının sayısı artmakla beraber ülkemizde palyatif bakım bilgisini ölçmeye yönelik sınırlı, geçerli ve güvenilir ölçüm araçlarına rastlanmaktadır.

Aim: This study aimed to compare the perceptions and working experiences of two age cohorts of nurses' about care of older people. Material and Methods: A qualitative descriptive study was used. The research sample consisted of 68 internal medicine and surgery nurses representing X and Y generations. Data were collected using a demographic form and a semi-structured interview form. Data were subjected to thematic analysis. Results: The general themes for generation X were: care time, emotional responses, and provide resources for older patients. The general themes for generation Y were: increasing workload and time problems, categorization of older people, and finally, the need for holistic care. Conclusions: All nurses experienced that caring for elderly is difficult. However, they emphasized the needs of older people. This may be an essential component in organizing older people care. It is recommended regulation of working conditions to reduce the difficulties experienced by nurses in care of older people.

Objective:Nurses spend most of their time with patients. Stories are the formation of experiences that add meaning to life, raise awareness, and guide people. This study aimed to examine the aforementioned concepts from the nurses’ narratives.Methods:The researchers undertook an elaborate review of quantitative and qualitative studies. Seven doctoral students in nursing and 10 nurses from different departments in Palestinian hospitals were interviewed about qualitative care. In this study, 17 health stories from Turkey and Palestine were analyzed. Demographic data of all 17 participants were synthesized using a descriptive statistical format. The 17 stories generated 31,657 words for analysis.Results:Seven themes were identified as figural across clinical specialties, including patient’s final moments are difficult, cases involving children, violence and troublesome patients, unforgettable events, intricacies, interrogative, individual and teamwork.Conclusion:Nurses’ work environments are challenging. Sometimes, they experience unforgettable events that leave permanent marks in their memories. These events create physical distress, which affects how they provide care to patients. If the challenges are solved, then the nurses’ quality of life and satisfaction will improve, enabling them to offer optimum care to patients.

Objective:In this study, it was aimed to evaluate the knowledge level of the nursing students and clinical nurses who have applied the clinical practice related to hemogivigilance.Methods:This research was comparative and cross-sectional in design. The measurement tool consisted of two parts in the collection of research data. The first part included the demographic variables, and the second part consisted of “hemovigilance information index” created by the researcher. The sample was completed with 146 nursing students and 137 clinical nurses working in the hospital for clinical practice, who volunteered to participate in the research. Ethical permissions were obtained from the Ankara Yıldırım Beyazıt University Ethics Committee to conduct the research.Results:It was concluded that there was a significant relationship between having knowledge about hemovigilance or hemovigilance nursing, thinking of being competent about hemovigilance, selfsufficiency about blood transfusion, having knowledge about the meaning of the term “near miss” about hemovigilance, knowledge about the transfusion follow-up form, late and early reactions that might occur as a result of blood transfusion, and the number of correct answers (p

Aim: This qualitative study was conducted to determine the problems experienced by patients with chronic diseases and their caregivers during the home care process from nursing students' perspectives. Methods: Phenomenological method of qualitative research was used in the study. Data was gathered via in-depth interviews with seven nursing students who had a family member with chronic disease. Students were asked about the problems they and their family members experienced during the home care process with a semi-structured questionnaire. Data obtained from the interviews were analyzed using content analysis. Results: As a result of thematic analysis, problems experienced by the patients with chronic diseases and their caregivers during the home care process are grouped under five main themes. These problems were physical problems, social problems, financial problems, psychological problems, and treatment-related problems. Conclusion: This research revealed that the home care process of patients with chronic diseases causes various problems for both patients and their caregivers. Therefore, it is necessary to be aware of these problems, increase the quality of home care services and ensure the continuity of home care. In this way, physiological, psychological, financial, social, and treatment-related problems can be prevented. Keywords: caregivers, chronic disease, family health, home care, nursing students

Aim: The aim of this study is to describe the anxiety and hopelessness levels, the relationship between anxiety and hopelessness and the risk factors in individuals under quarantined during the COVID-19 epidemic.Materials and Methods: Data were collected by using sociodemographic data form, Beck Hopelessness Scale (BHS) and State Anxiety Scale (SAS).Results: BHS loss of motivation (BHSML) subscale scores of primary school graduates, those who unemployed, those with a history of psychiatric disease; BHS feelings and expectations about the future (BHSFE) subscale and BHST scores in those who unemployed, those with a history of psychiatric disease; BHS hope (BHSH) subscale scores in university graduates; SAS levels were found to be higher in those with sleep disorders and those who used social media for 8 hours or moreConclusion: Our results can help mental health professionals and health authorities during the epidemic.., Amaç: Bu çalışmanın amacı COVID-19 salgını sırasında karantina altındaki bireylerde kaygı ve umutsuzluk düzeylerini, kaygı ve umutsuzluk arasındaki ilişkiyi ve bunları etkileyen risk faktörlerini tanımlamaktır.Gereç ve Yöntem: Veriler sosyodemografik veri formu, Beck Umutsuzluk Ölçeği (BUÖ) ve Durumluk Kaygı ölçeği (DKÖ) ile toplanmıştır.Bulgular: İlköğretim mezunlarında, 3 ya da daha fazla çocuğu olanlarda, çalışmayanlarda, psikiyatrik hastalık öyküsü olanlarda BUÖ motivasyon kaybı alt ölçek (BUÖMK) puanları; çalışmayanlarda, geçmiş psikiyatrik öyküsü olanlarda BUÖ gelecekle ilgili duygular ve beklentiler alt ölçeği (BUÖGİDB) ile BUÖT puanları; üniversite mezunlarında BUÖ umut alt ölçeği (BUÖU) puanları; uyku bozukluğu olanlarda, 8 saat ve üstünde sosyal medya kullananlarda DKÖ puanları, daha yüksek bulunmuştur. DKÖ düzeyi BUÖGİDB ve BUÖMK ile pozitif, BUÖU ile negatif yönde korelasyon göstermiştir.Sonuç: Bulgularımız salgın sırasında ruh sağlığının korunması hakkında ruh sağlığı profesyonellerine ve sağlık otoritelerine yardımcı olabilir.

Job-related satisfaction has the likelihood of improving care provided by nurses within the health settings. Nurses’ job satisfaction is likely to boost quality healthcare services and their commitment level. Several factors inform the job satisfaction of nurses, such as fair promotion opportunities, retention, and fringe benefits. The study aimed to explore the main factors impacting medical-surgical nurses' job satisfaction. The existing literature revealed that work satisfaction among nurses is affected by a number of aspects. A systematic review of studies was conducted. A total of (n=40) studies were eligible for inclusion. Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guidelines were used to report and examine the eligibility of various studies. The systematic review indicated the factors could be classified into four categories, including extrinsic, intrinsic, personal, and community factors. The extrinsic factors include working conditions, work environment, supervisor/management, burnout, work engagement, and mobbing/bullying. The main intrinsic factors were found to include professionalism and career identity. Personal factors included marital status, age, and level of education, whereas economic status was found to be the only community factor influencing the satisfaction of medical-surgical nurses. The main factors influencing medical-surgical nurses include extrinsic, intrinsic, personal, and community.

Bu araştırma hemşirelik bölümü öğrencilerinin ve klinik hemşirelerinin yaşlı ayrımcılığına ilişkin tutumlarını karşılaştırmak amacıyla kesitsel olarak yürütülmüştür. Araştırma örneklemi, bir üniversitenin hemşirelik bölümünde öğrenim görmekte olan birinci ve dördüncü sınıf öğrencileri (n=212) ile bir eğitim ve araştırma hastanesinde çalışan 45 hemşire oluşmuştur. Araştırmada veriler, tanıtıcı özelikler bilgi formu ve Yaşlı Ayrımcılığı Tutum Ölçeği kullanılarak toplanmıştır. Çalışmamızda, hemşireler ve hemşirelik bölümü öğrencilerinin, yaşlının yaşamını sınırlama, yaşlıya yönelik olumlu ayrımcılık, yaşlıya yönelik olumsuz ayrımcılık alt ölçek ortalama puanları ve toplam puan ortalamaları arasında anlamlı farklılık olduğu saptanmıştır. Hemşirelerin mesleki deneyim süreleri ile olumlu ayrımcılık puanları arasında anlamlı korelasyon olduğu, öğrencilerin yaşı ile olumlu ayrımcılık puanları arasında pozitif yönde anlamlı ilişki olduğu saptanmıştır. Yaşlı bakım hizmetlerinin kalitesinin artırılması yaşlılara ilişkin olumlu tutuma sahip olma ile yakından ilişkilidir. Hemşirelik uygulamalarından biri olan yaşlı bakımını geliştirmek için sürekli eğitim ve geriatri alanında sağlık bakım hizmetlerinin geliştirilmesi önerilmektedir.

ÖZ Kronik böbrek yetmezliği, ‘Glomerüler filtrasyon hızındaki azalma sonucunda böbreğin, sıvı­elektrolit dengesini düzenleme işlevinin ve metabolik-endokrin fonksiyonlarının irreversibl olarak bozulması’ olarak tanımlanmıştır. Glomerüler filtrasyon hızının 20-25 ml/dakika ve altında olması durumunda hastalara renal replasman tedavisi uygulanmaya başlanır. En sık uygulanan renal replasman tedavisi hemodiyalizdir. Hemodiyaliz tedavisi hastanın yaşamını devam ettirebilmesi için kullanılan ve hastaların haftanın belli zaman dilimlerinde bağlı olarak yaşaması gereken bir tedavi yöntemidir. Hastalar tedavi sırasında ya da sonrasında birçok semptomla karşı karşıya kalmaktadır. Hemodiyaliz hastalarında görülen semptomlar şu şekilde sıralanmıştır; yorgunluk (%81), nefes darlığı (%71), uykusuzluk (%67), iştahsızlık (%67), bulantı-kusma (%67), baş dönmesi (%57), kuru ve kaşıntılı cilt (%52), ishal/kabızlık (%48), ağrı (%48), baş ağrısı (%43), kas krampları (%38), uyuşukluk (%38), zayıflık (%33), göğüs ağrısı (%33), ödem (%33) olarak belirlenmiştir. Hastalığın ve tedavinin sonucunda ortaya çıkan semptomlar hastaları birçok yönden olumsuz olarak etkilemektedir. Bu nedenle semptom yönetimi önem kazanmaktadır. Amacımız doğrultusunda, kronik böbrek yetmezliği tanısı ile hemodiyaliz tedavisi alan bireylerle çalışan hemşirelerin semptomlar konusunda bilgilendirmek, semptom yönetimini uygun ve etkili bakım için yol gösterici olmak amacıyla bu derleme yapılmıştır., Chronic renal failure is the irreversible deterioration of the function of regulating the fluid and fluid metabolic function, as well as the metabolic-endocrine function of the kidney as a result of a decrease in glomerular filtration rate. Renal replacement therapy is initiated when the glomerular filtration rate is 20-25 ml / min or less. The most common renal replacement therapy is hemodialysis. Hemodialysis treatment is a treatment method that is used for the survival of the patient and the patients should live depending on the time periods of the week. Patients experience many symptoms during or after treatment. Symptoms seen in hemodialysis patients are as follows; fatigue (81%), dyspnea (71%), insomnia (67%), loss of appetite (67%), nausea-vomiting (67%), dizziness (57%), dry and itchy skin (52%), diarrhea / constipation (48%), pain (48%), headache (43%), muscle cramps (38%), drowsiness (38%), weakness (33%), chest pain (33%), edema (33%). Symptoms resulting from disease and treatment adversely affect patients in many ways. Therefore, symptom management becomes important. The aim of this study was to inform nurses who work with hemodialysis patients with the diagnosis of chronic renal failure and to guide symptom management for appropriate and effective care.

Objective: This study was carried out in order to determine the perspective of the students studying in the nursing department towards ageism and to determine how their attitudes changed with the determined variables.Material and Methods: The research was conducted with 1744 nursing students who agreed to participate and whose consents were obtained online. While collecting the study data, "Demographic data form" and "Age discrimination attitude scale" were used.Results: Elderly discrimination attitude scale average score and gender, class, presence of elderly people in need of care in their environment; Between the average score of the Limitation of the Life of the Elderly sub-dimension and gender, the presence of an elderly person in the family; There are statistically significant differences between the mean score of the Negative Discrimination sub-dimension and the class, the presence of the elderly in need of care, the place where the elderly person in the family lives, and the presence of an elderly person in the family (p, Amaç: Yaşlanma, fiziksel ve psikolojik sorunları beraberinde getiren bir süreçtir. Bu süreçte tedavi ve bakım gereksinimleri de artar. Hemşirelik mesleğini yapan profesyoneller bunun farkına varmalı ve yaş ayırt etmeksizin her bireye insan olarak gerekli bakım verilmelidir. Bu çalışma hemşirelik bölümünde okuyan öğrencilerin yaşlı ayrımcılığına bakış açılarını belirlemek, belirlenen değişkenlerle tutumlarının nasıl değiştiğini belirlemek amacıyla yapılmıştır.Gereç ve Yöntemler: Araştırma, katılmayı kabul eden, online onamları alınmış 1744 hemşirelik öğrencisi ile gerçekleştirildi. Çalışma verileri toplanırken “Demografik veri formu” ve “Yaşlı ayrımcılığı tutum ölçeği” kullanılmıştır.Bulgular: Yaşlı ayrımcılığı tutum ölçeği puan ortalaması ile cinsiyet, sınıf, çevresinde bakıma muhtaç yaşlı varlığı arasında, Yaşlının Yaşamını Sınırlama alt boyut puan ortalaması ile cinsiyet, ailede yaşlı birey varlığı arasında, Yaşlıya Yönelik Olumlu Ayrımcılık alt boyut puan ortalaması ile ailede yaşlı birey varlığı arasında ve Yaşlıya Yönelik Olumsuz Ayrımcılık alt boyut puan ortalaması ile sınıf, çevresinde bakıma muhtaç yaşlı varlığı, ailedeki yaşlı bireyin yaşadığı yer ve ailede yaşlı birey varlığı arasında istatistiksel açıdan anlamlı farklılıklar vardır (p

Background/aim Widespread use of antiretroviral treatment (ART) has led to decrease in the incidence of HIV/AIDS-related mortality. Besides the availability of ART, medication adherence is essential for treatment success. There is a scarcity of data reported from Turkey regarding ART adherence among people living with HIV/AIDS (PLWHA). Therefore, this study was undertaken to determine medication adherence and related factors among PLWHA in Turkey. Materials and methods The sample consisted of 158 PLWHA, who were being followed up at Infectious Diseases Outpatient Clinic of Hacettepe University Hospital. Data were collected using an individual questionnaire and the Turkish version of the Morisky Medication Adherence Scale. Results The median patient age was 38 years, 80.4% were male, and 51.3% were married. The median duration of both HIV infection and ART was 3 years. Sixty-one percent used two drug regimens. Sixty-one percent were highly adherent to ART while 37.9% were moderately adherent. The absence/presence of social support resources, disease duration, ART duration, and being informed about the ART regimen were statistically associated with medication adherence. Conclusion Our results suggest that medication adherence is excellent among Turkish PLWHA. Interventions, including effective social support, and continuous counseling about ART, might further boost the adherence of PLWHA

Amaç: Bu araştırma, menopoza giren diyabetli kadınların deneyimledikleri ortak semptomların yaşam kalitesi parametreleri üzerindeki etkisini belirlemek amacıyla gerçekleştirilmiştir. Yöntem: Prospektif tek grup çalışma olarak gerçekleştirilen olarak gerçekleştirilen araştırmanın örneklemini diyabet tanısı almış, klimakterik dönemde olan 50-70 yaş aralığında olan 106 kadın hasta oluşturmuştur. Verilerin toplanmasında, ‘Demografik anket formu’, ‘Diyabet geçmiş öykü formu’ ve ‘UTİAN yaşam kalitesi Ölçeği’ kullanılmıştır. Bulgular: Klimakterik dönemde olan diyabetli kadınların %52.8’i 45-60, %43.4’ü 60 yaş üstü olup büyük bölümünün (%70.8) ilkokul ve altı eğitim aldığı belirlenmiştir. Hastaların diyabet tanı süreleri (%71.1) 6-20 yıl arasında değişmektedir. Çalışmaya katılan kadınların %45.3’ü diyabetin kronik komplikasyonlarından en az birini yaşadığı belirlenmiştir. Kadınlar arasında bekar olan, yüksek eğitim almış, disparoni ve inkontinans yaşamayanlar ve diyabet tedavisi olarak OAD kullananların yaşam kaliteleri diğer kadınlardan anlamlı olarak daha yüksektir. (p0,05). Sonuç: Diyabet ve menopozun ortak semptomlar içermesi nedeniyle bu durum kadınların hayatını olumsuz olarak etkilemektedir. Diyabetik kadın hastalarda menopoz ile ortaya çıkan belirtilerin doğru tanımlanarak hastaların yaşam kalitelerinin yükseltilmesinde eğitim, danışmanlık, takip gibi etkili hemşirelik yaklaşımlarının kullanılması oldukça önemlidir., Aim: This research was carried out to determine the effect of common symptoms experienced by diabetic women entering menopause on quality of life parameters.Material and Methods: The sample of the study, which was carried out as a prospective single-group study, consisted of 106 female patients between the ages of 50-70 who were diagnosed with diabetes and were in the climacteric period. 'Demographic questionnaire form', 'Diabetes past history form' and 'UTİAN quality of life Scale' were used for data collection.Results: It was determined that 52.8% of the diabetic women in the climacteric period were 45-60%, 43.4% were over 60 years old, and most of them (70.8%) received primary school or less education. The diabetes diagnosis period of the patients (71.1%) varies between 6-20 years. It was determined that 45.3% of the women participating in the study experienced at least one of the chronic complications of diabetes. Among women, the quality of life of those who are single, highly educated, who do not experience dyspareunia and incontinence, and those who use OAD as a diabetes treatment is significantly higher than other women. (p0,05).Conclusion: Since diabetes and menopause contain common symptoms, this situation negatively affects the lives of women. It is very important to use effective nursing approaches such as education, counseling, and follow-up in improving the quality of life of the patients by correctly identifying the symptoms that occur with menopause in diabetic female patients.

Introduction This study identifies depression, anxiety and state guilt of Turkish citizens kept in quarantine for 14 days in an institution where they are brought upon their request within the scope of infection control measures and the related affecting risk factors during the coronavirus pandemic. Methods A total of 385 individuals under quarantine for 14 days between the dates of April 20-May 21, 2020 were included in the study. The data were collected using a socio-demographic data form (age, gender, employment status, having sleep disorder, duration of television review and Internet use, etc.), Beck Anxiety Inventory (BAI), Beck Depression Inventory (BDI) and Guilt Scale (GS) after the participants were informed about the study objective and they signed the informed consent form. Results A total of 385 participants, 84 of whom were women, with a mean age of 35.32±11.7 were included in the study. According to BAI and BDI, 14.5% of the participants had anxiety and 17.1% had depression symptoms. The regression analysis found that female gender, having sleep disorder, using Internet for 8 hours or more and having chronic illness were risk factors for anxiety; while female gender, being aged 18-30, having sleep disorder, having psychiatric illness, and using Internet for 8 hours or more were risk factors for depression. The state guilt did not show any significant correlation with any socio-demographic factor. Conclusion Female gender, being young, having a history of psychiatric illness, having chronic illness, having sleep disorder, using Internet for 8 hours or more were found to be risk factors for more anxiety and depression symptoms. It is important to educate people about the methods of how to maintain healthy sleep during quarantine, to effectively fight against the excessive circulation of misinformation and to provide sufficient medical care to those with psychiatric and chronic diseases, being more vulnerable against infections.

Background: Chronic renal failure causes many physical problems in patients. Hemodialysis treatment and the stress that accompanies the treatment are high and this constitutes a basis for alexithymia. Changes in biomarkers cause physical symptoms and increase individuals’ stress levels. Methods: The sample for the researcher was completed with 72 individuals. Demographic data form, biochemical data form, Hemodialysis Stressor Scale, and Toronto Alexithymia Scale were used in this study. Results: Individuals participating in the study found that the perceived stress levels were high in all dimensions and 59.7% were alexithymic. The relationship between Toronto alexithmia scale and hemodialysis stressor scale and the selected biomarkers was determined (p

Background: Chronic renal failure causes a number of physical problems in patients. Hemodialysis treatment and the stress brought along by the treatment are high and this circumstance sets the ground for alexithymia. Alexithymic feelings basically emerge as restriction in the world of emotion and thought, and inability to recognize physiological changes. Biomarkers that are indicators of physical change are influential in the stress lives of individuals. They lead to negative changes in the physical and mental lives of patients who have chronic kidney failure and individuals who receive hemodialysis treatment. This research was carried out as a relationship seeker in order to determine the influence of urea, creatinin, sodium, potassium, hemoglobin, hematocrit, albumin, calcium, phosphorus and C-reactive protein biomarkers on stress and alexithymia in individuals, who are diagnosed with chronic renal failure and receive hemodialysis treatment. Methods: The research environment was formed of patients who underwent hemodialysis treatment in a hospital in Turkey. The subject group was completed of 72 individuals. Demographic data form, biochemical data form, Hemodialysis Stressor Scale and Toronto Alexithymia Scale were used in the research. Results: It was found that the levels of perceived stress of individuals who participated in the research were high at all dimensions, and 59.7% were alexithymic. The means of the total scale scores of all patients were calculated as 87.81±13.59 for HSS and 62.46±9.84 for TAS. The relationship between TAS-20 and HSS and selected biomarkers were determined (p

In Turkey, farm machinery accidents are important factors for morbidity and mortality. In Western Black sea region, a specific farming toolis used, called 'Pat Pat'. In our clinic, we operated two patients with multiple lower extremity injuries occurred due to Pat Pat machines.First case had a right Gustilo-Anderson type IIIC open tibial fracture, anterior tibial artery disruption, and a left massive soft tissue defectwith popliteal nerve and artery disruption as determined by digital subtraction angiography. The second case had a right Gustilo-Andersontype IV open proximal tibial fracture, distal femoral fracture, and popliteal artery disruption. All injuries of popliteal arteries and veinsrepaired with saphenous vein interposition. On follow up, we observed that the saphenous vein grafts were thrombosed. We suppose thatvascular injuries occurred in those cases due to both penetrating and blunt mechanisms. Repeated thrombectomy was performed, and thepatency of the grafts were achieved. Heparin infusion (1000U/hour) was administered in first postoperative 24 hours, and the patientwas followed up every hour to keep activated clotting time ?200 sec. Consequently, saphenous veins of both cases were protected fromthrombosis. In conclusion, combination of penetrating and blunt trauma causing fractures and vascular injury to lower extremities can bemanaged with coordination of orthopedic, vascular and plastic surgeons. Prompt diagnosis, early intervention, heparin infusion in first 24hours and continuing with low-molecular-weight heparin results in successful management with palpable distal pulses and limb salvage inthose challenging injuries

Amac: Bu arastirma, ogrenci hemsirelerin madde bagimliligina iliskin dusunce ve goruslerinin belirlenmesi amaciyla yapilmistir. Materyal ve Metot: Calismaya katilmayi kabul eden 161 ogrenci arastirmanin orneklemini olusturmustur. Arastirma kapsamina ise 105 ogrenci alinmistir. Arastirmada ogrencilere ait demografik veri formu, madde bagimliligina neden olan maddelerin bilinirlik duzeyleri, bagimlilik olusturan maddelerin kullanim suresi ve farkindaliklari, madde bagimliliginin fiziksel ve psikolojik bagimliliginin patofizyolojisine yonelik bilgilerini olcen sorular kullanilmistir. Verilerin degerlendirilmesinde, yuzdelikler hesaplanmistir. Bulgular: Ogrencilerin yas ortalamasi 20,69±,.28, %86,67’si (n=91) kadin, %13,33’u (n=14) erkektir (p

Nursing education in Turkey is given in different diploma degrees as a bachelor, master’s degree, and doctoral education. One of these is Internal Medicine Nursing Doctorate education. The aim of this study was to highlight the importance of doctoral training for the nursing profession and to present numbers of current students, new registry, and graduates from internal medicine nursing doctoral education according to years. Data from Internal Medicine Nursing PhD program from 1999-2000 academic year to 2016-2017 were examined. In this data, the number of new enrollments, the number of students, and the number of graduates are evaluated. The data up to 2013 were taken from Measurement, Selection, and Placement Center, and the data for the following years were received from the Council of Higher Education. The number of new registries and graduate students before and after 2010 was examined as two different periods. Accordingly, it was determined that there were 74 newly enrolled students and 31 graduate students in total, from 1999-2000 academic year to 2009-2010 academic year. In the following period between 2010-2018, although the data of 2 years are missing, the number of new registry and graduated students was 116 and 62, respectively. Although there is an increase in the number of students doing a doctorate in the field of Internal Medicine Nursing every year, it was seen that the number of institutions providing education on the basis of the Department of Internal Medicine Nursing and the number of doctoral students are still not at the desired level.

Introduction and Purpose. Farmers are particularly at high risk of pesticide exposure due to added risk from occupational exposure. The aim of this study is to evaluate knowledge level of farmers in the Çukurova region of the effects of pesticides, toxic symptoms, and protective equipment as well as assessing their attitudes and practices regarding pesticides. Material and Method. A total of 420 seasonal agricultural workers in Karataş District of Adana Province, Turkey, were included in the study. The questionnaire form consisting of 3 sections was administered using face-to-face interview method. Results. The mean age of the participants was 40.2±10.6 years. They were engaged in farming for a mean duration of 18.5±10.6 years. All of them used pesticides, but none of them had been trained on the use of pesticides. Only 26.2% of them stored pesticides in a private depot. The farmers who took empty pesticide containers to special collection bins or centers constituted only 4.3% of them. While 84.0% of them thought that pesticides could have a negative impact on human health, 5.0% of them had experienced a medical problem and 1.0% of them were poisoned after applying pesticides. Conclusion. The results show that knowledge level of farmers of safe use of pesticides is very inadequate. This lack of knowledge adversely affects workers’ quality of life as well as occupational health and safety. Appropriate training programs should be organized to increase their level of knowledge.

Introduction There are concerns about safety culture and health effects of pesticides in agricultural workers in the Adana Province of Turkey. The aim of this study is to evaluate knowledge level of farmers in the Cukurova region on the health effects of pesticides, use of protective equipment as well assessment of attitudes and practices about the use of pesticides. Methods A total of 420 seasonal agricultural workers in Karatas District of the Province of Adana Turkey were included in the study. The questionnaire was administered using face-to-face interview method. Results The mean age of the participants was 40.2±10.6 years, engaged in farming for a mean duration of 18.5±10.6 years. All were applicating pesticides, but none had been trained in the safe use of pesticides. Concerning working practices and health aspects: 26.2% stored pesticides in a secured depot. 4.3% took empty pesticide containers to special collection bins or centers. 84.0% thought that pesticides could have a negative impact on human health. 5.0% experienced a medical problem after application of pesticides. 1.0% reported acute poisoning after applying pesticides. Discussion The knowledge level of agricultural workers about safe use of pesticides in this study population is very poor. This lack of knowledge adversely affects occupational health and safety. Appropriate training programs will be organized to increase their level of knowledge.

Objective: The objective of this study was to determine the state of elderly coping with stress. Methods: This descriptive study was conducted sixty years old and over 106 individuals living at home within society. As data collection forms, a survey-form containing socio-demographic characteristics of all the individulas were recorded features of elderly and a Scale of Stress-Coping Manners (SSCM) was used. Percentage, mean + standard deviation, Mann Whitney U and Kruskal-Wallis methods were used for assessment of the collected data. Results: The mean age of the study group was 68.0±5.5. 57.5% of the participants were women, 52.8% had four and more than four children and 61.3% had a chronic illness. The scores of stress-coping manners of the elderly were high (73.86±8.18). The score averages of stress-coping of the women, the individuals who had three children and less, and the elderly who had no chronic illness were high and statistically significant (p

Aim: This study was conducted to determine the social support from the families perceived by women after stroke. Material and Method: The data were collected from 36 women with stroke using the Perceived Social Support Scale and a questionnaire determining the socio-demographic characteristics. For the analysis of data, percentages, t-test for independent samples, and one way ANOVA were used. Results: Total score of perceived social support from family was found to be low. As the time from stroke got longer, the level of perceived social support from family decreased, while the difference was not significant. Marital status has also affected the perceived social support from family. There were no statistically significant differences were found in terms of women’s education, occupation, co-morbid illness, gender of the caregiver, whether the caregiver is from the family, caregiver’s marital status, education and employment status. Discussion: In conclusion, it was founded that the benefit of the women after a stroke with regard to social support was not at the desired level. In this respect, in addition to the physical rehabilitation after stroke, psychosocial rehabilitation programs for the individual and the family can be designed.

ILKELI, EKIN/0000-0003-0302-4721 WOS: 000396710000014 Background: In this study, we shared the implementation success and clinical results for 38 patients treated with the cleaner T pharmacomechanical thrombectomy device. Objectives: The impact and results of pharmacomechanical thrombectomy treatment on patients with deep vein thrombosis in the symptomatic acute and subacute phases were assessed. Patients and Methods: Pharmacomechanical thrombectomy treatment was applied in a single session for 38 patients with lower extremity deep vein thrombosis in the acute and subacute phases between May 2012 and June 2014. Venography was performed and each assessment was made based on lysis rates and clinical results. Results: Deep vein thrombosis was found in the left lower extremity in 25 patients (65%) and in the right lower extremity in 13 patients (35%). No patient was found to have bilateral deep vein thrombosis. Thrombus localization was in the iliofemoral area in 17 patients (44%), the iliocaval area in three patients (8%), and the femoropopliteal area in 18 patients (56%). When thrombus resolution was assessed at the end of the process, grade III and grade II lysis was achieved in 36 (94%) out of 38 patients. Complete resolution was achieved in 28 patients (74%) in the acute and subacute groups. Conclusion: Pharmacomechanical thrombectomy provides very satisfactory results in a single procedure, as a new method in the treatment of acute and subacute deep vein thrombosis.

Background: Recent recommendations have established clinical remission ideally or low disease activity (LDA) as therapeutic targets in all patients with rheumatoid arthritis (RA). Controlled studies of biologic agents have primarily assessed treatment effects in patients with severe RA; patients with moderate disease activity, whoconstitute a larger group, have received far less attention. In Period 1 of the PRESERVE trial, the proportion of subjects with moderately active RA achieving LDA or remission were evaluated after treatment with etanercept 50mg once weekly (QW) plus methotrexate for 36 weeks.Methods: Subjects with DAS28 >3.2 and ≤5.1 despite stable doses of oral methotrexate received open-label etanercept 50mg QW plus methotrexate (screening dose permitted to be titrated up to 25 mg/wk through week 28) for 36 weeks.Results: 834 subjects received treatment and were analyzed. Subjects were mostly female (83%), Caucasian (74%), RFþ (73%), and aCCPþ (78%), with a mean age of 48 years and disease duration of 7 years. Mean baseline DAS28 was 4.4; SDAI, 19.1; ESR, 22.2 mm/hr; and CRP, 12.3 mg/L. Efficacy results from Period 1 are shown in the table. The most commonly reported adverse events (AEs) were headache (6.1%), nasopharyngitis (5.4%), and upper respiratory tract infection (4.4%). Twenty-two subjects (2.6%) discontinued due to AEs.Conclusions: Substantial proportions of subjects with moderately active RA who received etanercept 50mg QW plus methotrexate for 36 weeks achieved LDA (85%-86%), DAS28 remission (67%), or SDAI remission (25%). Therefore, these ambitious goals can be achieved realistically in a high percentage of patients with moderate disease activity.