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İnmeli Hastalarda Uyku Kalitesi ve İlişkili Faktörlerin Değerlendirilmesi
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Determination of Sleep Quality and Associated Factors in Stroke Patients
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Bulgular: Nöroloji Yoğun Bakım Ünitesi sekiz yataklı olup, bu üniteye 2006 yılında 237 hasta yatırıldı. Hastaların 39'unda 44 alet ilişkili hastane infeksiyonu saptandı. Alet ilişkili hastane infeksiyonu gelişen olguların 23'ü (%59) erkek, 16'sı (%41) kadındı.
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Results: Neurology intensive care unit has eight beds, where 237 patients were hospitalized, in 2006. Forty-four devices related health care infection were detected in 39 patients. Of the patients with device related health care infection were 23 male (59%) and 16 female (41%). Of device related health care infections were 22 urinary tract infections, 13 catheter related bacteriemia and nine pneumonia. Device related health care infections for urinary catheter, central venous catheter and mechanical ventilator were detected as 8.8, 18.2 and 26.8 respectively.
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Gereç ve Yöntem: Nöroloji Yoğun Bakım Ünitesinde, alet ilişkili hastane infeksiyonları bir araştırma görevlisi ve öğretim üyesi tarafından aktif sürveyansla prospektif olarak izlendi. Hesaplamalarda; invaziv alet kullanım oranı = invaziv girişim gün sayısı/hasta yatış gün sayısı, alet ilişkili hastane infeksiyon hızı = İnvaziv aletle ilişkili infeksiyon sayısı/İnvaziv alet girişim gün sayısı x 1000 formülleri kullanıldı.
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Materials and Methods: Device related health care infections, in the neurology intensive care unit, were followed up by a resident and an academic staff with active surveillance prospectively. In the calculations, invasive device utilization ratio = invasive procedure-day /patient hospitalization-day, device related health care infection rate = invasive device related infection/invasive device procedure day x 1000 formulas were used. The patients were defined by using Centers for Diseases Control and Prevention (CDC) definitions.
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Bulgular: Nöroloji Yoğun Bakım Ünitesi sekiz yataklı olup, bu üniteye 2006 yılında 237 hasta yatırıldı. Hastaların 39'unda 44 alet ilişkili hastane infeksiyonu saptandı. Alet ilişkili hastane infeksiyonu gelişen olguların 23'ü (%59) erkek, 16'sı (%41) kadındı.
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Results: Neurology intensive care unit has eight beds, where 237 patients were hospitalized, in 2006. Forty-four devices related health care infection were detected in 39 patients. Of the patients with device related health care infection were 23 male (59%) and 16 female (41%). Of device related health care infections were 22 urinary tract infections, 13 catheter related bacteriemia and nine pneumonia. Device related health care infections for urinary catheter, central venous catheter and mechanical ventilator were detected as 8.8, 18.2 and 26.8 respectively.
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Bulgular: Nöroloji Yoğun Bakım Ünitesi sekiz yataklı olup, bu üniteye 2006 yılında 237 hasta yatırıldı. Hastaların 39'unda 44 alet ilişkili hastane infeksiyonu saptandı. Alet ilişkili hastane infeksiyonu gelişen olguların 23'ü (%59) erkek, 16'sı (%41) kadındı.
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Results: Neurology intensive care unit has eight beds, where 237 patients were hospitalized, in 2006. Forty-four devices related health care infection were detected in 39 patients. Of the patients with device related health care infection were 23 male (59%) and 16 female (41%). Of device related health care infections were 22 urinary tract infections, 13 catheter related bacteriemia and nine pneumonia. Device related health care infections for urinary catheter, central venous catheter and mechanical ventilator were detected as 8.8, 18.2 and 26.8 respectively.
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Amaç: Fetal kayıplı olguların büyük çoğunluğu kromozomal anormalliklerle ilişkili değildir. Başka bir nedensel faktör yok ise, sitogenetik analizler herhangi bir eşte dengeli bir yapısal düzenlenme ortaya koyabilir.
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Aim: Most of the cases with fetal loss are not associated with chromosomal abnormalities. If there is no another causative factor, cytogenetic analysis may reveal a balanced structural chromosomal rearrangement in any partner. In 3-5% of couples with at least 2 spontaneous abortions, one partner carries a balanced chromosomal rearrangement. The aim of this study is to investigate the balanced structural chromosomal rearrangements and serve the genetic counselling to the family about following gestation.
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Sonuç: Yoğun Bakım Üniteleri genel durumu kötü hastaların yattığı ve invaziv girişimlerin yoğun uygulandığı hastane infeksiyonları için riskli alanlardır. Burada yatan hastaların alet ilişkili hastane infeksiyonları açısından yakın takibi morbidite ve mortaliteyi azaltacaktır.
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Conclusion: Intensive care units are areas of high risk for health care infections, associated with the invasive medical procedures frequently performed; and areas where patients in bad general condition were hospitalized in. A close monitorization of the patients hospitalized in the intensive care units, in terms of device related health care infections, will improve the morbidity and mortality.©2008, Firat University, Medical Faculty.
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Özellikle HP(-) ve HP1+ olgular arasında mast hücre sayısında anlamlı bir farklılık ve HP pozitiflik derecesi ile mast hücre sayılarında belirgin artış bulunması, antral gastritlerde HP pozitiflik derecesiyle mast hücre artışının ilişkili olduğunu düşündürmektedir.
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Conclusion: Mast cell intensity that plays important role in inflammatory process, increase with HP positivity significantly. Between HP(-) and HP(+) cases there was expressive difference and degree of HP positivity and number of mast cells there was an evident increase. Our study shows that there is a relationship between degree of HP positivity and count of mast cell in antral gastritis. ©2006, Fırat Üniversitesi, Tıp Fakültesi
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Bulgular: Nöroloji Yoğun Bakım Ünitesi sekiz yataklı olup, bu üniteye 2006 yılında 237 hasta yatırıldı. Hastaların 39'unda 44 alet ilişkili hastane infeksiyonu saptandı. Alet ilişkili hastane infeksiyonu gelişen olguların 23'ü (%59) erkek, 16'sı (%41) kadındı.
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Results: Neurology intensive care unit has eight beds, where 237 patients were hospitalized, in 2006. Forty-four devices related health care infection were detected in 39 patients. Of the patients with device related health care infection were 23 male (59%) and 16 female (41%). Of device related health care infections were 22 urinary tract infections, 13 catheter related bacteriemia and nine pneumonia. Device related health care infections for urinary catheter, central venous catheter and mechanical ventilator were detected as 8.8, 18.2 and 26.8 respectively.
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Gereç ve Yöntem: Nöroloji Yoğun Bakım Ünitesinde, alet ilişkili hastane infeksiyonları bir araştırma görevlisi ve öğretim üyesi tarafından aktif sürveyansla prospektif olarak izlendi. Hesaplamalarda; invaziv alet kullanım oranı = invaziv girişim gün sayısı/hasta yatış gün sayısı, alet ilişkili hastane infeksiyon hızı = İnvaziv aletle ilişkili infeksiyon sayısı/İnvaziv alet girişim gün sayısı x 1000 formülleri kullanıldı.
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Materials and Methods: Device related health care infections, in the neurology intensive care unit, were followed up by a resident and an academic staff with active surveillance prospectively. In the calculations, invasive device utilization ratio = invasive procedure-day /patient hospitalization-day, device related health care infection rate = invasive device related infection/invasive device procedure day x 1000 formulas were used. The patients were defined by using Centers for Diseases Control and Prevention (CDC) definitions.
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Bulgular: Nöroloji Yoğun Bakım Ünitesi sekiz yataklı olup, bu üniteye 2006 yılında 237 hasta yatırıldı. Hastaların 39'unda 44 alet ilişkili hastane infeksiyonu saptandı. Alet ilişkili hastane infeksiyonu gelişen olguların 23'ü (%59) erkek, 16'sı (%41) kadındı.
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Results: Neurology intensive care unit has eight beds, where 237 patients were hospitalized, in 2006. Forty-four devices related health care infection were detected in 39 patients. Of the patients with device related health care infection were 23 male (59%) and 16 female (41%). Of device related health care infections were 22 urinary tract infections, 13 catheter related bacteriemia and nine pneumonia. Device related health care infections for urinary catheter, central venous catheter and mechanical ventilator were detected as 8.8, 18.2 and 26.8 respectively.
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Bulgular: Nöroloji Yoğun Bakım Ünitesi sekiz yataklı olup, bu üniteye 2006 yılında 237 hasta yatırıldı. Hastaların 39'unda 44 alet ilişkili hastane infeksiyonu saptandı. Alet ilişkili hastane infeksiyonu gelişen olguların 23'ü (%59) erkek, 16'sı (%41) kadındı.
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Results: Neurology intensive care unit has eight beds, where 237 patients were hospitalized, in 2006. Forty-four devices related health care infection were detected in 39 patients. Of the patients with device related health care infection were 23 male (59%) and 16 female (41%). Of device related health care infections were 22 urinary tract infections, 13 catheter related bacteriemia and nine pneumonia. Device related health care infections for urinary catheter, central venous catheter and mechanical ventilator were detected as 8.8, 18.2 and 26.8 respectively.
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Gereç ve Yöntem: Nöroloji Yoğun Bakım Ünitesinde, alet ilişkili hastane infeksiyonları bir araştırma görevlisi ve öğretim üyesi tarafından aktif sürveyansla prospektif olarak izlendi. Hesaplamalarda; invaziv alet kullanım oranı = invaziv girişim gün sayısı/hasta yatış gün sayısı, alet ilişkili hastane infeksiyon hızı = İnvaziv aletle ilişkili infeksiyon sayısı/İnvaziv alet girişim gün sayısı x 1000 formülleri kullanıldı.
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Materials and Methods: Device related health care infections, in the neurology intensive care unit, were followed up by a resident and an academic staff with active surveillance prospectively. In the calculations, invasive device utilization ratio = invasive procedure-day /patient hospitalization-day, device related health care infection rate = invasive device related infection/invasive device procedure day x 1000 formulas were used. The patients were defined by using Centers for Diseases Control and Prevention (CDC) definitions.
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Amaç: Son zamanlarda vitamin D eksikliğinin birçok ciddi hastalıkla ilişkili olabileceği tartışılmaktadır. Bu çalışmada amacımız, Elazığ populasyonuna ait vitamin D seviyelerini değerlendirmek ve indirek metodla populasyona dayalı yeni referans aralıklarını belirlemektir.
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Objective: Recently, it is discussed that deficiency of vitamin D may be related to a variety of serious diseases. Our aim in this study is to evaluate 25(OH)vitD levels of Elazig population and to determine new reference values based on the population with indirect methods.
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Bulgular: Nöroloji Yoğun Bakım Ünitesi sekiz yataklı olup, bu üniteye 2006 yılında 237 hasta yatırıldı. Hastaların 39'unda 44 alet ilişkili hastane infeksiyonu saptandı. Alet ilişkili hastane infeksiyonu gelişen olguların 23'ü (%59) erkek, 16'sı (%41) kadındı.
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Results: Neurology intensive care unit has eight beds, where 237 patients were hospitalized, in 2006. Forty-four devices related health care infection were detected in 39 patients. Of the patients with device related health care infection were 23 male (59%) and 16 female (41%). Of device related health care infections were 22 urinary tract infections, 13 catheter related bacteriemia and nine pneumonia. Device related health care infections for urinary catheter, central venous catheter and mechanical ventilator were detected as 8.8, 18.2 and 26.8 respectively.
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Amaç: Obezite ve arteryel sertlik, kardiyovasküler hastalık riskini arttırmaktadır. Antropometrik ölçümler ve çeşitli vücut kompozisyon parametrelerinin arteryel sertlik ile ilişkili olduğu bilinmektedir.
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Objective: Obesity and arterial stiffness are associated with the increased risk of cardiovascular disease. It is known that anthropometric measurements and several parameters of body composition is related with arterial stiffness. However, association of visceral fat – an anthropometric measurement – with arterial stiffness is sufficiently unknown. The aim of this study is to examine the possible relationship between various measures of body composition and arterial stiffness.
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KETEM'e başvurmadan önce kanserin erken tanısına yönelik tetkik yaptırma durumu, KETEM başvurusu sonrasında sağlık davranışlarında olumlu değişim durumu ve KETEM'de gelecekteki taramalara düzenli katılma konusundaki yaklaşım, ailede kanser öyküsü ve algılanan kanser riski ile ilişkili bulunmamıştır (p>0,05).
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Results: Of the participants, 55.4% had a family history of cancer, and 26.8% perceived their risk of developing cancer as high. Family history of cancer and perceived cancer risk were neither associated with cancer early detection test uptake, nor with positive health behavior change after service use or with the desire to attend screenings on a regular basis (p>0.05).
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Ortalama Bireysel Diyet Çeşitlilik Skoru (BDÇS) (10) ise oldukça yüksek diyet kalitesi gösterdi. BDÇS’nin, bakıcıların cinsiyeti, mesleği ve adölesana olan yakınlığı gibi sosyo-demografik faktörlerle önemli derecede ilişkili olduğu gözlendi.
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Results: The mean Composite Food Consumption Score (CFCS) was 42.95 with just about half of the teenagers (51.7%) having acceptable levels of food intake based on the FAO/WFP threshold of more than 35 CFCS. The mean Individual Dietary Diversity Score (IDDS) of 10 also showed a considerably high dietary quality. The CFCS was observed to be significantly associated with caretakers’ socio-demographic factors such as gender, occupation and relationship with the teenager.
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Ailede Kanser Öyküsü ve Algılanan Kanser Riski, Kanserden Korunma Davranışları ile İlişkili mi?
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Are Family History of Cancer and Perceived Cancer Risk Associated with Cancer Preventive Behaviors?
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Sonuç: Perifoveal çanaklaşma,diğer değişle perifoveal retinal incelme antimalaryal ile ilişkili makulopatinin gelişiyor olduğunu gösteren bir prediktor olabilir.
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Conclusion: Perifoveal cupping, in the other words, perifoveal retinal thinning may be a predictor for impending antimalarial related maculopathy.
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Optik Koherens Tomografi ile Saptanan Perifoveal Çanaklaşma Antimalaryal İlişkili Makulopatinin Erken Bulgusu Olabilir
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Perifoveal Cupping Detected by Optical Coherence Tomography May Represent an Early Sign of Antimalarial-Associated Maculopathy
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Amaç: Nöroloji Yoğun Bakım Ünitesinde, 2006 yılında, invaziv alet kullanım oranı ve alet ilişkili hastane infeksiyon hızları araştırılmıştır.
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Objectives: The invasive device utilization ratios and device related health care infection rates were analyzed in the 2006 year at neurology intensive care unit.
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YBÜ’de en sık görülen infeksiyon türleri; ventilatör ilişkili pnömoni (%41.2), üriner sistem infeksiyonu (%28.2), laboratuar olarak tanımlanmış kan dolaşımı infeksiyonu (%13.7), klinik sepsis (%6.9), cerrahi alan infeksiyonları (%4.6) ve diğer nozokomiyal infeksiyonlar idi.
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Results: The NI incidence was 72%; ventilator associated pneumonia was the most common NI (41.2%), followed by urinary tract catheter-associated infection (28.2%), bloodstream infections (13.7%), and sepsis (6.9%), surgical site infection (4.6%). Pseudomonas spp. was the most common pathogen identified in the NIs (31.3%), followed by (%), and yeasts. The most frequent isolated microorganisms from patients were as follows: Pseudomonas aeruginosa (31.3%), Staphylococcus aureus (11.5%), Coagulase negative staphylococci (CoNS) (10.7%), Acinetobacter baumanii (9.2%), Candida spp. (8.4%), Escherichia coli (8.4%), Enterobacter spp. (4.6%), Enterococcus spp. (3.1%) and others (12.8%). Methicillin resistance was 96% at staphylococci. It was observed Gram-negative microorganisms had multi-resistant pattern.
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Nöroloji Yoğun Bakım Ünitesinde Alet İlişkili Hastane İnfeksiyonları
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Device Related Health Care Infections in Neurology Intensive Care Unit
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Sonuç: Sonuçlarımız (i) yetişkin AAA hastalarının rölatif olarak endotelyal disfonksiyona sahip olduklarını ve (ii) AAA hastalarında vWf'ün trombosit volümüyle ilişkili göründüğünü düşündürmektedir.
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Conclusion: Our results suggest that (i) adult patients with FMF tend to have relatively endothelial dysfunction, and (ii) vWf seem to be related to platelet volume in patients with FMF.