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The prevalence of pediculus capitis in primary schools in a city of Turkey and the efficacy of health education in treatment

Original Article

The prevalence of pediculus capitis in primary schools in a city of Turkey and the efficacy of health education in treatment

Emine Oncu, Sumbule Koksoy Vayisoglu, Yasemin Guven, Ezgi Onen, Ebru Ravli Bulut, Husniye Cekic, Filiz Ozturk

   

Abstract
Pediculus capitis (PC) is still a world-wide health concern. To identify the prevalence of PC and to evaluate the efficacy of training of mothers about PC in treatment. Design: The study consists of two sections: First section is cross sectional and second section is randomized controlled trial which was conducted between October 3, 2016 – Jun 5, 2017. Sixty children who had parasites were randomized into the intervention and the control groups. Mothers in the intervention group were given education about PC through home visits. There were one in every 10 children in PC. The prevalence of parasites was high in girls, children with four/ more siblings, those with low income, and and those whose mothers have low education levels (p

Key words: Pediculus capitis, health education, primary school children, school health

Med-Science. 2018; 7(3): 469-75

 
Medicine Science Vol:7 Issue:3 Year:2018 PP:469-723

Value of hysteroscopy after one in vitro fertilization failure

Value of hysteroscopy after one in vitro fertilization failure

Original Article

Value of hysteroscopy after one in vitro fertilization failure

Gorkem Tuncay

     

Abstract
To investigate the relationship between abnormal findings and the cost effectiveness of performing a hysteroscopy after one in vitro fertilization (IVF) failure. The cases of 110 patients with a normal ultrasound of the endometrial cavity and a history of one IVF treatment failure who had been referred to the Inonu University School of Medicine Department of Obstetrics and Gynecology between June 2014 and November 2017 were recruited for this study. The median age of patients was 31.7 ± 5.7 years. Intrauterine pathologies were observed in 29 (26.3%) patients, whereas 81 (73.7%) patients exhibited a normal hysteroscopy. The distribution of the pathologies was as follows: a uterine subseptum existed in 9 (8.1%) women, an intrauterine adhesion existed in 8 (7.2%) women, a cervical stenosis existed in 4 women (3.6%), an endometrial polyp existed in 4 women (3.6%), and a submucosal myoma uteri existed in 3 women (2.7%). Two abnormalities (intrauterine adhesion and cervical stenosis) existed together in one patient. A routine hysteroscopy is necessary for women with a normal ultrasound of the endometrial cavity after one IVF failure, meaning that women with a normal ultrasound should be offered a routine hysteroscopy.
Keywords:

Key words: Hysteroscopy, intrauterine pathologies, in vitro fertilization

Med-Science. 2018; 7(3): 476-8

 

Evaluation of the prevalence of musculoskeletal disorders in nurses: A systematic review

Original Article

Evaluation of the prevalence of musculoskeletal disorders in nurses: A systematic review

Pinar Soylar, Ali Ozer

   

Abstract
Nurses exposure many risk factors in the hospital setting. Musculoskeletal disorders (MSDs) is a common health problem between work related disabilities and injuries in nurses. The aim of this review was to examine the prevalence of MSDs in nurses and also summarize risk factors, outcomes, solutions. An electronic search was conducted in Pub Med in January 2017. Publications in the last ten years were researched using the key words: “Work Related Musculoskeletal Disorders” and “Nurses”. The initial electronic search identified 111 papers. Some articles were excluded since they were not related to our study topic (7 articles were review, 15 of them were related to the roles of nurses in some musculoskeletal disorders, 14 articles were about nurses who working outside the hospital or new graduated/student, 28 articles addressed work related other health problems, 3 of them were related to hospital ergonomics and risk factors and 7 articles were interventions studies). Three papers were not reached to full text or abstract. The total number of remaining articles was 34 and all of them were included the study. It was considered that reported musculoskeletal disorders in nurses were limited to the past 12 months. It had been found that the prevalence of MSDs varied between 33.0% and 88.0%. The most commonly affected body regions were lower back, shoulder, neck, knees, wrists/hands. Lower back pain complaints were found to vary between 49.0% and 84.0%. The findings indicated that the work related musculoskeletal disorders associated with cumulative trauma and repetitive tasks included: lifting, transferring or repositioning, prolonged standing and also awkward postures (stooping, bending and reaching). These work-related health problems in nurses were significantly associated with age, gender, body mass index, ward, shift working and working in a hospital. Studies showed that musculoskeletal disorders were most seen among the operation room nurses and intensive care nurses. Also, MSDs were found to be the main causes of absenteeism, demanding a change of duty or job and visiting a physician. The MSDs was more prevalent occupational health problem among nurses. The prevalence of MSDs was associated with both demographic characteristics of nurses and hospitals’ organizational factors. It was confirmed that making ergonomics interventions could improve the working environment in the hospital.

Key words: Nurses, work related musculoskeletal disorders, ergonomics

Med-Science. 2018; 7(3): 479-85

 

Anesthesia management in pediatric patients undergoing percutaneous closure of atrial and ventricular septal defects in catheter laboratory: Retrospective clinical study

Original Article

Anesthesia management in pediatric patients undergoing percutaneous closure of atrial and ventricular septal defects in catheter laboratory: Retrospective clinical study

Sedat Akbas, Ahmet Selim Ozkan

   

Abstract
Along with technological and medical advances, diagnostic and therapeutic cardiac catheterization commonly used in pediatric patients; it is frequently preferred the percutaneous closure of ASD/VSD. In this study, it was aimed to evaluate anesthesia management of pediatric patients undergoing percutaneous closure of ASD/VSD in catheter laboratory. This was a retrospective review of pediatric patients undergoing percutaneous closure of ASD/VSD in catheter laboratory between 2012–2017. Demographic and clinical characteristics were recorded, and all results of anesthesia management were evaluated. Thirty-eight patients (18 males, 20 females) with a mean age of 7,71 ± 3,57 years underwent percutaneous closure of ASD/VSD. Of the cases; 78,4% diagnosed ASD, 21,6% diagnosed VSD were operated. The most common presenting symptoms were murmur (55,3%), chest pain (21,1%) and palpitation (10,5%), Mean defect size was 11.60 ± 6.27 mm for ASD and 6.00 ± 4.64 mm for VSD. Mean anesthesia time was 71.33 ± 22.77 minutes for ASD and 85.83 ± 26.91 minutes for VSD. Mean procedure time was 56.00 ± 20.56 minutes for ASD and 69.16 ± 28.70 minutes for VSD. Premedication was performed for 94,7%, anesthesia induction was performed with propofol (94,7%), fentanyl (63,2%), rocuronium (65,8%). Sevoflurane was used for anesthesia maintenance. TEE was used in 86,8% of the cases. Complications developed for 3 cases. IV paracetamol was preferred in 84,2%. Anesthetist must consider carefully premedication, anesthetic agent preferences, general anesthesia or sedation, complications by catheterization, discomforts of transesophageal echocardiography, hemodynamic instability, requirement of immobility and adequate analgesia.

Key words: Anesthesia management, pediatric cardiac catheterization, heart septal defects

Med-Science. 2018; 7(3): 486-490

 

Restoration of photoreceptor layer and its prognostic value in eyes with macular edema due to branch retinal vein occlusion

Original Article

Restoration of photoreceptor layer and its prognostic value in eyes with macular edema due to branch retinal vein occlusion

Alper Halil Bayat, Selim Bolukbasi, Akin Cakir, Burak Erden, Seyma Gulcenur Ozturan, Mustafa Nuri Elcioglu

   

Abstract
To evaluate the restoration of outer segment ellipsoid zone (EZ) layer and its prognostic value in visual gain following resolution of macular edema (ME) due to branch retinal vein occlusion (BRVO). In this retrospective study,33 eyes of 33 patients with ME due to BRVO who underwent intravitreal ranibizumab (IVR) injections were studied. All of the patients had the resolution of macular edema after IVR therapy. At baseline and final visit, SD-OCT scans were obtained. Best-corrected visual acuity (BCVA), central macular thickness (CMT) and integrity of outer segment ellipsoid zone (EZ) defects were determined. We divided the eyes with initial EZ defects into two groups. Group-1 had restoration of EZ and group-2 had EZ defects before and after treatment. 14 of 33 eyes (42.4%) did not have EZ defects and 19 of 33 eyes had EZ defects before treatment. 9 eyes (27.3%) had restoration of EZ defects and 2 patients (6.1%) had EZ defects after treatment while they did not have at initial visit. According to EZ change status (group-1 and group-2) the groups were similar in terms of initial BCVA and CMT. Group-1 had better final BCVA (p=0.005). There was a statically significant difference in BCVA improvement between groups (p=0.001). Disorganization of photoreceptors can have recovery after resolution of ME with ranibizumab treatment and to have better BCVA after resolution of ME, restoration of the structure of the photoreceptors is required.

Key words: Branch retinal vein occlusion, macular edema, integrity of photoreceptors layer, optical coherence tomography

Med-Science. 2018; 7(3): 491-3

 

Fentanyl with low dose bupivacaine (isobaric and hyperbaric) and levobupivacaine for combined spinal-epidural technique in cesarean section

Original Article

Fentanyl with low dose bupivacaine (isobaric and hyperbaric) and levobupivacaine for combined spinal-epidural technique in cesarean section

Canan Atalay, Muhammet Karaca, Muhammet Emin Naldan, Celaleddin Soyalp, Hunu Kursad

   

Abstract
To compare the hemodynamic and motor block effects of fentanyl combined with low doses of isobaric and hyperbaric bupivacaine and isobaric levobupivacaine in Caesarean operations with Combined Spinal-Epidural Anesthesia (CSEA) method. The aim of study is to use levobupivacaine and bupivacaine more effectively and comfortably in caesarean sections. Methods: A hundred and sixty pregnant women were randomly divided into four groups (n=40). A total volume of 1.8 mL containing 9 mg of plain bupivacaine (Group A), 5 mg of plain bupivacaine plus 40 µg fentanyl (Group B), 5 mg of plain levobupivacaine plus 40 µg fentanyl (Group C) and 5mg of hyperbaric bupivacaine plus 40 µg fentanyl (Group D) were applied. Results: Hemodynamic parameters and level of sensory block did not differ among the groups. Time to reach T4 sensory block level was 6 ± 1 min for Group A, 4 ± 1 min for Group B and C, and 7.5±2.5 min for Group D (P= 0.045). Bromage scores were: 110.5 ± 10.1 min, 90.1 ±11.1 min, and 85.1 ± 10.2 min for Group A, B and D, respectively. The patients in Group C had no motor block. Conclusions: Combining fentanyl (40 µg) with low dose (5 mg) isobaric and hyperbaric bupivacaine, and isobaric levobupivacaine provided sufficient anesthesia. Sensory block with no motor block was provided by adding fentanyl, especially to levobupivacaine, which eases perioperative period and delivers patient comfort.

Key words: Fentanyl, Low Doses, Bupivacaine, Levobupivacaine, Cesarean

Med-Science. 2018; 7(3): 494-8

 

The correlation of the gender of the fetus with prenatal attachment and perceived social support level

Original Article

The correlation of the gender of the fetus with prenatal attachment and perceived social support level

Cigdem Erdemoglu, Yesim Aksoy Derya

   

Abstract
Gender preferences that are based on the traditions or expectations of the geography are inevitable in Turkey, as in other countries. This study aimed to determine the correlation of the gender of the fetus with prenatal attachment and perceived social support level. The cross-sectional study was conducted between August 2015 and June 2016 in family health centers in Malatya, Turkey. A power analysis was performed, and the sample size was estimated as 265 pregnant women. The data were obtained “Pregnant Introduction Form,” “Prenatal Attachment Inventory,” and “Multidimensional Scale of Perceived Social Support.” The data were analyzed using descriptive statistics, Mann–Whitney U tests, independent-samples t test, and Cronbach’s alpha reliability analysis test. PAI total mean score was found to be 61.67 ± 8.58 for the primigravid women bearing a female child, and 57.74 ± 8.97 for the primigravid women bearing a male child (p

Key words: Gender of the fetus, prenatal attachment, social support, gender

Med-Science. 2018; 7(3): 499-502

 

Evaluation of BT uricell1280 automated urine sediment analyzer performance

Original Article

Evaluation of BT uricell1280 automated urine sediment analyzer performance

Mujgan Ercan, Esra Firat Oguz

   

Abstract
Fully automated urine analyzers are generally preferred in laboratories with high throughput. When these systems are used; especially the sediment analysis should be made by a well-skilled technician before reporting to discriminate well the interferences (like yeast or crystals) from erythrocytes and leukocytes. The purpose of the present study is to detect the correlation of erythrocyte and leukocyte numbers without any corrections in sediment field images of BT Uricell 1280 (BT products, İzmir, Turkey) fully automated urine analyzer with manual microscopy reports. A total of 528 first morning urine samples were studied by both BT Uricell 1280 and manual microscopy concurrently. The degree of concordance (Kappa coefficient) were evaluated. The sensitivity, specificity and positive and negative predictive value for the BT Uricell 1280 compared to manual microscopic examination were assessed. Precision and carry over studies were also performed. The degree of concordance of erythrocyte and leukocyte counts in microscopy of 528 urine specimens with manual microscopy was found to be 0.42 and 0.52 respectively (kappa coefficient). The sensitivity and specificity values of RBC and WBC were calculated for BT Uricell 1280 as 62.6%, 91.1%, 77.6%, 88.8%, respectively. The results of carry over analysis for both RBC and WBC were 0 %. The sediment microscopy analysis of erythrocytes and leukocytes with BT Uricell 1280 without any corrections presented moderate correlation with manual microscopy. A better correlation can be achieved by a more detailed examination of field images of the analyzer.

Key words: Urine microscopy, erythrocytes, leukocytes

Med-Science. 2018; 7(3): 503-6

 

Evaluation of psychiatric symptoms and automatic negative thoughts among menopausal women

Original Article

Evaluation of psychiatric symptoms and automatic negative thoughts among menopausal women

Hulya Ertekin, Fatma Beyazit, Basak Sahin

   

Abstract
In this study, we aimed to evaluate psychiatric symptoms and associations with automatic negative thoughts in menopausal women. This prospective descriptive study performed in gynecology and obstetrics clinic of Çanakkale Onsekiz Mart University Medicine Faculty Hospital. A Demographic information form, Brief Symptom Inventory (BSI), and Automatic Thoughts Scale (ATS) were administered to all individuals. The present study consist of 105 menopausal women. The mean age of participants was 60.42±8.43 years old. There were a statistically significant positive correlation between mean total scores of ATS and mean total scores of somatization, obsessive compulsive (OC) , Interpersonal Sensitivity (IS), depression, anxiety, hostility, phobic anxiety (PA), paranoid subscales, and additional materials (AM) (poor appetite, trouble falling asleep, thoughts of death or dying, feeling of guilt), and BSI total. Also there was a statistically significant positive correlation between total scores of AM and mean age of participants. Our results suggest that automatic negative thoughts are related with all psychiatric disorders in postmenopausal women.

Key words: Menopause, automatic negative thoughts, psychiatric symptoms

Med-Science. 2018; 7(3): 507-10

 

Evaluation of the effect of anemia on the birth weight of the baby during pregnancy

Original Article

Evaluation of the effect of anemia on the birth weight of the baby during pregnancy

Burcu Kayhan Tetik, Ebru Inci Coskun

   

Abstract
The aim of this study is to evaluate the impact of anemia on quality of life of mothers with without anemia on birth weight of the babies during pregnancy. The socio-demographic characteristics and complete blood counts of the patients who admitted to the pregnancy outpatient clinic were included in the study and data obtained from the files registered in the automation system. Evaluation of the data was performed by using software SPSS version 22. The mean Hb value was 11.650 ± 1.4 g / dL. Anemia was determined in 34 pregnant women (48.6%). In periodic follow up visits the mean weight of babies was 3325 g in the group without anemia and 2950 g in the group with anemia, the difference was statistically significant (p

Key words: Anemia, pregnant, baby birth weight

Med-Science. 2018; 7(3): 511-4