E-ISSN 2757-8062
Volume : 46 Issue : 2 Year : 2022

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ZEYNEP KAMIL MEDICAL JOURNAL - Zeynep Kamil Med J: 46 (2)
Volume: 46  Issue: 2 - 2015
ORIGINAL RESEARCH
1.Development and Clinical Adaptation of The Flow Charts in Perinatal Nursing Practise
Yeliz Doğan Merih, Nuran Kömürcü
Pages 51 - 58
GİRİŞ ve AMAÇ: Çalışma, perinatal dönemdeki hemşirelik uygulamalarına ilişkin akış şemalarının geliştirilmesi ve alana uyarlanması amacıyla tek gruplu yarı deneysel bir çalışma olarak gerçekleştirilmiştir.
YÖNTEM ve GEREÇLER: Araştırma İstanbul ilinde kadın doğum alanında hizmet veren altı hastanede yapılmıştır. Çalışmanın örneklemini; çalışma süresi içerisinde ilgili hastanelerin perinatal servislerinde en az altı ay süreyle çalışan ve araştırmaya katılmayı kabul eden toplam 139 hemşire ve ebe oluşturmuştur. Veriler, araştırmacılar tarafından oluşturulmuş “Hemşire/Ebe Bilgi Formu” ve “Akış Şemalarının Etkinliğini Belirleme Formları” ile toplanmıştır. Çalışma öncesi gerekli izinler ve etik kurul onayı alınmış, perinatal dönem problemlerine ait riskler belirlenmiş ve akış şeması oluşturma çalışmaları başlatılmıştır. Yapılan değerlendirmeler sonucunda perinatal dönem problemlerine yönelik hemşirelik uygulamalarına ilişkin toplam 24 akış şeması oluşturulmuştur.
BULGULAR: Katılımcıların uygulama öncesi ve sonrasında akış şeması sürecine ilişkin görüşleri değerlendirildiğinde; her iki ölçüm arasındaki farkın istatistiksel olarak anlamlı olduğu, hemşirelerin/ebelerin oluşturulan akış şemalarını uygulamada etkinliğinin yüksek olarak değerlendirdiği, akış şemalarının yararına olan inançlarının arttığı ve şemalara yönelik memnuniyetlerinin iyi olduğu saptanmıştır (p<0.001).
TARTIŞMA ve SONUÇ: Çalışma sonucunda, standart bakımı gerekli gören ve çalışma alanlarında akış şemalarını isteyen katılımcıların, akış şeması sürecinin etkinliğine olan inançlarının daha fazla olduğu saptanmıştır.
INTRODUCTION: Aim of this study is, developing of flow chart about the current applications of nursing in perinatal period and adapting of this flow chart. This study includes single group and was a half experimental.
METHODS: This study was conducted at six hospitals that have Gynecology and Obstetrics departments in Istanbul. The samples were created
139 nurses / midwife who agreed to participate and had worked in perinatal clinics for least six months in the hospital before the study. Data was collected by using the “Nurse-Midwives Information Form” and “Determining Efficiency of the Flow Chart Form” which were created by the authors. Ethics committee approval and permission were obtained before commencing the study, perinatal risks were
determined and efforts to create new flow charts was started. Total twenty-four flow charts have been developed to be used in nursing practice for problems being faced during perinatal period.
RESULTS: The difference between the survey results before the flow charts’ application and after the flow charts’ application was statistically significant. We also determined that nurses / midwives successfully used this charts and their belief increased in flow charts’ helpfulness and the level of their satisfaction was high (p <0.001).
DISCUSSION AND CONCLUSION: In conclusion, the participants who think that standards of care are necessary have greater belief about efficacy of process of the flow charts and want flow charts in daily practice.

2.Maternal Hemoglobin Concentrations of Adolescent Pregnant Women in High Altitude
Ilay Öztürk Gözükara, Murat Polat, Suna Kabil Kucur, Beril Yüksel, Ali Seven, Halime Şencan, Hüseyin Durukan
Pages 59 - 62
INTRODUCTION: The aim of this study was to compare the hemoglobin (Hb) levels between adolescent pregnant women and control groups.
METHODS: This study is performed on Ağrı-Patnos State Hospital. 679 patients were enrolled into the study; 119 (17.5%) pregnant women
in the adolescent group (age<=19) and 560 (82.5%) cases in the control group (age between 20 and <=39). Complete Blood Count (CBC) was measured by automated cell counter with Coulter method.
RESULTS: Mean Hb level was 12.87g/dl ± 1.1 (min 10- max 15) in adolescent group and 134g/dl ± 1.2 (min 11- max 18) in control group. There was no statistically significant difference between Hb levels of two groups (p 0.3) Mean Hematocrit level was 36.44% in adolescent group and 37.8% in control group. There was also no statistically significant difference between two groups (p 0.7).
DISCUSSION AND CONCLUSION: There was no significant difference between adolescent and control groups regarding to Hb and Hematocrit. Normal range Hb and hematocrit levels were found even the effect of high altitude was assayed.

3.The International Publication Rates of Abstracts Presented in The National Gynecology and Obstetrics Meetings in The Field of Reproductive Endocrinology and Infertility
Gülçin Şahin Ersoy, Meryem Eken, Deniz Öztekin, Ebru Çöğendez, Mustafa Eroğlu
Pages 63 - 68
INTRODUCTION: Among the discipline of obstetrics and gynecology, reproductive endocrinology and infertility is worldwide regarded as one of the fields witnessing the fastest scientific developments. However an analysis of relevant presentations held at the national meetings has not been performed yet. The objective of this study therefore was to determine the contribution of Turkish scientists to world literature in the field of reproductive endocrinology and infertility, reflecting the scientific level of the annual National Gynecology and Obstetrics Meetings.
METHODS: All presentations in the field of reproductive endocrinology and infertility held in the National Gynecology and Obstetrics Meetings between 2008 and 2010 were included into the study. The PubMed and Google Scholar databases were searched in order to detect the conversion of scientific studies to publication in international peer-reviewed journals. For all abstracts, parameters including institution, author details, publication time and journal titles were recorded.
RESULTS: Between 2008 and 2010 161 abstracts (19 of which were oral presentations; 11.8%) were presented in the National Gynecology and Obstetrics Meetings in the field of reproductive endocrinology and infertility. 28.6% of these abstracts (n=46) were published in international peer-reviewes journals indexed in PubMed or Google Scholar databases. Compared with posters, the publication rate of oral presentations was found to be significantly higher [23.2% vs. 68.4%; Odds ratio = 7.14, 95% confidence interval (CI): 2.52 - 20.4 p<0.001]. The mean time to publication following the congress was 17.5 ± 12.5 months. The type of institution had no significant effect on the publication rate, nevertheless the university hospitals had the highest rate (33.3%; p = 0.113).
DISCUSSION AND CONCLUSION: The overall publication rate for the abstracts concerning reproductive endocrinology and infertility presented at the National Gynecology and Obstetrics Meetings held between 2008 and 2010 was found to be higher than the rates of national meetings of other subspecialities in Turkey. In order to further enhance this rate and level it with the publication rates of international meetings new and effective methods should be developed to inspire the researchers. In order to convey Turkey-based studies to a wider range of audience worldwide, the reasons for the relatively low level of publication rate should be effectively sought and dealt with.

CASE REPORT
4.The Prenatal Diagnosis and Perinatal Outcomes of Fetal Intra-Abdominal Cysts
Pınar Kumru, Resul Arısoy, Emre Erdoğdu, Oya Demirci, Elif Tozkır, Sevcan Arzu Arınkan, Ahmet Semih Tuğrul, Ayşenur Cerrah Celayir, Birol Durukan
Pages 69 - 75
The aim of this study is to evaluate the perinatal ultrasonographic findings and perinatal outcome after prenatal diagnosis of fetal abdominal cysts.

5.Posterior Reversible Encephalopathy Syndrome (PRES) in a Pregnant with Blindness: A Case Report
Ayşe Yasemin Karageyim Karşıdağ, Esra Esim Büyükbayrak, Seda Subaş, Erdinç Şişman, Seviye Bora Şişman
Pages 76 - 79
Posterior Reversible Encephalopathy Syndrome (PRES) is characterized by clinical symptoms such as visual disturbance, altered mental status, and seizures. It also presented with abnormal findings on computed tomography (CT) and magnetic resonance imaging (MRI) indicating cerebral edema in the occipital, temporal, and parietal lobes. It is often related with an acute increase in arterial blood pressure, and is associated with preeclampsia, renal failure, infections, and immunosuppressive agents. Early diagnosis and treatment of PRES is very important. PRES is a medical emergency and it is a fully reversible condition especially when diagnosed and treated immediately. Herein we report a case presented with blindness and diagnosed with MRI as PRES

ORIGINAL RESEARCH
6.Steroid Treatment in Bronchopulmonary Dysplasia
Selahattin Akar, Sevilay Topçuoğlu, Güner Karatekin, Fahri Ovalı
Pages 80 - 83
INTRODUCTION: Bronchopulmonary Dysplasia (BPD) is a chronic lung disease of premature newborns treated with positive pressure ventilation and oxygen. In this study we aimed to evaluate the efficiency of steroid usage in BPD patients.
METHODS: Eighteen preterm newborn born between 01.01.2012 and 21.12.2012 were enrolled to the study. The oxygen need before and after
treatment was evaluated.
RESULTS: The mean gestational age of patients were 26.81±1.87 (24-31) weeks, length of hospital stay 77.5±12.92 (23-142) days, length of steroid treatment 7.85±3.43 (3-11 ) days, starting with treatment 39.8±17.11 (14-79) days, mean cumulative dosage of steroid 0.65±0.27 (0.3-1.2) mg/kg, extubation day after treatment 7.82±8.14 (1-28), leaving CPAP after treatment 16.6±14.4 (4-61). At the beginning of the treatment 14 patients were intubated and 4 were in CPAP. After treatment one of the four patients in CPAP stayed in CPAP, one needed oxygen in hood, one in free flow and the other no more oxygen treatment, from 14 intubated patients 5 needed nasal CPAP, one oxygen in hood, one in free flow and the other 7 stated intubated.
DISCUSSION AND CONCLUSION: Although steroids are used in many centers in different therapy schedules, short term effects are still controversial. Since many factors
confine to perform a randomized controlled study on this subject, observational studies are very important to gather more information.

CASE REPORT
7.Acute Osteomyelitis in a Newborn: A Case Report
Emine Kavas, Tülin Gökmen Yıldırım, Nuray Baykal, Leyla Daban Kolsuz, Selahattin Akar, H. Fahri Ovalı
Pages 84 - 87
Osteomyelitis and septic arthritis which can be seen in the neonatal period are infections that are difficult to treat. The prognosis of the
osteoarticular infections in newborns are poor and requires immediate treatment as soon as the diagnosis is suspected.

8.Giant Thoracal Mass Spreading Transdiaphragmatically Towards Abdomen: A Case Report
Ayşenur Cerrah Celayir, Cengiz Gül, Suna Cesur
Pages 88 - 92
ETwo years old girl admitted with opacity in the right lung like a giant mass and opacity like a rib in this infiltration and minimal effusion in X-Ray. In an emergency thoracotomy due to respiratory distress and mediastinal shift; a giant encapsuled mass was seen in the right intrathorasic cavity; it was completely covering the right middle and lower hemithorax. The mass was penetrated and fixed into
the diaphragm approximately 10 cm in diameter.It had penetrated towards the abdomen. The mass was separated by blunt dissections from the surrounding pleural tissues and pericardium. At the same time with the right upper subcostal incision, the mass was mobilized from the liver and gerato fascia by the blunt dissection. One cm away from the penetrating edge of diaphragm it has been incised and the mass (with thoracal part, and abdominal part, and penetrated diaphragm) totally removed via abdominal incision through the diaphragmatic defect.
Remaining edges of the diaphragm closed primarily. The histopathological diagnosis was combined malignant germ cell tumor (yolc sac tumor and mature teratoma) and she has been followed up and treated by pediatric oncology clinic. Postoperative local recurrence or metastasis was not found three years later.

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