Seher Balcı Çelik

Hemşirelerin iletişim becerileri: Samsun ili örneği

Hemangiomas are the most common tumors of infancy. Most of them require no treatment, but treatment is needed if dramatic aesthetic, and/or functional impairment as visual or airway obstruction or ulceration arises. We reported a 6-month-old infant presented with a 6-week history of a rapidly growing cutaneus hemangioma on the right eyelid and caused visual impairment. The patient was successfully treated with the use of oral propranolol therapy. We suggest that propranolol can be considered as a first line treatment in a patient with infantil hemangioma.Objectives: The aim of this study was to examine levator palpebralis superior muscle histologically in patients with congenital blepharoptosis and to investigate the relationship between these findings and age, sex and degree of blefaroptosis in this patient group. Materials and methods: Levator muscle of 13 patients with congenital ptosis, who had applied to Dicle University Medical Faculty Ophthalmology Clinic and had undergone levator palpebralis superior muscle resection between january 2009-january 2010, has been examined histopathologically in Histology and Embriology Deparment. During preoperative period, ptosis amount, levator function (LF), tear functions, Bell\s phenomenon and jaw-winking phenomenon were evaluated. All patients underwent resection of levator palpebralis superior muscle. Received postoperative levator muscle was examined by light microscopy. Results: The average age of 9 (69.2%) male and 4 (30.8%) female cases were 10.61 p 4.77 (4- 19) years. In histological examination, the quality and quantity of the levator muscle fibrils have been assessed. There was no relationship detected between histological features of levator palpebralis superior muscle and patient\s age and gender (p>0.05). Patients with weak levator palpebralis superior muscle were detected to have fatty degeneration histologically. The higher the levator palpebralis superior muscle function revealed decreased fatty degeneration and increased skeletal muscle fibrils. Conclusion: More ultrastructural studies in larger populations are needed to support the relationship between structure and function of levator palpebralis superior muscle in patients with congenital blepharoptosis.Amac: Lateral epikondilit (tenisci dirsegi) en fazla tani konulan dirsek yan agri nedenidir. Bu calismanin amaci tenisci dirsegi tedavisinde tek doz kortikosteroid enjeksiyonu ile otolog trombositten zengin plazma (TZP) enjeksiyonunun etkilerini karsilastirmaktir. Gerec ve yontem: Dirsek yan kisminda agri sikâyeti sonucu klinigimize muracaat edip, lateral epikondilit tanisi konan 15 hastanin (6 erkek ve 9 kadin) 15 dirsegi calisma kapsamina alindi. Olgularin 1. grubuna tek doz 0,5 ml Bethametasone ve 0.5 ml Prilokain karisimi, 2. grup olgulara 1ml otolog TZP lokal olarak uygulandi. Bulgular: Verhaar skorlama sistemine gore alinan sonuclara gore ilk takiplerde lokal steroid enjeksiyonu yapilan hasta grubunda sonuclarin daha iyi oldugu fakat sonraki takiplerde iyi sonuclarin goruldugu vaka sayisinda azalma oldugu goruldu. TZP grubunda ise ilk takiplerde sonuclarin kotu oldugu fakat sonraki takiplerde daha iyi sonuclarin alindigi goruldu. Sonuc: Otolog TZP enjeksiyonun lateral epikondilitte iyi yonde etkinliginin zamanla artigi soylenebilir, fakat bunun daha iyi anlasilmasi icin olgu sayisi ve takip suresi artirilmis yeni calismalarin yapilmasi gereklidir.

Romantizm ve Eş Seçimi Tutum Ölçeğinin Uyarlanması: Geçerlik ve Güvenirlik Çalışması

Bu arastirmada Cobb, Larson ve Watson (2003) tarafindan gelistirilen Romantizm ve Es Secimi Tutum Olcegi (REST)’nin Turkce’ye uyarlanmasi, gecerlik ve guvenirlik calismasinin yapilmasi amaclanmistir. Bu dogrultuda olcek 2007-2008 ogretim yilinda Ondokuz Mayis Universitesi Egitim Fakultesi (n=193) ve Gazi Universitesi Gazi Egitim Fakultesinde (n=281) ogrenim goren 474 ogrenciye uygulanmistir. REST Olcegi’nin yapi gecerligini belirlemek icin temel bilesenler analizi kullanilarak faktor analizi yapilmis ve varimaks eksen dondurme teknigi uygulanmistir. Yirmisekiz maddelik olcegin, ‘Yalniz ve Tek Dogru’, ‘Ask Yeterli’, ‘Beraber Yasama’, ‘Tam Guven’, ‘Ideallestirme’, ‘Caba Gostermeme’, ‘Zit Kutuplar’ olmak uzere yedi alt faktorde toplandigi ve toplam varyansin % 49.84’unu acikladigi gorulmustur. Olcegin guvenirligi iki yontemle saptanmistir. Ilk olarak Cronbach alfa ic tutarlik katsayisi hesaplanmis ve α =.65 olarak bulunmustur. REST Olcegi’nin alt olceklerinin ictutarlik katsayilari ise, .33 ile .98 araliginda degismektedir. Ikinci olarak iki hafta ara ile yapilan test-tekrar test yontemi sonucu Pearson korelasyon katsayisi .61 olarak bulunmustur. Bu sonuclara dayali olarak olcegin yedi alt boyuttan olustugu, 28 madde ve dort celdirici maddeyi iceren 32 maddelik bir olcek oldugu gorulmustur. REST Olcegi’nin bekar universite ogrencileri icin gecerli ve guvenilir sonuclar verdigi bulunmustur.