Central Ankara Research Articles

Should a third booster dose be scheduled after two doses of CoronaVac? A single-center experience.

In the 10th month of the pandemic, coronavirus disease 2019 (COVID‐19) vaccination was given first to healthcare workers in Turkey after receiving emergency use approval from the Ministry of Health. This study, which was performed at the COVID‐19 reference center in Ankara (the capital of Turkey) aimed to evaluate the seroconversion rate of the CoronaVac vaccine. The anti‐spike immunoglobulin G response to the two‐dose vaccination was retrospectively examined in healthcare workers who had no previous history of severe acute respiratory syndrome coronavirus 2 (SARS‐CoV‐2) infection. The postvaccine seroconversion rate was investigated by measuring the antibody levels of healthcare workers who had received CoronaVac. Vaccination was administered as 600 SU in 28‐day intervals. The healthcare workers' anti‐SARS‐CoV‐2 immunoglobulin G levels were used to determine the seroconversion rate 2 months after the second dose of the vaccine. Of the healthcare workers, 22.9% (n = 155) were seronegative. The younger the age of the participant, the higher the level of anti‐SARS‐CoV‐2 immunoglobulin G. Furthermore, anti‐SARS‐CoV‐2 immunoglobulin G levels were much higher in women than men.

YARATICI DRAMA YÖNTEMİ İLE HAZIRLANAN ÖĞRETİM PROGRAMININ HAFİF DÜZEYDE ZİHİNSEL YETERSİZLİĞİ OLAN ÖĞRENCİLERİN OKUDUĞUNU ANLAMA BECERİLERİ ÜZERİNDEKİ ETKİSİ

This quasi-experimental study investigates the effect of a program structured with creative drama on the reading comprehension skills of students with mild intellectual disabilities. The experimental group consisted of eight students with the necessary preconditions who attended a rehabilitation center in Ankara. The sample group received Reading Comprehension Skills Instruction Program. Data analyses were conducted with SPPS software. Results showed that the reading skills of the students improved more significantly than those receiving the classical reading programme. The experimental group answered the reading comprehension questions independently in high ratios. The related topics that were studied in both the games and the readings suggested that the learning results were permanent.

Optic glioma in children: Turkish experience.

e14042 Background: Optic gliomas are the most common tumors of the optic pathway, comprising about 1% of all intracranial tumours. Here we present the clinical characteristics and the outcome of patients with optic glioma at our institution. Methods: Seventy two patients diagnosed and followed up at a pediatric cancer center in Ankara, Turkey between January 1, 2008 and December 31, 2020 were included in this analysis. The clinical features and outcome of patients were recorded from patient files and hospital information system retrospectively. Results: The median age at the time of diagnosis was 3.5 years (4-157 months), the female/male ratio was 1.3. Fourteen children (19%) were asymptomatic and tumors were detected with routine surveillance, and 58 (81%) had symptoms (the most common being proptosis in 16 patients (22%)). The most common site of optic glioma was the intraorbital region (31%). Fourty patients (55%) had neurofibromatosis type 1 (NF-1). Five patients had histopathological diagnoses; 3 pilomyxoid astrocytoma, 2 pilocytic astrocytoma. Children were treated if they had tumor progression on MRI and/or worsening visual acuity. Twenty seven (38%) children were observed without any therapy, 6 patients (8%) received radiation and chemotherapy, 4 patients (5%) received radiation only, and 35 patients (49%) received chemotherapy only. Treatment regimens for the 41 children who received chemotherapy included carboplatin/etoposide (17), cisplatin/etoposide (18), carboplatin/vincristine (5), and temozolomide (1). The 5-year progression-free survival (PFS) and overall survival (OS) were 64% and 90%, respectively with a 31 month median follow-up. The 5 year PFS was significantly lower in patients with optic tract-hypothalamic-chiasmatic involvement (34%) than orbital involvement (83%) (p=0.013). Five year PFS was significantly higher in patients with NF-1 (80%) than patients without NF-1(46%) (p=0.027) and significantly lower in patients diagnosed at <3 years old (37%) (p=0.05). Five patients died of disease, and one died of infection after chemotherapy. Two patients treated with platin (1 carboplatin, 1 cisplatin) developed ototoxicity. One patient with NF-1 developed Moya-Moya disease. Two patients developed multiple pituitary hormone deficiencies and one patient developed precocious puberty during follow-up. No secondary malignancy was observed. Conclusions: The management of optic glioma remains challenging. Although the overall survival for children with this disease is excellent, progression of disease is frequent, particularly in those children without NF-1, younger children and non-orbital tumors. This study from Turkey showed comparable results with high-income countries. Further studies with longer follow-up periods are needed to find appropriate treatment strategies.

ORTA ANADOLU'DA KRONİK RİNOSİNÜZİTİN BİREYSEL ÖZELLİKLER VE ÇEVRESEL FAKTÖRLERLE İLİŞKİSİ

OBJECTIVE: The aims of this study were to investigate the prevalence and distribution of sinonasal diseases in patients that underwent paranasal sinus computed tomography (CT) due to chronic rhinosinusitis (CRS) with or without nasal polyps, and to explore the association between CRS and sinonasal variations and the effect of environmental factors.MATERIAL AND METHODS: The paranasal sinus CT images and files of 1000 patients that referred to a tertiary health center in Ankara were retrospectively evaluated. The CT findings, smoking status, presence of allergies, place of residence (urban/rural), and history of functional endoscopic sinus surgery were noted.RESULTS: CRS was seen in 68% of the patients, and most common in maxillary sinuses (53%). Nasal polyps with CRS were noted in 11% of the cases. CRS was also more common among smokers (p<0.001). In CRS accompanied by nasal polyps, no difference was found between urban and rural residence. However, most cases of CRS with nasal polyps lived in urban areas (81.4%, p=0.006). There was no difference between allergy and CRS with and without nasal polyps or between sinonasal variations and CRS development.CONCLUSIONS: In the region investigated, the prevalence of CRS with nasal polyps was higher in the urban area (higher air pollution); however, the prevalence of CRS without nasal polyps did not change according to the place of residence. CRS was generally more common among smokers, but there was no significant difference in patients with CRS accompanied by nasal polyps. CRS was not more common in people with allergies.

Reproduction of Cultural Identity in Urban Space: The Case of Cultural Centers in Ankara

Çalışmanın amacı yerel yönetimlerin kentsel alandaki kültürel üretimlere ilişkin pratiklerini, kültür merkezlerinin isimlendirilmesi ve buralarda yürütülen faaliyetler üzerinden analiz etmektir. İktidarlar kurumsal ve ideolojik çerçeveleri kullanarak insanların düşüncelerini ve yaşam tarzlarını etkilerler. Bu etkileme ulusal düzeyde yürütüldüğü gibi yerel ölçekte farklı ideolojiye sahip belediyeler tarafından da hayata geçirilebilmektedir. Hemen tüm siyasi partilere mensup belediyeler kendi ideolojik yaklaşımlarını çeşitli araçlar ile topluma kabul ettirerek kentsel mekânda kimlik inşa sürecini yürütmektedir. Belediyelere bağlı olarak hizmet veren kültür merkezleri de kentsel kimlik inşa sürecinin önemli araçlarındandır. Araştırmada, kültür merkezi yöneticileri ve kursiyerleriyle yapılan görüşmelerle elde edilen nitel veriler içerik analizi tekniği kullanılarak derinlikli bir şekilde analiz edilmiştir. Araştırma sonucunda hem bu mekânlar için tercih eden isimler hem de burada yürütülen faaliyetlerin kentsel kimliğin üretimi ve yeniden üretiminde belediyeler tarafından etkin bir şekilde kullanıldığı anlaşılmıştır.

The Place of Names within the Context of Political Ideologies: The Case of Cultural Centers in Ankara

The Place of Names within the Context of Political Ideologies: The Case of Cultural Centers in Ankara

Https://www.mtddergisi.com/eng/dergiayrinti/oyun-mekanlari-tasarim-olcutlerinin-cocuk-gelisimine-etkisi-isik-renk-ve-doku_467

Aim: In early childhood play; is an important activity in terms of mental and physical development. Another factor that is as crucial as the activity’s itself is the playgrounds. In this context the study, examines the artificial environment created in the sense of atmosphere and fittings by addressing uniformization in indoor playgrounds. The main purpose of the study is to analyze the space-fittings relationship in the context of light, color, texture and material in indoor playgrounds designed for children. Therefore, the effects of these spaces on child development and perception will be evaluated. Method: The field of inquiry has been determined as indoor playgrounds in Cepa-Kentpark-Armada-Next Level-Panora and Gordion shopping centers in Ankara. A questionnaire was applied to academician interior designers and child development specialists working at the universities in Ankara. Statistical data analysis was made using the SPSS Program. Results: A total of 64 designers and child development experts were surveyed within the scope of the research. The importance of color, light, texture and material only on gender in the context of space-child relationship at the point of perception and experiencing the space Color- 2.56 (1.36), Texture- 2.39 (1.39), Material- 2.64 (1,32) and Lighting- 2.19 (1.29). For experts from two different disciplines, creativity- 4.93 (0.26) and security- 4.88 (0.43) are the leading criteria when evaluated in terms of child-space. Conclusion: In this study, it is seen that expert opinions from two different disciplines make similar evaluations in the design of indoor playgrounds.

Spor Yapan Bireylerin Yeni Besin Korkusu ve Ortoreksiya Nervoza Eğilimleri ile Beslenme Durumları Arasındaki İlişkinin Belirlenmesi

Amaç: Bu çalışma, spor yapan bireylerin yeni besin korkusu ve ortoreksiya nervoza eğilimleri ile beslenme durumları arasındaki ilişkiyi belirlemek amacıyla yapılmıştır.
 Bireyler ve Yöntem: Çalışma, Aralık 2019-Nisan 2020 tarihleri arasında Ankara’da bulunan bir spor merkezine en az 3 aydır devam eden, 18-64 yaş arası 107 gönüllü birey (53 erkek, 54 kadın) üzerinde yürütülmüştür. Katılımcıların kişisel özellikleri, beslenme alışkanlıkları, egzersiz davranışları bir anket aracılığıyla sorgulanmış ve antropometrik ölçümleri alınmıştır. Katılımcıların yeni besinlerden kaçınma veya yeni besinleri deneme eğilimlerini belirlemek için Yeni Besin Korkusu Ölçeği kullanılmıştır. Ölçek puanı <X̅±SS olan bireyler neofilik, X̅±SS nötr, >X̅±SS neofobik olarak değerlendirilmiştir. Katılımcıların sağlıklı beslenme takıntılarının belirlenmesinde ORTO-11 ölçeği kullanılmış olup 23 puan ve altı ortorektik eğilim olarak değerlendirilmiştir. Katılımcıların besin tüketim durumları ise Besin Tüketim Sıklık formu kullanılarak saptanmıştır.
 Bulgular: Cinsiyete göre yeni besin korkusu ve ORTO-11 ölçek puanları açısından istatistiksel olarak önemli bir fark bulunmamıştır (p>0.05). Yeni besin korkusu arttıkça yapraklı sebze/ot tüketimi azalmaktadır (p<0.05). Ortorektik eğilimi olan bireylerde, ortorektik eğilimi olmayan bireylere göre sebze tüketiminin daha fazla, et ürünü/sakatat tüketiminin daha az olduğu saptanmıştır (p<0.05). Yeni besin korkusu zayıflama amacıyla, haftada 1-2 kez spor yapan bireylerde daha yüksek iken; ortorektik eğilimin vücut geliştirme ve sağlığını koruma amacıyla, sıklıkla haftada 5 kez ve üzeri spor yapan bireylerde daha yüksek olduğu görülmüştür (p>0.05). On iki ay ve daha uzun süredir spor yapanların ORTO-11 puanı, daha az süredir spor yapanlara göre daha düşüktür (p<0.05).
 Sonuç: Bu çalışma, yeni besin korkusu ve ortoreksiya nervoza arasında bir ilişki olabileceğini ve egzersiz davranışlarını etkileyebileceğini göstermiştir. Bu bulguları doğrulamak için daha fazla araştırma yapılması gerekmektedir.

Öğrenme Güçlüğü Tanısı Olan 7-12 Yaş Arasındaki Çocukların İnsan Figürü Çizimlerinin İncelenmesi

Bu araştırmada öğrenme güçlüğü tanısına sahip olan yedi-on iki yaş arasındaki çocukların insan figürü çizimlerinin çeşitli değişkenler açısından incelenmesi ve çocukların beklenen performans ile gözlenen performansları arasında farklılıklar olup olmadığının incelenmesi amaçlanmıştır. Betimsel araştırma modellerinden kesitsel araştırma modeli kullanılarak yürütülen araştırmanın çalışma grubunu Ankara ilinde özel eğitim ve rehabilitasyon merkezine devam eden ve öğrenme güçlüğü tanısı almış yedi-on iki yaş arasındaki 47 çocuk oluşturmaktadır. Araştırma verileri araştırmacılar tarafından oluşturulan demografik özelliklere ilişkin değişkenleri içeren “Çizim Analiz Formu” ve “Koppitz Bir İnsan Çiz Testi” kullanılarak toplanmıştır. Araştırma sonucunda; öğrenme güçlüğü tanısı olan çocukların gözlemlenen performanslarının beklenen insan figürü çizimlerinin altında kaldığı, erkeklerin kaş, kirpik ve giyim gibi çevresel faktörlerden etkilenen alanların kızlara göre daha az çizimlerinde yer aldığı, eğitim seviyesi ve yaşın ilerlemesiyle insan çizimindeki eksik parçaların azaldığı tespit edilmiştir.

Türkiye'deki üçüncü basamak bakım kurumlarından hizmet alan hastaların sağlık sistemine güven düzeyleri

Purpose: This study aimed to examine trust levels in the Turkish healthcare system of the patients receiving services from tertiary care institutions and the influencing sociodemographic factors.Materials and Methods: they conducted This descriptive study in inpatient units of six tertiary care hospitals (three training&research hospitals, three university hospitals) located in the center of Ankara among 493 inpatients. Data was collected with a sociodemographic form and Multidimensional Trust in Healthcare Systems Scale.Results: Participants’ mean age was 47.7±13.1; 50.1% were female, 38.3% were graduated from high school, 58.2% were unemployed, 70% had moderate income, 64.7 % were dwelling in rural, and 63.5% were satisfied with the healthcare services. The mean score for the scale was 61.5±8.2, and for healthcare providers, payers, and institutions subscales were as 38.1±5.2, 12.9±3.7, and 10.6±1.9, respectively. Trust in healthcare system was found significantly associated with age, educational level, employment, income, existence of household, residency area, and satisfaction from healthcare services.Conclusion: It is noted that older than sixty-years-old, low-educated, unemployed, low-income, and rural individuals had higher trust in the healthcare system. Because their need for medical information is greater, they are experiencing economic weaknesses, and they are relatively more in need of healthcare services, which increases their trust in the system.

Position Statement of Transplant Activity in the Middle East in Era of COVID-19 Pandemic.

Position Statement of Transplant Activity in the Middle East in Era of COVID-19 Pandemic.

Severe thrombocytopenia in pregnancy: a retrospective study

: Thrombocytopenia is defined as a platelet count less than 150 000/μl and it is the most common hematologic disease after anemia in pregnancy. This study aims to investigate pregnant women with severe thrombocytopenia (platelet count <50 000/μl). In the relevant literature, few studies have addressed severe thrombocytopenia in pregnancy. This is a retrospective study based on the data from a reference center in Ankara, Turkey between January 2016 and December 2017. The study group consisted of 51 pregnant women who had two platelet counts lower than 50 000/μl. Descriptive statistical methods were utilized to analyze the results. The study analyzed the causes of severe thrombocytopenia, maternal and fetal-neonatal outcomes, and the management of the patients. The common causes of severe thrombocytopenia were hypertensive disorders (66.7%), immune thrombocytopenia (13.7%), massive obstetric hemorrhage (7.8%), and disseminated intravascular coagulation (5.9%). The preterm delivery occurred in 58.8% of the patients, and 46 live-births (two twins), six stillbirths, and one pregnancy termination emerged. Postpartum hemorrhage occurred in four (0.08%) patients, and blood transfusion was performed in 15 (29.4%) patients. The platelet transfusion was required to increase the platelet count of 30 (58.8%) patients. The study showed that the incidence of causes in severe thrombocytopenia in pregnancy varied considerably from mild and moderate thrombocytopenia. Despite severe thrombocytopenia, maternal and neonatal bleeding complications were infrequent in the study group.

Demographic features and histopathological diagnosis in primary eyelid tumors: results over 19 years from a tertiary center in Ankara, Turkey.

To evaluate the demographic features, location, and histopathologic results in primary eyelid tumors. We retrospectively reviewed the records of patients with primary eyelid tumor diagnosed and treated between November 1997 and June 2016 on our service. Nine hundred and eleven lesions from 874 patients were included in this study. Four hundred and forty-six (51.0%) of the patients were females and 428 (49.0%) were males. The mean age was 51.0y (range: 3mo-94y). The lesions were located in the upper eyelid (418 cases, 45.9%), lower eyelid (378 cases, 41.5%), medial canthus (89 cases, 9.8%), and lateral canthus (26 cases, 2.8%). Four hundred and seventy (51.6%) lesions were located on the right side and 441 (48.4%) on the left. Of the eyelid lesions, 666 (73.1%) were benign, 230 (25.2%) malignant, and 15 (1.6%) premalignant. When the eyelid tumors were classified according to their tissue or cell of origin, 527 (57.8%) of the lesions were found to be epidermal, 171 (18.8%) adnexal, 131 (14.4%) inflammatory and infectious, and 65 (7.1%) stromal. The most common benign lesions were squamous cell papilloma (139 lesions, 15.2%), intradermal nevus (97 lesions, 10.6%), epidermoid inclusion cysts (78 lesions, 8.6%), seborrheic keratosis (60 lesions, 6.6%), and inflammatory masses (59 lesions, 6.5%). Basal cell carcinoma was the most common malignant tumor (191 lesions, 21.0%) followed by squamous cell carcinoma (16 lesions, 1.8%), sebaceous carcinoma (14 lesions, 1.5%), and malignant melanoma (5 lesions, 0.5%). In this study, 73.1% of eyelid lesions are benign and the remaining 26.9% are premalignant and malignant. Basal cell carcinoma is the most common tumor among all histopathological diagnosis followed by squamous papilloma.

Analysis of Gifted and Talented Students' Creative Problem Solving Styles

This study aimed at analyzing creative problem-solv-ing (CPS) styles of gifted and talented students. The study was conducted as a quantitative study. The study group of the research consisted of 151 students 77 girls (51%); 74 boys (49%) who were enrolled in sci-ence and art centers in Ankara in the 2019-2020 aca-demic year. Sixty-five (43%) of students were talented in academics, 44 (29%) talented in music, and 42 (28%) talented in the arts. Data for this study were collected using the "Creative Problem Solving Styles Inven-tory". Data were analyzed using χ2 (chi-square) test, Cramer's V coefficient and descriptive statistics. Find-ings of the study showed that gifted and talented stu-dents in the process of the CPS preferred conceptual-izer style, generator style, optimizer style, and imple-menter style respectively. No relation was found be-tween students' CPS styles and their gender. Students' CPS styles differed according to their talent areas (general-music-art).

Determinants of preventable stroke—Ankara ACROSS stroke preventability study

BackgroundUnhealthy lifestyle and inadequate control of vascular risk factors are the major contributors of stroke burden. Failure in achieving the target levels in control of these factors, not only designate missed opportunities contributing to the preventability of an incident stroke, but also set the post-stroke treatment goals in a case wise basis. In this study, we analyzed pre-event clinical features that play a role in stroke preventability, and determined the cumulative burden of risk factors that necessitate optimization following the ischemic insult. MethodsInformation about the pre-stroke optimal control of seven major modifiable risk factors (Life's Simple 7: hypertension, diabetes mellitus, hyperlipidemia, smoking, obesity, diet, and physical activity) was prospectively collected in ischemic stroke patients admitted to three tertiary academic centers in Ankara. Stroke preventability was evaluated by the overall number of factors requiring optimization with patients ≥4 risk factor conditions categorized as those suffering from a preventable stroke. Bivariate and multivariate analyzes were performed to uncover predictors of stroke preventability. ResultsAmong 787 patients, 386 (49.0%) had ≥4 risk factor conditions requiring optimization. Preventable stroke was more common in younger patients, and patients with small artery occlusion. Multivariate analyses taking into account the pre-stroke antithrombotic treatment regimen, have highlighted age (OR: 0.99, 95%CI 0.98-1.00), female gender (1.59, 95%CI 1.17-2.16), coronary artery disease (1.54, 95%CI 1.10-2.14), small artery occlusion (1.90, 95%CI 1.13-3.18), and cardio-aortic embolism (0.53, 95%CI 0.35-0.82) as significant factors associated with preventability. ConclusionsApproximately half of the ischemic stroke patients have preventable stroke from the perspective of risk factor control. Extra care should be given to strategies directed to risk factor control and lifestyle interventions in certain high-risk groups for the prevention of future complications.

Electric Bus Selection with Multicriteria Decision Analysis for Green Transportation

Multicriteria decision-making tools are widely used in complex decision-making problems. There are also numerous points of decision-making in transportation. One of these decision-making points regards clean technology vehicle determination. Clean technology vehicles, such as electric buses, have some advantages compared to other technologies like internal combustion engine vehicles. Notably, electric vehicles emit zero tailpipe emissions, thereby ensuring cleaner air for cities and making these clean technologies preferable to other technologies, especially in highly populated areas for better air quality and more livable cities. In this study, we propose a multicriteria decision-making process using analytic hierarchy process (AHP) and Technique for Order Preference by Similarity to Ideal Solution (TOPSIS) in the context of an electric bus in the center of Ankara. Six potential electric bus alternatives were evaluated under seven specific criteria. Overall, EV-2 electric buses outperformed other electric bus alternatives based on the chosen criteria. In addition, the stability of the results obtained under different scenarios using this method was established via sensitivity analysis.

Gifted students’ perceptions about intelligence: A metaphor study

The purpose of this study is to investigate gifted students’ perceptions about intelligence. The study was conducted with a total of 103 students, 38 females and 65 males, attending a science and art center in Ankara. The data were collected through metaphors from the gifted students. The students were given a form prepared by the researchers, and they were asked to complete the form including the expression “Intelligence is like……. because……….”. As a result of the study, 68 valid metaphors related to the concept of intelligence were obtained. The metaphors produced were grouped under eight conceptual themes: “Changeable and Incremental, Tool functioning, Can be used for good or evil, Valuable, Associated with strong memory, Can be different from person to person, Unlimited, To be discovered” in terms of their common characteristics. As a result of the study, it is concluded that gifted students perceive intelligence at most as “money” and “galaxy” and generally have the perception of incremental intelligence.

Is the revised 2018 FIGO staging system for cervical cancer more prognostic than the 2009 FIGO staging system for women previously staged as IB disease?

ObjectiveThe purpose of this study was to compare the prognostic value of the revised FIGO staging system with that of the 2009 FIGO staging system for women previously staged as IB disease. MethodsInstitutional cervical cancer databases of two high-volume gynecologic cancer centers in Ankara, Turkey, were retrospectively analyzed. Only women with 2009 FIGO stage IB1 or IB2 disease who underwent primary surgery were included. Survival curves were generated using Kaplan-Meier plots, and the log-rank test was used for survival comparisons. The Cox proportional hazards regression model was used to obtain hazard ratios (HRs) and 95% confidence interval (CI). ResultsData from 425 women were analyzed. The 2009 FIGO stage IB2 (n = 131) disease was associated with a nearly three-fold increased risk of mortality when compared to the 2009 FIGO stage IB1 (n = 294) disease (HR: 2.72, 95% CI: 1.69–4.37; p < 0.001). Stage migration was observed in 372 (87.5%) patients, according to the revised FIGO staging system, leading to no significant difference in five-year overall survival rates between stage IB1 (n=53) and IB2 (n=127) disease (95.2% vs. 89.3%, respectively; p = 0.23),or between stage IB2 (n=127) and IB3 (n=95) disease (89.3% vs. 84.2%, respectively; p = 0.12). Similarly, there was no significant difference in five-year overall survival rates between stage IIIC1 (n=114) and IIIC2 (n=36) disease (79.0% vs. 67.2%, respectively; p = 0.34). ConclusionWhen compared to the 2009 FIGO staging system, the revised staging system has more sub-stages, which leads to fewer patients in each sub-stage, resulting in diminished statistical power.

Para-aortic lymph node involvement revisited in the light of the revised 2018 FIGO staging system for cervical cancer.

This dual-institutional, retrospective study aimed to determine the clinicopathological risk factors for para-aortic lymph node (LN) metastasis among women who underwent radical hysterectomy with systematic pelvic and para-aortic lymphadenectomy for 2009 FIGO stage IB1-IIA2 cervical cancer. Institutional cervical cancer databases of two high-volume gynecologic cancer centers in Ankara, Turkey were retrospectively analyzed. Women with 2009 FIGO stage IB1-IIA2 cervical cancer that had undergone radical hysterectomy with pelvic and para-aortic lymphadenectomy between January 2006 and December 2018 were included in the study. Patient data were analyzed with respect to para-aortic LN involvement and all potential clinicopathological risk factors for para-aortic LN metastasis were investigated. A total of 522 women met the inclusion criteria. Pelvic LN metastasis was detected in 190 patients (36.4%), para-aortic LN metastasis in 48 patients (9.2%), isolated para-aortic LN metastasis in 4 (0.8%), and both pelvic and para-aortic LN metastasis in 44 (8.4%) women, respectively. The independent risk factors identified for para-aortic LN involvement included parametrial invasion (odds ratio [OR]: 3.57, 95% confidence interval [CI]: 1.65-7.72; p = 0.001), metastasized pelvic LN size > 1cm (OR: 4.51, 95% CI: 1.75-11.64; p = 0.002), multiple pelvic LN metastases (OR: 3.83, 95% CI: 1.46-10.01; p = 0.006), and common iliac LN metastasis (OR: 2.97, 95% CI: 1.01-8.68; p = 0.04). A total of 196 (37.5%) patients exhibited at least one risk factor for para-aortic nodal disease. Parametrial invasion, metastasized pelvic LN size > 1cm, multiple pelvic LN metastases, and common iliac LN metastasis seem to be independent predictors of para-aortic LN involvement.

Knowledge Levels About Rabies Disease in Health Care Professionals Providing Services in Rabies Vaccine Centers in Ankara

Amaç: Araştırmanın amacı A nkara İli kuduz aşı merkezlerinde görev yapan sağlık personelinin kuduz hastalığıyla ilgili bilgilerinin ve bu konuda verilen eğitimin etkinliğinin değerlendirilmesidir. Materyal ve Metot: Araştırma tanımlayıcı tipte bir çalışmadır. Ekim 2018’de Ankara İl Sağlık Müdürlüğü Halk Sağlığı Hizmetleri Başkanlığı tarafından 2 tur halinde yapılan “Kuduz Hastalığında Proflaksi” eğitimine katılan, Ankara’da hizmet veren çeşitli sağlık kuruluşlarında, konu ile ilgili birimlerde görev yapan 154 sağlık personeli ile yapılmıştır. Çalışmada kuduz hastalığı konusunda katılımcıların bilgi düzeyini ölçmeye yönelik 10 temel sorudan oluşan anket kullanılmıştır. Eğitimden önce ve eğitim sonrasında aynı anket kullanılmıştır. Sayımla elde edilen verilerde sayı ve yüzde ölçüm ile ifade edilmiştir. Ölçüm ile elde edilen verilerde normal dağılıma uygunluk gösterenlerde ortalama, standart sapma, normal dağılıma uygun olmayanlarda ise ortanca ile 1. ve 3. çeyrek değerleri kullanılmıştır. Bulgular: Araştırmaya katılanların %78,57’si (n=121) kadın, %21,42’si (n=33) erkek; yaş ortalamaları 38,32 ± 8,19’dur. Katılımcıların %22,08’i (n=34) uzman hekim, %18,18’i (n=28) hekim ve %59,74’ü (n=92) yardımcı sağlık personelidir. Katılımcıların eğitim öncesi testten aldıkları puan ortancası 50 (30-60) eğitim sonrasında ise 70 (60-80) saptanmıştır (p<0,001). Ön test ve son test puanları uzman hekimlerde 60 (40-60), 70 (60-80) (p<0,001); pratisyen hekimlerde 60 (50-70), 65 (50-80) (p=0,006), yardımcı sağlık personellerinde ise 45 (30-60), 70 (60-80) (p<0,001) saptanmıştır. Test toplam puanına göre eğitim öncesi katılımcıların %18,18’i yeterli bilgi düzeyine sahipken eğitim sonrasında bu oran %61,04 olarak saptanmıştır (p<0,001). Sonuç: Çalışmaya katılan sağlık personelinin kuduz hastalığı ile ilgili bilgi düzeyi düşük bulunmuştur. Sağlık çalışanlarının eğitimi ile ilgili kurumların bu konu üzerinde durması ve mezuniyet sonrasında kuduz hastalığına önem verilerek gerekli hizmet içi eğitimlerin periyodik olarak verilmesi önerilir.