University Hospital In Ankara Research Articles

Aberrant parapharyngeal internal carotid artery: a case series

In this article, we report eight elderly cases who were diagnosed with aberrant internal carotid artery at the Department of Otorhinolaryngology and Head and Neck Surgery of Başkent University Ankara Hospital. Three cases had dysphagia, two cases had foreign body sensation in the throat, one case had increased tinnitus, and one case had complaints of aspiration which was not previously reported in the literature and chocking sensation. One patient was asymptomatic. Five cases had kink form of aberrant parapharyngeal internal carotid artery, one case had tortuosity and one case had both tortuosity and kink form. In one case, internal carotid artery was in form of 90 degrees angle in the right side and S-shaped in the left side, which was not described in the classification.

EP11.05: Outcome of ICSI pregnancies with spontaneous loss of a co‐twin compared with singleton ICSI pregnancies

To review the outcome of intracytoplasmic sperm injection (ICSI) pregnancies complicated by spontaneous loss of a co-twin compared with singleton ICSI pregnancies managed at our hospital. Başkent University Ankara Hospital Delivery Records of years 2012 and 2014 were reviewed to find out the singleton ICSI deliveries. Patients' files were reviewed afterwards in order to investigate the ICSI pregnancies complicated with spontaneous loss of a co-twin and they were categorised in which trimester loss of the co-twin occurred. Mann Whitney U and Chi-square tests were used for the statistical analyses. Twenty dichorionic ICSI twin pregnancies complicated by spontaneous loss of a co-twin in the I, II or III trimester (study group) and 217 singleton ICSI pregnancies (control group) were seen during the study period. Spontaneous pregnancies were excluded. Maternal demographic features, prematurity, gestational age at delivery and intrauterine growth restriction (IUGR) were analysed. A total of 2,361 deliveries occurred between years 2012 and 2014. Among those, 366 (15.5%) cases were ICSI pregnancies. In the study group, 12 co-twin fetal deaths occured in the I trimester, 3 of them in the II and 3 of them in the III trimester. There were no significant differences between the study and control group according to parity and maternal age. Gestational age at delivery was significantly lower in the study group (p < 0.05), but when subgroups analysed, the difference was caused from II and III trimester co-twin losses. Mean birthweight did not differ significantly between the study and control group (p > 0.05). Mean birthweight differed significantly between II and III trimester co-twin loss cohort and control group. IUGR rate was similar between control and study group, 11.5% and 10 % respectively. Supporting information for EP02.03, EP03.08, EP03.09, EP04.03, EP05.02, EP07.04, EP07.07, EP08.07, EP09.10, EP09.15, EP09.16, EP09.18, EP09.22, EP09.30, EP09.33, EP10.07, EP10.08, EP10.09 can be found in the online version of these abstracts.

Rights of Cancer Patient's: a Pilot Study from Turkey.

The chief aims of this study are to examine the levels of knowledge of cancer patients who have been receiving treatment in Turkey, related to the patient's rights they have, and determine the personal factors that affect their level of knowledge. The research was conducted with 294 patients who have been receiving treatment in a university hospital in Ankara. Findings have manifested that although the patients had some level of knowledge about fundamental rights of the patients, they have never used a great deal of them and they had no knowledge of plenty of important patient's rights. It is concluded that in order for cancer patients to participate in the treatment they receive, their level knowledge of patient's rights should be enhanced and this should be provided by education.

Başkent Üniversitesi Ankara Hastanesi Acil Servisine Başvuran Adli Nitelikteki Çocuk Olguların Değerlendirilmesi

Amaç: Bu çalışma, Başkent Üniversitesi Ankara Hastanesi Acil Servisine başvuran 0-18 yaş grubundaki adli olguların demografik özelliklerini, başvuru nedenlerini ve hazırlanan adli raporların niteliklerini belirlemek, elde edilen verileri benzer çalışmalarla karşılaştırmak amacıyla yapılmıştır.Gereç ve Yöntem: Tanımlayıcı nitelikteki bu araştırmanın örneklemini, Başkent Üniversitesi Ankara Hastanesi Acil Servisinde 01/01/2013-31/12/2013 tarihleri arasında hazırlanan 2397 adli bildirim raporu oluşturmaktadır. Çalışma, bu raporların çocuklara ait 664’ünün değerlendirmesini içermektedir.Bulgular: Çocuk Acil Servisimize başvuran 0-18 yaşındaki çocuklara ait olgular, tüm adli raporların %27,70’sini oluşturmaktadır. Çocukların 316’sı (%45,0) kız,348’i (%49,5) erkektir. Olguların enfazla olduğu yaş 402 (%50,54) ile 0-6 yaş grubu çocuklardır. Olay tipinin cinsiyet ayrımı yapılmaksızın dağılımına baktığımızda en sık yanık olayları (n:218, %32,83) nedeniyle acil servislere başvurulduğu, bu değeri sırasıyla; zehirlenmeler (n: 119, %17,92), düşme (n: 77, %11,60), trafik kazaları (n: 70, %10,54) ve yabancı cisim aspirasyonu (n: 63, %9,49) olgularının izlediği görülmektedir. Olay tipleri cinsiyet ayrımı yapılarak değerlendirildiğinde yanıkların kızlarda %39,55, erkeklerde ise %27,87 değeriyle yine ilk sırada yer aldığı görülmektedir.Sonuç: Çocukluk çağındaki önlenebilir sağlık sorunlarının önemli bir kısmını kazalar oluşturmaktadır. Bu kazalar sonucu oluşan ve adli nitelik taşıyan yaralanmalar çoğunlukla ev kazaları sonucunda oluşmaktadır. Çocuk kazalarının önlenebilmesi için yaşam alanlarında gerekli güvenlik tedbirlerinin alınması kaza riskleriniz azalı dmasında etkin bir yöntem olarak görülmektedir.Anahtar kelimeler: Adli olgu, Çocuk, Kaza, Tedbir.

Transperineal ultrasonography for labor management: accuracy and reliability

To compare ultrasound measurements and clinical assessments of cervical dilatation, fetal head station and fetal head position. Prospective, observational study. Tertiary care center (Ankara University Hospital), labor ward. Forty-three women in labor. Women were prospectively evaluated through simultaneous examinations (79 in total). Dilatation, head station, and position were recorded via digital examination whenever possible and were compared with ultrasonographic measurements of dilatation, angle of progression, head-perineum distance, and head position by two independent operators. Operators were blinded to each other's findings. Agreement between sonographic measurements and digital examinations. Ultrasonographic assessment of dilatation correlated significantly with digital examination. The interclass correlation coefficient of the two methods was 0.82 (95% confidence interval 0.73-0.88). Ultrasonography showed a mean lower cervical dilatation of 10 mm (95% limits of agreement: -36 to 16 mm) compared with digital examination. The angle of progression and head-perineum distances correlated moderately with the palpated head station (Pearson's correlation coefficients: 0.55 and -0.42, respectively; p < 0.001). Position could only be assessed in 40 of 79 examinations by digital examinations and the results showed low agreement with ultrasound findings. We observed good agreement between clinical and ultrasound assessment of dilatation, moderate agreement in assessing fetal station and low agreement assessing head position.

Experience of a skeletal dysplasia registry in Turkey: a five-years retrospective analysis.

This study shares data on 417 patients with genetic disorders of skeleton including 10 fetal autopsies encountered in a 5-year period at a tertiary university hospital in Ankara, Turkey. We included patients with osteochondrodysplasias, excluding overgrowth syndromes, dysostoses, and craniofacial syndromes. When grouped according to the "International Skeletal Dysplasia Society 2010 classification" the most frequent group is "FGFR3 group" (achondroplasia). "Decreased bone density group" takes the second place, consistent with the literature. We also demonstrated, a relatively higher frequency of recessively inherited skeletal dysplasias when the diagnosis is an entity other than achondroplasia or osteogenesis imperfecta. The literature on the incidence of genetic disorders of skeleton from the Middle East and Eastern Mediterranean is limited to fetal and neonatal autopsies or birth prevelance reports. The higher rate of consanguineous marriages which increases the frequency of autosomal recessive entities makes it difficult to apply data from other parts of the world. Total consanguinity rate among parents in our study was 53% and there were regional differences. The highest (79%) was among parents from South-east Anatolia. This study is the first broad retrospective analysis of genetic disorders of skeleton from our region. We aim to provide a descriptive source for future studies and discuss our findings in comparison to reports from other parts of the world.

Odontogenic Tumors: 56 Cases Diagnosed Over 20 Years at Baskent University Ankara Hospital

Odontogenic Tumors: 56 Cases Diagnosed Over 20 Years at Baskent University Ankara Hospital

Ethical sensitivity and related factors of nurses working in the hospital settings

The purpose of the study is to determine the level of ethical sensitivity and related factors of nurses working in the hospital settings. This descriptive study was conducted at a public hospital and a university hospital in Ankara, Turkey between April–July 2012. A total of 111 nurses participated in the study. The data were collected using a data collection tool consisting of two parts. The first part consisted of questions that determined the nurses’ personal and socio-demographic characteristics. The second part comprised of “Byrd’s Nurses Ethical Sensitivity Test”. The data were evaluated by using frequency, percentage, t-test and one-way ANOVA. Of the 111 nurses, 39,7% had a work experience of 1–3 years, 51,4% was married and 38,7% did not have ethics education. Education levels of most of the nurses (62,2%) were bachelor’s degree. The mean ethical sensitivity score of nurses was 21,12±2,85. “It was determined that ethical sensitivity of nurses was found to be higher in those that had ethics education, older age group, and had bachelor’s degree than others (p<0,05)”. The mean ethical sensitivity score of nurses was of medium level. It is concluded that ethical sensitivity was influenced by ethics education, age groups, and educational background.

Inappropriate Utilization of Emergency Services as a Health System Provision Challenge: An Example from a University Hospital in Ankara, Turkey between 1-7 February 2014

Background In Turkey it has seen dramatic increases in the use of emergency services (ES): ES admissions constituted one-third of overall admissions in 2012. In spite of the health system reform and universal health coverage, ESs are still utilized as first-contact health care settings indicating inequalities in service provision. In this study it is aimed to reflect profile of admissions in a university adult ES, to evaluate the service …

71 Patient education in stoma care; Impact of shortened hospital stay

71 Patient education in stoma care; Impact of shortened hospital stay

Detection of cagA and vacA genotypes of Helicobacter pylori isolates from a university hospital in Ankara region, Turkey.

The cagA and vacA profiles and their association with clinical findings show a distinct geographical distribution. In the present study, we aimed to determine the cagA status and vacA allelic subtypes in strains isolated from a university hospital in Ankara and to evaluate their associations with histopathological and endoscopic findings. A total of 120 H. pylori strains from stock cultures positive for the ureA gene were randomly included in the present study. Of these strains, cagA and vacA allelic subtypes (s1a, s1b, s2, m1, m2) were examined by polymerase chain reaction. Of the 120 strains, 64 (53.3%) were cagA-positive. However, no significant relationship was found between clinical outcomes and cagA positivity. There were 38 (33.6%) strains that had vacA m1 and 74 (65.5%) that had vacA m2 region. Overall, 75 (70.1%) samples were classified as vacA sla, 3 (2.8%) as vacA slb, and 29 (27.1%) as vacA s2. There was no significant relationship between vacA genotypes and endoscopic findings. The predominant vacA genotypes were slam2 (35.6%) and slam1 (33.6%), with almost the same rates. Furthermore, cagA positivity was found to be significantly related with the vacA slam1 genotype. The cagA and vacA profiles of our study population are consistent with the Middle Eastern profile.

VACCINATION STATUS IN CHILDREN UNDER 8 YEARS AND ATTITUDES OF THEIR PARENTS

Background: Vaccination plays a key role in preventive medicine worldwide. Turkey has adapted an advanced national extended vaccination program (NEVP) in recent years. Accordingly vaccination coverage rose dramatically in recent years. Attitudes of Parents are playing an inevitable role in the challenges toward vaccination issues. Aim: This study aims to determine the demographic traits, vaccination status, and attitudes of their parents regarding vaccination approaches. Design of Study: This study is designed as a cross-sectional observational survey Setting: The study was carried out at the pediatrics outpatient clinic of the Baskent University Ankara Hospital Methods: Parents with children aged 0-8 were asked between March – June 2013 to join the study voluntarily. 150 parents answered to a 12-item questionnaire. Data were analyzed using SPSS software. For descriptive statistics mean±SD, minimum-maximum levels and percentages were used; continuous variables were analyzed using t- test and categorical variables using Chi-square tests. P values < 0.05 were accepted as statistically significant. Results: In total 219 children of 150 families were enrolled. Mean age of the children was 2.73 years and all of them were fully vaccinated. Most were living in the city center (76.7%). Of the parents 10.7% were against paid vaccines, while 2% couldn’t afford them. 42% of families were positive about the HPV vaccine. Most of the families preferred their family physicians both in urban and rural areas for vaccination (61.7%, 68.6% respectively). Conclusion: The initiation of Family medicine in Turkey and the application of the NEVP have positively affected parents’ approaches towards vaccination.

Determination of vaccination status of pregnant women during pregnancy and the affecting factors

To determine the vaccination status of pregnant women during pregnancy and factors affecting their vaccination. Immunisation provided through vaccination is one of the most effective ways to reduce or prevent the risks of disease, disability and death. Maternal and newborn health may be protected and morbidity may be decreased through vaccinating pregnant women when necessary. This was a descriptive and cross-sectional survey. This study was conducted in a university hospital in Ankara, Turkey, between 01 March and 31 May 2010. The study was carried out with 198 healthy pregnant women who had completed the 26th week of gestation. Data were collected using the data collection form composed of questions enquiring about the demographic and obstetric features of pregnant women and whether or not they knew that vaccinations could be given during pregnancy, and which vaccines could be used during pregnancy, which vaccine/vaccines they had previously received and the reasons for having been vaccinated or not. Approximately half of the participants had received at least one of the vaccines that may be used in pregnancy (52·0%). The pregnant women received vaccinations for tetanus (47·0%), H1N1 (9·1%), seasonal influenza (3·0%) and hepatitis B (0·5%), respectively. The pregnant women who had been educated about vaccinations had been vaccinated at a statistically significantly higher rate compared with those who had not. This study revealed that pregnant women's knowledge about the required vaccines during pregnancy affected their behaviour towards vaccination. Acquiring knowledge about vaccines that may be used during pregnancy from health personnel is effective to increase vaccination. This result may be interpreted as 'acquired information affects behaviour towards vaccination'. Providing information about immunisation to pregnant women at the antenatal clinic is important in terms of maternal and newborn health. Nurses and midwives working in the antenatal field should be sufficiently educated about immunisation.

THU0382 Familial mediterranean fever (FMF) - disease activity and quality of life in adult patients of turkish ancestry living in turkey or germany

BackgroundPaediatric FMF-patients living in Turkey show a higher proportion of severe disease compared to Turkish children born and raised in Germany1.ObjectivesTo assess differences in the course of FMF in adults...

Ethical decision-making and professional behaviour among nurses

This study examined the relationship between nurses' ethical decision-making levels and their professional behaviours. Data were collected from 225 nurses who were recruited from university hospitals in Ankara using proportionate sampling. Data were analysed using descriptive statistics and Pearson correlations. Most of the nurses were familiar with ethical dilemmas in nursing practice. The Nursing Principled Thinking level was above average, while the Practical Consideration level was average. Nurses' professionalism level was low. There was a positive but weak correlation between professional behaviours of the nurses and their ethical decision-making levels. Increasing nurses' professionalism level can provide a positive contribution to the ethical decision-making level.

837 Views of Health Care Staff About Pandemic Influenza Vaccine Prior to Pandemics

Pandemic influenza vaccine, is important in many aspects for health care staff. Our questionnaire was conducted in 3 different centers to evaluate view of health care staff for pandemic influenza...

Identifying Women's Knowledge about Risk Factors of Breast Cancer and Reasons for Having Mammography

The aim of this study was to identify breast cancer risk factors and reasons for having mammography of the women who applied for mammography, as well as to determine their level of knowledge about risk factors and level of risk perception, and anxiety concerning breast cancer. This cross-sectional descriptive study was conducted from June 15, 2010 through September 10, 2010, in a university hospital in Ankara, Turkey. A questionnaire prepared by the researchers was used to collect the data. The mean age of the women was 52.1 ± 9.98 years. Sixteen percent of the women had a family history of breast cancer. The majority of participants had mammograms (75.8%) before and had gained knowledge about breast cancer and its screening (73.7%). The leading source of information about breast cancer was physicians (46.2%). Physician recommendations, having breast-related complaints, and family history of breast cancer were important reasons to obtain mammography. The mean knowledge score about risk factors of breast cancer was 4.15 ± 2.73 and the mean anxiety score was 1.65 ± 1.61. It was found that some socio-demographic and obstetrical characteristics of women, their family history, and risk perceptions about breast cancer affect their knowledge and anxiety scores about breast cancer. In conclusion, the present study identified a number of factors affecting mammography participation for women. The results of this study can be helpful in promoting screening for breast cancer.

Urinary Incontinence Among Turkish Women

The aim of this study was to determine the prevalence and potential risk factors associated with urinary incontinence (UI) in women and to assess its impact on quality of life (QOL). We undertook a cross-sectional study based on interviews, using a structured questionnaire. Two hundred eighty-eight women, aged 19 years and older, from gynecology outpatient clinics attached to a university hospital in Ankara, Turkey, were interviewed. Data were collected via a Turkish version of the international consultation on incontinence questionnaire short form (ICIQ-SF) and the Wagner's quality of life scale. Data were collected by face-to-face interviews with subjects and took approximately 30 minutes to complete. Potential risk factors were analyzed using logistic regression. The prevalence of UI was 31.9%. Logistic regression analysis indicated that the number of pregnancies (odds ratio [OR] = 0.53, 95% CI: 0.28-0.99), UI in mother (OR = 2.46, 95% CI: 1.35-4.50) and sister (OR = 0.34, 95% CI: 0.16-0.77), previous UI during pregnancy (OR = 12.22, 95% CI: 4.11-36.36) and postpartum period (OR = 11.28, 95% CI: 3.66-34.76), and body mass index (OR = 0.49, 95% CI: 0.29-0.85) were associated with a higher likelihood of incontinence (P < .05). Ninety-two of 288 women (31.9%) stated that UI has a negative impact on their QOL and only 40 of 92 (43.5%) had asked for medical help. Impairment of QOL was related with the type of UI, frequency of UI episode, and amount of leakage. Our study results determined that UI is common in Turkish women. The QOL of women was mostly mildly or moderately affected by UI.

Familial Mediterranean Fever (FMF) - Disease Activity and Quality of Life (QOL) in Adult Patients of Turkish Ancestry Living in Turkey or Germany

Background: Paediatric FMF-patients living in Turkey show a higher proportion of severe disease compared to Turkish children born and raised in Germany1. Our aim was to assess differences in the course of FMF in adults living in Turkey and Germany. Methods: Adult patients suffering from FMF according to the Livneh criteria2 with Turkish ancestry were prospectively included in the study in two university hospitals in Ankara, Turkey(TR) and Herne, Germany(D). A structured interview and the Turkish WHOQOL-BREF were performed. Results: 61 patients were included (TR:31/D:30). The two groups were significantly different in the following aspects (mean±SD): percentage of patients on colchicine treatment (TR:100%/D: 83.3%,p=0.02), daily colchicine dosage in mg among patients taking colchicine (TR: 1.6±0.7/D:1.15±0.7,p=0.009), duration of disease (TR:15.5±9.5/D:22.4±8.2y,p=0.003). In other aspects examined there was no significant difference. The groups were similar in terms of age at study inclusion (TR:30.9±10.8/D:34.2±10.5y), age at onset of FMF symptoms (TR: 15.4±11.3/D:11.8±6.5y), female sex (TR: 74%/D:60%), FMF-severity according to the score by Pras et al.3(TR:6.6±2.3/D:6.4±1.9) and the 4 domains of the WHOQOL-BREF (expressed on a 0-100 scale) physical health (TR:57.5±19/D:59.1±20.4), psychological health (TR: 61.3±17.4/D:66.4±19.2), social relationship (TR:66.4±21.7/D:67±23.3), environment (TR: 62.2±18.4/D:68.5±16.8). There was no relevant and significant correlation between FMF-severity and QOL. Conclusion: 16.7 % of FMF-patients of Turkish origin living in Germany included in our study are not taking colchicine (TR: 0%). The average colchicine-dosage in Germany is lower and patients examined in Germany had a longer duration of disease. However, there was no significant difference in disease activity and QOL between FMF patients in the two nations. No relevant correlation between FMF disease severity and QOL could be found.

Pediatric nurses view about parental presence during children's painful procedures

Family- centered care is one of the basic principles of pediatric nursing and allows pediatric patients to have parental support during invasive procedures. But health care professionals often hesitate regarding parental presence during pediatric invasive procedure. The aim of this descriptive study is to determine the views of nurses regarding parental presence invasive procedures in children. This study was conducted between the dates 15th March and 15th July 2009 in a university hospital in Ankara which permitted parental stay. A total of 43 (57%) nurses accepted our invitation to participate in this research. A demographic data form with open and closed ended interview questionnaires was used in the study. The majority of nurses reported that parents should not be present with the child during the painful procedure. The disadvantages of parental presence during a painful procedure commonly expressed by the nurses were increased anxiety in the child (77.1%), increased health professional anxiety (60.0%), and a detrimental effect of parental presence on the success of the procedure (60.0%). The nurses' recommendations to make the painful procedures less traumatic for both children and their parents are explaining the procedure to the children and parents (83.7%), use of local anesthesia or sedation before the procedure (37.2%), and performing painful procedures with specialized teams (20.9%). The nurses in the study population tended to prefer parents not to be present during painfull procedures. The findings of the study indicate the need for development of written polices and guidelines on the practice of painfull procedures. Recommendations for future research are presented.