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Chylothorax: A Rare Complication of Endoscopic Thoracic Sympathectomy

ÇALIK, Mustafa | ÇALIK, Saniye Göknil | ESME, Hıdır | BEKÇİ, Taha Tahir

Hyperhidrosis (HH) is a pathological condition of excessive secretion of the eccrine sweat glands in amounts greater than that required for physiological needs. Herein, we describe a patient who was treated with autologous blood pleurodesis for ductus thoracicus injury after endoscopic thoracic sympathectomy. A 23-year-old woman was admitted to our clinic with a complaint of bilateral pronounced axillary HH, minimal sweating of the hands, and bruising. She underwent bilateral thoracic sympathectomy at levels T3 and T4. A milky fluid was observed in the left chest tube and was diagnosed as chyl ...Daha fazlası

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Intraspinal Bullet Migration: A Rare Case Report

ÇALIK, Saniye Göknil | ÇALIK, Mustafa | DAĞLI, Mustafa | ESME, Hıdır

Bullet migration is rarely reported in the literature. Herein we represent a case of penetrating gunshot injury with bullet migration from thoracic T7 spine to T10. A 34-year-old man was admitted to the emergency department with a gunshot wound on his left shoulder without an exit wound. He was paraplegic. Left hemopneumothorax and humeral fractures were detected on radiological examination. So far, the number of cases with migration is 30, including ours. Treatment is complex and still controversial. All spinal gunshot injuries should be treated as elective cases unless there are life-threate ...Daha fazlası

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The Relationship Between Health Literacy And Health Perception In Elderly Living In Nursing Home In Turkey

BAYRAK KAHRAMAN, Burcu | GÖRGÜLÜ, Ümit | POLAT, Ülkü | EKENLER, Şükrü | YILMAZ, Evre | ŞİRİN, Burak

Introduction: Changes seen by ageing can affect the level of health literacy and the perception of health. This study was carried out to examine the relationship between health literacy and health perception in the elderly. Materials and Method: This study was designed as a descriptive study. The sample consisted of 238 elderly individuals living in two nursing homes in Turkey between July and October 2018. The Health Literacy Scale, the Perception of Health Scale and a questionnaire form were used to collect data. Results: In this study, the mean score of Health Literacy Scale was found to be ...Daha fazlası

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Efficiency of code blue in a tertiary care hospital: A lesson we learned Code blue in a tertiary care hospital

OFLAZ, Ali | ÇALIK, Saniye Göknil | ÇALIK, Mustafa | ARSLAN KAŞDOĞAN, Zümrüt Ela | KALENDER, Mehmet | DAĞLI, Mustafa

Code Blue (CB) is an emergency that requires appropriate sequential actions gained through training with organized teamwork. This research has been conducted to evaluate the efficacy, efficiency, and application results of code blue which is used in our hospital

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Air Guns: Would You Buy These “Toys” for Your Children?

ÇALIK, Saniye Göknil | ÇALIK, Mustafa | HIDIR, Esme

Society and legislators perceive air guns (AGs) as toys or harmful items. Injuries in the thorax range from simple superficial ones to life-threatening ones. Although literature reports an alarming increase in the frequency and seriousness of the injuries caused by, the injuries rarely lead to death. Here, we presented a patient who was injured due to a potentially life-threatening AG. A 14-year-old boy was presented to our emergency department with chest injury after he had been shot by mistake by his 8-year-old brother with an air rifle from a distance of approximately 3 m. Upon examination, ...Daha fazlası

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Clinically Significant Thyroid Metastasis of Lung Cancer: A Rare Case Report

ÇALIK, Mustafa | ÇALIK, Saniye Göknil | EREN KARANİS, Meryem İlkay | ESME, Hıdır

Although thyroid tumors are commonly primary, metastases are extremely rare. We report a rare case of metastatic adenocarcinoma of primary lung origin presenting as a solitary thyroid nodule. A 55-year-old female housewife with no significant past medical history, admitted to our emergency department, complained of anterior neck swelling and dyspnea for one month. In radiological assessment, goiter with retrosternal extension, right primary pulmonary mass with bilateral pleural effusion, and metastases of the brain, thyroid, mediastinal lymph node, and left lung were detected. Dyspnea improved ...Daha fazlası

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The impact of imiquimod on radiation-induced lung injury: Results of an experimental study Imiquimod attenuates radiation lung injury

ÇALIK, Mustafa | ÇALIK, Saniye Göknil | YAVAŞ, Güler | ÇELİK, Zeliha Esin | YAVAŞ, Çağdaş | SARGON, Mustafa Fevzi | ESME, Hıdır

Aim: Radiation-induced lung injury (RILI) is a major dose-limiting factor during thoracic irradiation. Imiquimod (Imq) is a heterocyclic amine that has been shown to be effective in diseases related to inflammation and fibrosis. In this study, we aimed to evaluate the impact of Imiquimod on RILI. Material and Method: The study included 60 adult female Wistar-Albino rats (250-300 g). Rats were divided into 6 groups: Group (G) 1: control, G2: radiotherapy (RT) only, G3 and G4: 5 and 10 mg/kg Imq, G5 and G6 RT: plus 5 and 10 mg/kg Imq groups respectively. A single dose of 15 Gray (Gy) RT was give ...Daha fazlası

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Vagal schwannoma of the posterior mediastinum with cervical extension Vagal schwannoma with cervical extension

ESME, Hıdır | ÇALIK, Mustafa | ÇALIK, Saniye Göknil

A 35-year-old male was admitted to our Emergency Department with chest pain and hoarseness lasting for a month. A well-defined 58x36x34 mm mass located in the left posterior mediastinum with cervical extension was found on radiological imaging. It was completely excised with transversal cervicotomy and left-sided video-assisted thoracoscopic surgery. Schwannomas originating from the intrathoracic vagus nerve are extremely rare. Due to its rarity, similarity with other mediastinal lesions and unusual localization, diagnosis can be missed easily in busy and crowded Emergency Department. Here, th ...Daha fazlası

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Penetrating Lung Injury Caused by a Close-range Blank Cartridge: Case Report

ÇALIK, Saniye Göknil | ÇALIK, Mustafa | ŞAHSIVAR, Mehmet Orkun | DAĞLI, Mustafa | ESME, Hıdır

A 17-year-old male was brought to the emergency department with chest injury by a gunshot from a blank cartridge (BC). No bullet or fragment was seen in the radiological examination. The patient underwent left thoracotomy for hemopneumothorax. Chest injuries due to BCs have rarely been reported in the literature. The word ``blank{''} gives people a false sense of safety. Although BC ammunition does not contain any bullets or parts coming out of the barrel, it can lead to serious injury or even death, especially at contact or close-range.

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Osteoartrit Yönetimi, Yaşam Kalitesi ve Hemşirenin Destekleyici Rolü

KARATAŞ, Tuğba | YILMAZ, Evre | POLAT, Ülkü

Osteoartrit tüm dünyada en yaygın görülen kas-iskelet sistemi hastalıklarından biridir. Özellikle vücut ağırlığını taşımakla sorumlu olan kalça, diz, ayak gibi eklemlerde oluşan progresif enflamatuar deformatif süreç beraberinde ağrı, hareket kısıtlılığı, fonksiyonel kısıtlanma gibi yaşam kalitesini de olumsuz etkileyen pek çok semptomun ortaya çıkmasına neden olmaktadır. Osteoartrit hastalarında fiziksel sorunların yanı sıra depresyon, anksiyete, umutsuzluk, sosyal izolasyon gibi pek çok psikososyal sorunlar da görülebilmektedir. Osteoartritin yönetimi, bu sorunların kapsamlı bir şekilde değe ...Daha fazlası

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Ectopic Cushing's syndrome due to adrenocorticotropic hormone secreting atypical thymic carcinoid tumor.

DURAN, Cevdet | EREN KARANİS, Meryem İlkay | BAKDIK, Suleyman | ASLAN, Uysaler | ÇALIK, Mustafa | ÇALIK, Saniye Göknil

Cushing's syndromes (CS) due to thymic carcinoids are rarely seen. In this text, a case with CS due to ectopic adrenocorticotropic hormone (ACTH) secreting atypical thymic carcinoid tumor is presented. A 50-year-old Turkish male patient was admitted to our emergency department with typical CS features. Basal hormone profile, low- and high-dose dexamethasone suppression tests, and inferior petrosal sinus sampling results were consistent with ectopic ACTH secretion. Thorax computerized tomography showed an upper mediastinal mass, and trans-thoracic biopsy showed atypical thymic carcinoid with po ...Daha fazlası

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Dâhili Kliniklerde Çalışan Hemşirelerin Tükenmişlik Düzeyi ve Duygusal Emek Davranışı ile İlişkisi

YILMAZ, Evre | ARSLAN, Selda

Amaç: Dâhili kliniklerde çalışan hemşirelerin tükenmişlik düzeyleri ve duygusal emek davranış puanlarını belirlemek amacıyla tanımlayıcı olarak yapılmıştır. Gereç ve Yöntemler: Araştırmanın evrenini dahili kliniklerde çalışan 193 hemşire oluşturmuş; çalışma, araştırma kriterlerine uygun 180 hemşire ile tamamlanmıştır. Verilerin toplanmasında hemşire tanıtım formu, Duygusal Emek Ölçeği ve Maslach Tükenmişlik Ölçeği kullanılmıştır. Elde edilen verilerin analizi için t-testi, tek yönlü varyans analizi, Pearson Korelasyonu Analizi ve Tukey HSD testleri kullanılmıştır. Bulgular: Çalışmaya katılan h ...Daha fazlası

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