Turkish validation of the family presence during resuscitation risk-benefit scale.

BACKGROUND: There are no validated tools to examine the risk and benefits of family presence and nurses' self-confidence during resuscitation in Turkey. AIM: This study aimed to test the validity and reliability of the family presence risk- benefit scale and the family presence self-confidence scale in Turkish as well as its psychometric characteristics. METHODS: The sample of the study consisted of 427 nurses. The forward-backward translation method was used. Exploratory and confirmatory factor analyses were used to examine the factor structure and construct validity of the scales. In order to evaluate the time invariances of the scales, the relationship between the scores obtained from the first and second applications was examined using the Pearson correlation coefficient. RESULTS: The Kaiser-Meyer-Olkin measure of sampling adequacy (KMO) value of the family presence risk-benefit scale was found to be 0.876 while the KMO value of the family presence self-confidence scale was found to be 0.927. Positive linear correlations with high levels of significance and respective values of 82.5% and 93.5% were found between the total scores of the family presence risk-benefit and family presence self-confidence scales and their retest scores. CONCLUSION: The Turkish versions of the family presence during resuscitation risk- benefit scale and the family presence self-confidence scale were found to be valid and reliable tools that could be used to determine the perceptions of nurses regarding the risks and benefits of family presence during resuscitation. RELEVANCE TO CLINICAL PRACTICE: Using the family presence risk-benefit and family presence self-confidence scales, both of which have been tested for validity and reliability in Turkish, the perceptions of intensive care nurses regarding the risks and benefits of family presence during resuscitation can be determined as well as their self-confidence on the subject, making the development of policies on the subject possible.

[Psychiatric evaluation in patients with obstructive sleep apnea syndrome]. / Obstrüktif uyku apne sendromlu hastalarin psikiyatrik açidan degerlendirilmesi.

INTRODUCTION: Obstructive sleep apnea syndrome (OSAS) might cause neuropsychiatric problems as well as cardiovascular and cerebrovascular complications. Daily life of the patients are effected and their quality of life decreases. In the present study, we aimed to evaluate anxiety and depression and to test their ability to cope with strees in patients with OSAS. MATERIALS AND METHODS: The patients with OSAS suspect admitting to our sleep laboratuary, were classed as simple snoring, mild-moderate and severe OSAS according to their apnea-hypopnea index (AHI). Hospital anxiety and depression, stres coping and skill loss scales were applied to the patients accepted to participate to the study. RESULTS: Fifty four patients participated into the study. Forty-one (75.9%) were OSAS and 13 (24.1%) were simple snoring (control group). Mean age was 52.3 ± 9.2 years in OSAS group, while it was 50.5 ± 9.9 years in control group. Snoring was found in every patient of two groups. Thirty-one (79.5%) patients with OSAS had witnessed apneas and 23 (60.5%) had exceesive OSAS patients had excessive daytime sleepiness. There was no significant differences in age, BMI, sleep efficency, HAD and skill loss scales between both groups. Autism was found higher in OSAS group with stres coping test (p= 0.031). Moreover, social support necessicity was found higher in moderate and severe OSAS patients. CONCLUSION: We found that neuropsyhiatric problems are highly seen in moderate and severe OUAS patients.

[Evaluation of serum adiponectin levels in patients with obstructive sleep apnea syndrome]. / Tikayici uyku apnesi sendromlu hastalarin serum adiponektin düzeylerinin degerlendirilmesi.

OBJECTIVES: Serum adiponectin levels have been found to be lower in patients with obesity, hypertension, and coronary artery diseases. In this study, we aimed to evaluate serum adiponectin levels in patients with obstructive sleep apnea syndrome (OSAS) and to correlate these levels with the severity of OSAS. STUDY DESIGN: In 62 OSAS patients (39 males, 23 females) and 32 controls (23 males, 9 females) determined by polisomnography, serum adiponectin levels were analyzed by the ELISA method. Patients were classified as having either mild (apnea hypopnea index, AHI: 5-14), moderate (AHI: 15-29) or severe (AHI ≥30) OSAS, and controls were defined as AHI <5. Plasma fasting glucose, total cholesterol (TC), triglyceride (TG), and high (HDL-C) and low (LDL-C) density lipoprotein cholesterols were analyzed, and the results were compared between the groups. RESULTS: There was no significant difference in mean age (51.6±10.7 years for patients, 48.3±10.8 years for controls) or body mass index (32.9±6.0 kg/m2 for patients, 31.3±5.6 kg/m2 for controls, p>0.05) in our study population. There was no significant difference in the number of hypertensive, diabetics, or smokers between the patients and controls. While serum TC, TG, and HDL cholesterol levels were not significantly different between two groups, the serum adiponectin levels of patients (3.0±3.4 µg/dl) were significantly lower than those of the controls (5.2±5.2 µg/dl, p=0.01). While serum adiponectin levels showed a significantly negative correlation with AHI (r=-0.221, p=0.03), there was a significantly positive correlation with minimum and mean oxygen saturations (r=0.213, p=0.04 and r=0.205, p=0.05). CONCLUSION: Serum adiponectin levels were significantly lower in patients with OSAS, especially for those in the severe OSAS group. Serum adiponectin levels are related to the severity of OSAS and arterial oxygen saturation.

An old woman with weight loss and chest pain.

Pulmonary sarcomas constitute only 0.1-0.5% of all primary lung malignancies. These tumors may derive from the lung parenchyma, bronchial tree or pulmonary arteries. The most important entity in the differential diagnosis is metastatic synovial sarcoma. A 76-years-old woman was admitted for investigation of a fever, productive cough, dyspnea, weight loss and left-sided chest pain which had been present for one month. A chest computerised tomography showed enlarged mediastinal lymph nodes were observed, as well as a left-sided pleural effusion. Thoracentesis revealed hemorrhagic pleural effusion which was exudate and lymphocyte predominant, closed pleural biopsy showed chronic inflammation. Left sided thoracoscopy was performed under local anesthesia, total collapse of left lung and multiple pleural nodules were observed on the visceral pleura multiple biopsies were obtained from those nodules. Pathologic examinations revealed "synovial sarcoma". As skeleton single photon emission tomography was unremarkable, primary pleuropulmonary synovial sarcoma was decided as diagnosis and chemotherapy was planned for the patient. Primary pleuropulmonary synovial sarcoma is a rare neoplasm of lung and pleura but it is rare entity.

[The characteristics of smoking habit among patients evaluated at our outpatient clinic]. / Gögüs hastaliklari poliklinigine basvuran olgularin sigara içme özellikleri.

To determine the prevalence of cigarette smoking, to examine the risk factors affecting smoking amongst adults and to assess the opinion of patients about quitting smoking who were evaluated at our outpatient clinic. Six hundred fifty-nine patients who were evaluated at our outpatient clinic between June 2005 and June 2006 were included in the study. This is a cross-sectional study that evaluates prevalence of smoking. Data gathered by applying face to face questionnaires. The mean age of 659 participants [417 (63.3%) males and 242 (36.7%) females] was 53.1 +/- 16.2 years. The prevalences were; 33% (n= 218) smokers, 39% (n= 258) ex-smokers and 28% (n= 183) non-smokers. Smoking prevalence under age of 50 was significantly higher (p= 0.0001). There was a positive significant relation between education and smoking amongst women, but this relationship was not significant amongst men. The most common reason for beginning smoking was because of friends (72%). 86% wanted to quit smoking. 48.9% tried to quit smoking but couldn't be successful. The prevalence of active smoking and quit smoking among patients who applied to pulmonary medicine outpatient clinic were 33% and 28%, respectively. The ratio of smoking and smoking pack-years was higher among men. Eighty-six percent of patients wanted to quit, 25% tried to quit but could not be successful, and 49% quit smoking but began smoking again. According to these findings, patients who were smoking wanted to quit but couldn't be successful without a professional help. We planned to found a smoking cessation outpatient clinic at our department.