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  • Küçük Resim
    Öğe
    Ebelik ve hemşirelik son sınıf öğrencilerinin hasta güvenliği ve tıbbi hatalar konusundaki tutumu
    (2012) Bodur, Said; Filiz, Emel; Çimen, Ayşe; Kapçı, Canan
    Amaç: Bu betimleyici çalışma, ebelik ve hemşirelik son sınıf öğrencilerinin hasta güvenliği ve tıbbi hatalar hakkındaki bilgi ve tutumlarının değerlendirilmesi amacıyla yapıldı. Yöntem: Araştırma, 2009 yılında Konya'da ebelik ve hemşirelik lisans son sınıf öğrencilerinde uygulandı. Veri toplama sürecinde okulda bulunan 45 ebelik, 50 hemşirelik öğrencisi örnekleme alındı. Veriler 24 soruluk anket formu kullanılarak toplandı. Bulgular: Araştırmaya katılan öğrencilerin yaş ortalaması 221 idi. Ebe ve hemşire adaylarınca, kendileriyle ilgili olarak, % 37'sinin stajları sırasında tıbbi hata yaptıkları, hataların yarıdan çoğunun (% 59) ilaç hataları olduğu, yapılan hataların % 12'sinde hastaların zarar gördüğü, ancak çoğunlukla (% 71) hataları rapor etmedikleri ifade edildi. Staj arkadaşları için ise bu oranları daha yüksek olarak bildirdiler. Tıbbi hataları en sık hekimlerin yaptığı (% 38) belirtildi. Sonuç: Ebe ve hemşire adaylarının tıbbi hata yapma oranı yüksek, hata bildirimi ise düşüktür. Tıbbi hataları önlemede müfredatta hasta güvenliği eğitiminin daha fazla yer alması, hasta güvenliğine katkı sağlayabilir.
  • Küçük Resim Yok
    Öğe
    Limitations in thrombolytic therapy in acute ischemic stroke
    (Professional Medical Publications, 2012) Kocak, Sedat; Dogan, Emine; Kokcam, Melek; Girisgin, Abdullah Sadik; Bodur, Said
    Objective: The eligibility for thrombolytic therapy for patients who present to the emergency department with Acute Ischaemic Stroke (AIS) has been researched in this study. Methodology: Patients who had presented to the emergency department of our hospital between March 2008-2009 and diagnosed as AIS clinically and radiologically were included in the study prospectively. Results: One hundred and twelve patients were included in the study. Forty nine (43.8 %) were female and the mean age was 68.7 +/- 12.2 (median 71.5). The mean time from the onset of symptom to hospital admission was 12.2 +/- 12.9 hours (median 6 hours). Two (1.8%) patients did not have any contraindication for thrombolytic therapy. Arrival time at the hospital of three hours and higher was the single contraindication in 40 (35.7%) patients. The most common four contraindications were delayed admission, multilobar infarct or hypodensity of more than 1/3 of the hemisphere, hypertension and mild neurological symptoms respectively. Conclusions: Our data suggest that the primary barrier to the delivery of thrombolytic therapy for AIS is delayed arrival of the patient to a hospital, and up to 1/3 of our patients, the percentage arriving within 4 hours of the onset of stroke symptoms, might be eligible for attempted re-perfusion.
  • Küçük Resim Yok
    Öğe
    Lipoprotein-associated phospholipase-A2 activity and its diagnostic potential in patients with acute coronary syndrome and acute ischemic stroke
    (Wolters Kluwer Medknow Publications, 2017) Kocak, Sedat; Ertekin, Birsen; Girisgin, Abdullah Sadik; Dundar, Zerrin Defne; Ergin, Mehmet; Mehmetoglu, Idris; Bodur, Said
    Background: The study examined the Lp-PLA(2) activity at the patients presented to the emergency department with acute coronary syndrome (ACS) or acute ischemic stroke (AIS), as well as its diagnostic value. Methods: The prospective study included consecutive male and female patients aged >18 years that presented to the our emergency department with ACS or AIS between November 2009 and January 2010. Blood samples were obtained immediately following diagnosis in the ACS and AIS groups. The diagnostic value of Lp-PLA(2) was determined based on receiver operating characteristic curves, sensitivity, specificity, predictive values, likelihood ratios and accuracy rates. Results: In all, 34 ACS and 32 AIS patients were included in the study, and the control group included 35 patients. Lp-PLA(2) enzyme activity was significantly lower in the ACS and AIS groups than in the control group (26.7 +/- 13.8, 31.4 +/- 13.6, and 41.4 +/- 8.1 nmol min(-1).mL(-1), respectively; p < 0.0001, p = 0.022). In the ACS group the area under the curve (AUC) was 0.825 (95% CI: 0.722-0.929), sensitivity was 71% for an optimal Lp-PLA(2) cut-off value of 31.4 nmol min(-1).mL(-1), and specificity was 91%, whereas in the AIS group the AUC was 0.768 (95% CI: 0.652-0.884), sensitivity was 75% for an optimal Lp-PLA(2) cut-off value of 38.1 nmol min(-1).mL(-1), and specificity was 74%. Conclusions: Lp-PLA(2) enzyme activity was significantly lower during the early stage of both ACS and AIS. The obtained statistic data suggest that low Lp-PLA(2) enzyme activity can be used for diagnostic purposes. Copyright (C) 2016 The Emergency Medicine Association of Turkey. Production and hosting by Elsevier B.V. on behalf of the Owner. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).