130,688 research outputs found
Meme kanseri̇ tanisiyla radyoterapi̇ uygulanan hastalarda eğİti̇mi̇n hastalarin anksi̇yetesi̇ üzeri̇ne etki̇si̇
No full textMEME KANSERİ TANSIYLA RADYOTERAPİ UYGULANAN HASTALARDA EĞİTİMİN HASTALARIN ANKSİYETESİ ÜZERİNE ETKİSİ Gül ÇANKAYA, Zerrin ÖZGEN, Bennur GÜLEĞEN, Fatma ÇIRPI, Melek Beste ATASOY Marmara Üniversitesi Pendik Eğitim ve Araştırma Hastanesi, Radyasyon Onkolojisi Kliniği, İstanbul Giriş-Amaç: Bu çalışmada radyoterapi (RT) sürecinde radyasyon onkologları ve meme kanseri eğitim hemşiresiyle birlikte verilen eğitim, bilgilendirilme ve takibin hastanın anksiyetesi ve depresyon skalası üzerine etkisi araştırıldı Gereç-Yöntem: Prospektif planlanan çalışmaya meme kanseri nedeniyle opere olan ve radyoterapi ( RT ) endikasyonu konulan 15 gönüllü (n =15) hasta alındı (Tablo 1). Hastalara ilk muayene sonrası çalışmanın amacı açıklanıp onam alındıktan sonra Hastane Anksiyete ve Depresyon Ölçeği (HAD) uygulandı. Ardından radyoterapi basamakları, similasyon nedir? Sol memeden opere olan hastalara derin solunum egzersi önemi nedir? Derin solunum egzersizi nasıl yapılır? Radyoterapi nasıl bir tedavidir? Radyoterapi tedavisin yan etkileri nelerdir? Radyoterapi tedavisi aldığı sürecince cilt bakımında nelere dikkat etmeli? Lenf ödem nedir? Lenf ödem nasıl önlenebilir? Kendi kendine meme muayenesi nasıl yapılır? adlı eğitimler verildi ve hastaların talebi ve ihtiyaçları doğrultusunda diyetisyen ve psikiyatri desteği almaları sağlandı. Bununla birlikte radyoterapi tedavisi süresince hastanın cildinde gelişebilecek deri reaksiyonları düzenli olarak takip edildi ve bu süreçte hastanın soruları düzenli olarak cevaplandı. Tüm planlanan eğitim ve bilgilendirilmeler sonrası çalışmada kalmayı kabul eden hastalara ikinci kez Hastane Anksiyete ve Depresyon Ölçeği (HAD) uygulandı. Bulgular: Tedavi öncesi ve sonrası hastaların HAD ölçeğinden aldığı anksiyete ve depresyon puanları Tablo 2 de belirtilmiştir. İstatistiksel analiz SSPS 24 sürümü kullanılarak Wilcoxon testi yapıldı. Hastaların eğitim ve bilgilendirme öncesi ve sonrası anksiyete ve depresyon puanlarında istatistiksel anlamlı (HAD-A p:0,001; HAD-D p:0,001) olarak azalmıştır. Başlangıçta depresyon puanı 11’in üzerinde olan 3 hastanın ikisi psikiyatrik destek almıştır. Tartışma-Sonuç: Meme kanseri nedeniyle opere olup radyoterapi uygulanan hastaların tedavileri sürecince bu konularda eğitimli hemşire tarafından düzenli olarak bilgilendirilmesi ve takip edilmesi hastaların tedaviye uyumunu artırmıştır. Aldıkları eğitimler hastalarda davranış ve duygulanım değişikliğine neden olmuştur. Bunun sonucunda hastalarda anksiyete ve depresyon skalasında istatistiksel anlamlı düşüş sağlanmıştır. Anahtar Kelimeler: Meme kanseri, radyoterapi, eğitim, hastane anksiyete ve depresyon ölçeğ
Anxiety and depression level and body appreciation of breast cancer patients who had oncology physician and nurse led education during postoperative radiotherapy
No full textOP-02 Anxiety and depression level and body appreciation of breast cancer patients who had oncology physician and nurse led education during postoperative radiotherapy Gul Cankaya, Zerrin Ozgen, Ayse Korkmaz, Omer Yanartas, Beste Melek Atasoy Department Of Radiation Oncology Marmara University Pendik Training Hospital Istanbul Turkey INTRODUCTION: In this study, we have investigated effect of education on anxiety and depression levels and body perception of breast cancer patients during postoperative radiotherapy (RT) led by physicians and oncology nurse. MATERIAL-METHODS: Ethical approval was obtained from institutional ethical committee. In this prospective study we have enrolled 50 patients with written consent who were operated and had indication for RT (n = 50). Hospital Anxiety and Depression Scale (HAD-A1 and HAD-D1) and Body Appreciation Scale (BAS-1) were applied to patients after first examination. Then the patients had education on these topics: steps of radiotherapy, side effects and precautions, simulation, main points in simulation, deep breathing for patients operated on the left chest, significance of crunches, doing deep breathing exercise, the factors in skin care during RT, lymphedema, protection from lymphedema, making a breast self-examination, importance of inspection, importance of preventive health screenings and its intervals, importance of nutrition and activity in breast cancer. In line with the demands of patients, they had dietician and psychiatry support. However, radiotherapy skin reactions that may develop on the patient\"s skin during treatment was followed up regularly and complaints were answered. HAD (HAD-A2, HAD-D2) and BAS (BAS-2) were applied again after RT completed. RESULTS: Mean HAD-A1 was 4.9 (0 -15) SD 0.36, whereas HAD-A2 was 1.6 (0-5) SD 1.56. HAD-D1 resulted with average 3.7 (0-16) SD at 3.89 and HAD-D2 with mean 1.08 (0-5) SD 1.17. BAS-1 resulted mean 44.50 (33-50) SD 4.67 and BAS-2 with 46.68 (36-50) SD 3.74. HAD-A scores for 39 patients had decreased with only one increased and 10 remained same. Comparison of anxiety before and after treatment were made by Wilcoxon test; statistically it was found decreased significantly (p <0.05). HAD-D scores of 5 patients over 11 points returned to normal in second test. While HAD-D scores of 35 patients had decrement, 3 patients had mild increase and 12 remained stable. There was a statistically significant improvement in the depression scale (p<0.05). After the treatment, BAS scores had statistically significant increase (p<0.05). DISCUSSION: Anxiety in 3 patients and depression in 5 patients were high but regressed to normal. BAS scores had increment. Patients having regularly information had decreased anxiety and depression scales. It has been found increase in BBS scores. CONCLUSION: HAD-A, HAD-D and BAS scales helped monitoring positive effect of information on patients on RT. Keywords: Breast cancer, Radiotherapy, Hospital anxiety depression scale, Body appreciation scale, Breast cancer education nurse
Management of Early and Late Effects of Radiotherapy in Head and Neck Cancer Patients
No full textRadyoterapi baş-boyun kanserlerinin tedavisinde ana modalitelerden biridir. Gelişen teknoloji tümöre yüksek doz uygulamayı sağlarken risk altındaki organları daha iyi korumaya yardımcı olur. Buna rağmen bu bölgenin kompleks anatomisi birden fazla hedef dışı organın fonksiyonel olarak etkilenmesine ve hastanın hayat kalitesinin bozulmasına neden olabilmektedir. Kaçınılmaz olan erken ve geç yan etkilerin sıklık ve şiddetinin azaltılabilmesi iyi bir tedavi planlamasıyla başlar; bir dizi erken müdahale ve iyi bir takiple devam eder. Tedaviye bağlı yan etkilerin yönetimi en az hastalık kontrolü kadar önemlidir. Bu makalede baş-boyun kanserlerinde radyoterapiye bağlı başlıca erken ve geç yan etkilerin yönetimi güncel literatür ışığında incelenmiştir.
Anahtar Kelimeler: Baş-boyun kanserleri; radyoterapi; yan etkilerRadiotherapy is one of the primary modalities in treating head and neck cancers. Modern technology provides a high-dose application to the tumor while providing better protection for organs at risk. Despite this, the complex anatomy of this region may cause many non-target organs to be functionally affected and the patient's quality of life to deteriorate. Managing treatment-related side effects is as essential as disease control. Reducing the frequency and severity of early and late side effects starts with good treatment planning; continues with a series of early interventions and a good follow-up. This article examined the management of the most common early and late side effects of radiotherapy from head and neck cancers in light of current literature.
Keywords: Head and neck cancers; radiotherapy; side effect
Settlements and necropoleis of the Black Sea and its hinterland in antiquity: select papers from the third international conference 'The Black Sea in Antiquity and Tekkeköy: an ancient settlement on the southern Black Sea Coast', 27-29 October 2017, Tekkeköy, Samsun Archaeopress archaeology./ edited by Gocha R. Tsetskhladze and Sümer Atasoy ; with the collaboration of Akin Temür and Davut Yiğitpașa.
No full textMachine generated contents note: Once again about the Establishment Date of Some Greek Colonies around the Black Sea / Gocha R. Tsetskhladze -- Black Sea on the Tabula Peutingeriana / A.V. Podossinov -- Archaic East Greek Transport Amphorae: Secure Advances and Muddles. An Assessment / Pierre Dupont -- Western Black Sea -- Tekkekoy: Land of Legends from Past to the Future / Sumer Atasoy -- Epigram for a Sinopean from Tomis / Alexandru Avram -- Late Classical-Hellenistic Imports at Acic Suat (Caraburun) (4th-3rd Century BC) / Vasilica Lungu -- Northern Black Sea -- Chronology of Arrowhead and Dolphin-Shaped Monetary Signs from Berezan / Dmitry Chistov -- Essay on the Economy of Myrmekion in Pre-Roman Times / Alexei Kasparov -- Necropolis of Porthmion (from the Excavations of 2004-2013) / P.G. Stolyarenko -- Artyushchenko-1 Settlement on the Taman Peninsula (6th Century BC-4th Century AD) / Yurii A. Vinogradov -- Eastern Black Sea -- Southern Pontic Import Discovered at Classical Period Sites in Ajara / Emzar Kakhidze -- Brief Report on the Archaeological Excavations in Gonio-Apsarus, 2014-2017 / Kakhaber Kamadadze -- Southern Black Sea -- Traces of the Chalcolithic Culture of Alaca Hoytik in the Coastal Settlements of the Central Black Sea Region of Turkey / Hulya Caliskan Akgul -- Baruthane Tumuli at Amisos/Samsun / Sumer Atasoy -- Evaluations of Iron Finds from the Fatsa Cingirt Kayasi Excavations / Ertac Yildirim -- New Archaeological Expeditions in the Ancient City of Amastris / Handan Bilici Altunkayalier -- Ancient City of Sebastopolis in the Light of Archaeological Data and Inscriptions / Sengul Dilek Ful -- Politics and Diplomacy in Paphlagonia / Manolis Manoledakis -- Great Tumulus from Paphlagonia / Sahin Yildirim -- Land of Sacred Fire: Amasya -- Oluz Hoytik / Sevket Donmez -- Overview of Iron Age Sites of Zile District / Nesrin Ozsait -- Evaluation of the Recent Finds at Komana from the Early and Middle Byzantine Period / D. Burcu Erciyas -- Group of Glass Bracelets from Samsun Museum / Ozkan Ozbilgin -- Some Observations on the Dating of the Kavak Bekdemir Mosque in Samsun / E. Emine Naza Donmez.1 online resourc
MeSH term explosion and author rank improve expert recommendations
No full textInformation overload is an often-cited phenomenon that reduces the productivity, efficiency and efficacy of scientists. One challenge for scientists is to find appropriate collaborators in their research. The literature describes various solutions to the problem of expertise location, but most current approaches do not appear to be very suitable for expert recommendations in biomedical research. In this study, we present the development and initial evaluation of a vector space model-based algorithm to calculate researcher similarity using four inputs: 1) MeSH terms of publications; 2) MeSH terms and author rank; 3) exploded MeSH terms; and 4) exploded MeSH terms and author rank. We developed and evaluated the algorithm using a data set of 17,525 authors and their 22,542 papers. On average, our algorithms correctly predicted 2.5 of the top 5/10 coauthors of individual scientists. Exploded MeSH and author rank outperformed all other algorithms in accuracy, followed closely by MeSH and author rank. Our results show that the accuracy of MeSH term-based matching can be enhanced with other metadata such as author rank
Going Beyond Counting First Authors in Author Co-citation Analysis
No full textThe present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation
counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings
are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that
only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into
account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed
Epistemological Warfare and Hope in Critical Dystopia
No full textThis book focuses on the transition from innocence and ignorance to experience and knowledge in dystopian fiction, revealing that truth and knowledge in Katharine Burdekin’s Swastika Night, Anthony Burgess’s The Wanting Seed, and P. D. James’s The Children of Men are fictional constructs. These critical dystopias show characters’ journeys from ignorance to experience as a process of epistemological warfare. The protagonists’ initial ignorance is shattered through various symbolic transformations, increasing the utopian undertone within these examples of critical dystopia. The open-ended structure of these texts reinforces the hope of the utopian impulses and of revisionary epistemologies that might lead to more just, meritocratic societies
"Closing the R&D Gap, Evaluating the Sources of R&D Spending"
No full textBoth spending and tax policies have been implemented in the United States with the goal of stimulating private sector research and development (R&D). Karier questions whether current R&D policy, especially the research and experimentation tax credit, can contribute to closing the gap between nondefense expenditures on R&D in the United States and such expenditures in other countries, such as Japan and Germany. He also explores possible changes to our current R&D policy to make it more effective.
Dispelling the Myths Behind First-author Citation Counts
No full textWe conducted a full-scale evaluative citation analysis study of scholars in the XML research field to explore just how different from each other author rankings resulting from different citation counting methods actually are, and to demonstrate the capability of emerging data and tools on the Web in supporting more realistic citation counting methods. Our results contest some common arguments for the continued
use of first-author citation counts in the evaluation of scholars, such as high correlations between author rankings by first-author citation counts and other citation
counting methods, and high costs of using more realistic citation counting methods that are not well-supported by the ISI databases. It is argued that increasingly available digital full text research papers make it possible for citation analysis studies to go beyond what the ISI databases have directly supported and to employ more
sophisticated methods
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