Aylin Öztürk

Bio: Aylin Öztürk is an academic researcher from Istanbul University. The author has contributed to research in topics: Nursing care & Intensive care. The author has an hindex of 8, co-authored 16 publications receiving 198 citations.

Subacute sclerosing panencephalitis: clinical and magnetic resonance imaging evaluation of 36 patients.

Abstract: We studied 36 patients (24 males, 12 females), all of whom had definite subacute sclerosing panencephalitis with typical periodic complexes in their electroencephalograms and increased titers of measles antibody in serum and cerebrospinal fluid. Their clinical and laboratory findings on admission were reviewed retrospectively. The age at onset of symptoms varied from 4 to 23 years. The average age at onset of disease was 13.1 +/- 4.18 years. The mean of the duration from the infection to the onset of subacute sclerosing panencephalitis was 9 years. Unusual symptoms, especially in the early periods of disease, included hemiparesis (7 patients), headache (3), generalized tonic-clonic seizures (6), absence seizure (1), nausea (3), and vomiting (3). Twenty-six cranial magnetic resonance imaging (MRI) and 12 computed tomography examinations were performed. Nine patients had normal MRI. In the early stages, lesions usually involved parieto-occipital corticosubcortical regions asymmetrically. In time, symmetric periventricular white-matter changes became more prominent. In addition to the common clinical findings in cases of subacute sclerosing panencephalitis reported in the literature, there were some different clinical features of the disease. Eventually, we concluded that there seems to be no correlation between the clinical stages and either the duration from the onset of subacute sclerosing panencephalitis or the MRI findings.

Evaluation of knowledge of osteoporosis and self-efficacy perception of female orthopaedic patients in Turkey

Abstract: Ozturka & Sendirm(2011) Journal of Nursing and Healthcare of Chronic Illness3, 319–328 Evaluation of knowledge of osteoporosis and self-efficacy perception of female orthopaedic patients in Turkey Aim. To evaluate the osteoporosis knowledge and self-efficacy of female orthopaedic patients. Background. Osteoporosis can affect either gender; however, 80% of those affected are women. Many women present with fractures of the hip or wrist each year as a result of osteoporosis. The disease is essentially incurable and so a preventive public health approach is required. Knowledge-based intervention programmes have been effective in increasing osteoporosis awareness. Method. This descriptive cross-sectional survey design was conducted in three public and two private hospitals in Turkey. The sample consisted of 146 patients hospitalised in orthopaedic clinics of these hospitals. Data were collected by a Demographic Questionnaire, Osteoporosis Knowledge Test and Osteoporosis Self-Efficacy Scale. Data were collected in 2007. Results. The mean age of the patients was 59·6 ± 12·9 years. Patients’ osteoporosis knowledge (9·9 ± 4·4) and osteoporosis self-efficacy perception mean scores (778·2 ± 260·4) were low. It has been determined that osteoporosis self-efficacy increases as osteoporosis knowledge increases. Significant relations between age and both osteoporosis knowledge and self-efficacy were found. In addition, osteoporosis knowledge was found to be correlated with education and income. Conclusion. The results indicated that female orthopaedic patients display low level of knowledge and self-efficacy with regard to the osteoporosis. Women may engage in self-efficacy perceptions which would help to prevent osteoporosis, if they are informed regarding the effects and risk factors of osteoporosis, and the preventative behaviours associated with osteoporosis. Relevance to clinical practice. Results indicate the need for further health education concerning the importance of dietary calcium and exercise on osteoporosis prevention in female orthopaedic patients especially who are older and have less formal education.

Hemşirelikte yeni bir sorumluluk alanı: tamamlayıcı terapi

Abstract: A New Responsibility in Nursing: Complementary Therapy Today, many healthy individuals and patients use complementary therapies to improve health, to prevent diseases or to support medical care and treatment in the presence of medical conditions. As a result of the increased interest of the people in complementary therapies, nurses, as healthcare professionals and members of healthcare teams who are to meet healthcare demands of the society, are now inevitably required be involved in provision of complementary therapies. Complementary therapies, therefore, may be regarded as one of the roles of professional nurses with academic background and scientific problem-solving skills, within the context of independent nursing concept. For these reasons, information on complementary therapies and their areas of use should be included in nursing curriculums and nurses should be updated on these therapies through in-service trainings.

Correlation between clinical stages and EEG findings of subacute sclerosing panencephalitis.

Abstract: In this retrospective study 67 patients with SSPE seen between the years 1980 and 1998 were reviewed. Using the criteria of SSPE diagnosis (clinical signs, characteristic EEG patterns, high titres of measles antibodies in the serum and CSF), the patients were divided into two groups. Group A fulfilled all criteria, however, due to the inability of measuring measles antibody before 1987, it was not possible to observe the third criterion in Group B. Among 67 patients, groups A and B consisted of 51 boys and 16 girls ranging in age between 1 to 23 years, mean age 13.1. The male/female ratio was 3.1. The periodic EEG complexes (PCs) were usually bilateral, synchronous and symmetrical. PC amplitude asymmetry was seen in 12 patients and 2 patients had no PC synchronization between the hemispheres. Six patients had more than one form of PC. Delta activity in anterior hemispheres after PC was seen in 40 patients, mostly in stage 2A. Thirty-two patients had focal epileptiform abnormalities in multiple locations at every stage but most frequently in frontal, central and temporal regions. One patient had PC over both hemispheres and periodic lateralized epileptiform discharges (PLEDs) over the right hemisphere. The EEG findings described and observed in our study do not seem to be specific to SSPE but these findings were not atypical or unusual.

Türkiye de erkek hemşire imgesi

Abstract: Aim: This study has been conducted to determine men nurse image of the society. Methods: The study that was conducted in cross-sectional design was realized on 1482 persons. Questionnaire that is prepared by researchers were filled by discussing with cases face-to-face. Average, percentage methods were used in evaluation of data. Results: Age year average of cases within the scope of the research is 31.74 (SD=10.37, Minimum=18, Maximum=65) type and 56% woman and 43.5% is graduated from high school. 71.4% cases stated that they knew that men were able to work as nurse in Turkey; 62.6% stated that nursing was a profession to be performed both by women and men; 18.2% stated that only women had to take place in nursing profession; 71.7% stated that success of nurses in practice was more important than gender; 52.5% stated that men nurses would not lead any change in the profession; 31.4% stated that men nurses would not contribute in development of social status of nursing; 45.6% stated that men nurses had to work in every field in hospital environment, 39.7% stated that they had to work in fields such as intensive care, operating theatre and emergency department. 16.6% cases stated that they would be ashamed of care by men nurse, 15.9% cases stated that they would hesitate and 15.4% cases stated that they would be surprised.

Coherent cortical and muscle discharge in cortical myoclonus.

Abstract: There is increasing evidence in man that the cortical drive to motor neurons is rhythmic. This oscillatory drive may be exaggerated in patients with cortical myoclonus. Spectral analysis of surface bipolar EEG and EMG activity was performed in eight such patients. Only three cases had evidence of giant cortical evoked potentials or a cortical correlate on back-averaging at the time of study. In six subjects, significant coherence between contralateral and vertex EEG and EMG was observed in ranges similar to that previously reported for normal subjects (15-30 and 30-60 Hz). Three out of these six subjects also had significant coherence at higher frequencies (up to 175 Hz). All eight patients had a correlate in the cumulant density estimate between EEG and contralateral EMG. EMG lagged EEG by about 14, 25 and 35 ms for the muscles of the forearm, hand and foot, respectively. These delays were estimated from the slope of the phase curves and the timing of the peaks in the cumulant density estimates, and are appropriate for conduction in fast pyramidal pathways. The results provide clear evidence of a cortical drive synchronizing muscle discharge over a broad range of frequencies in patients with cortical myoclonus. Fourier analysis is a promising technique in the diagnosis and investigation of such patients.

Long-term neurological and functional outcome in Nipah virus infection.

Abstract: Objective Nipah virus (NiV) is an emerging zoonosis. Central nervous system disease frequently results in high case-fatality. Long-term neurological assessments of survivors are limited. We assessed long-term neurologic and functional outcomes of 22 patients surviving NiV illness in Bangladesh. Methods During August 2005 and May 2006, we administered a questionnaire on persistent symptoms and functional difficulties to 22 previously identified NiV infection survivors. We performed neurologic evaluations and brain magnetic resonance imaging (MRI). Results Twelve (55%) subjects were male; median age was 14.5 years (range 6–50). Seventeen (77%) survived encephalitis, and 5 survived febrile illness. All but 1 subject had disabling fatigue, with a median duration of 5 months (range, 8 days–8 months). Seven encephalitis patients (32% overall), but none with febrile illness had persistent neurologic dysfunction, including static encephalopathy (n = 4), ocular motor palsies (2), cervical dystonia (2), focal weakness (2), and facial paralysis (1). Four cases had delayed-onset neurologic abnormalities months after acute illness. Behavioral abnormalities were reported by caregivers of over 50% of subjects under age 16. MRI abnormalities were present in 15, and included multifocal hyperintensities, cerebral atrophy, and confluent cortical and subcortical signal changes. Interpretation Although delayed progression to neurologic illness following Nipah fever was not observed, persistent fatigue and functional impairment was frequent. Neurologic sequelae were frequent following Nipah encephalitis. Neurologic dysfunction may persist for years after acute infection, and new neurologic dysfunction may develop after acute illness. Survivors of NiV infection may experience substantial long-term neurologic and functional morbidity. Ann Neurol 2007

Subacute sclerosing panencephalitis: clinical and magnetic resonance imaging evaluation of 36 patients.

Abstract: We studied 36 patients (24 males, 12 females), all of whom had definite subacute sclerosing panencephalitis with typical periodic complexes in their electroencephalograms and increased titers of measles antibody in serum and cerebrospinal fluid. Their clinical and laboratory findings on admission were reviewed retrospectively. The age at onset of symptoms varied from 4 to 23 years. The average age at onset of disease was 13.1 +/- 4.18 years. The mean of the duration from the infection to the onset of subacute sclerosing panencephalitis was 9 years. Unusual symptoms, especially in the early periods of disease, included hemiparesis (7 patients), headache (3), generalized tonic-clonic seizures (6), absence seizure (1), nausea (3), and vomiting (3). Twenty-six cranial magnetic resonance imaging (MRI) and 12 computed tomography examinations were performed. Nine patients had normal MRI. In the early stages, lesions usually involved parieto-occipital corticosubcortical regions asymmetrically. In time, symmetric periventricular white-matter changes became more prominent. In addition to the common clinical findings in cases of subacute sclerosing panencephalitis reported in the literature, there were some different clinical features of the disease. Eventually, we concluded that there seems to be no correlation between the clinical stages and either the duration from the onset of subacute sclerosing panencephalitis or the MRI findings.

Differential diagnosis and evaluation in pediatric multiple sclerosis

Abstract: The differential diagnosis for multiple sclerosis (MS) in childhood and adolescence includes infectious, inflammatory, and neoplastic disorders as well as metabolic neurogenetic leukodystrophies, toxic leukodystrophies, and vascular conditions. The evaluation is determined by the clinical and neuroradiologic presentation. A minimal diagnostic battery is proposed. More expanded evaluations are indicated for specific or atypical clinical presentations.