Nurses' Perspective on Positive Attitudes to Cancer Patients in Turkey: A Qualitative Study

Usta, Yasemin Yildirim,Demir, Yurdanur,Yagmuroglu, Huriye Asian Pacific Journal of Cancer Prevention 2012 Asian Pacific journal of cancer prevention Vol.13 No.4

Objective: The aim of this study was to investigate the meaning of "positive attitude" for medical surgical nurses in caring for cancer patients. Methods: A qualitative method was used in this qualitative descriptive study with data from nurses who had volunteered to participate in an in-depth interview that was conducted between January and February 2012. A total of 10 nurses in general medical and surgical wards of a district hospital were interviewed. Results: The study used three broad themes to describe this multifaceted construct: showing empathy, seeing positively and behaving positively. The nurses were aware of their attitudes towards being positive with cancer patients and its significance in support for cancer patients. Conclusions: The findings of this study can serve as a platform upon which educational and other support programmes can be developed in order to meet the needs of those general nurses working with cancer patients. Future studies are recommended to examine nurses' beliefs about cancer that are thought to affect positive attitudes toward cancer patients.

Regional climate simulations and future projections by COSMO-CLM in Istanbul

Cemre Yoruk Sonuc,Yurdanur Unal,Selahattin Incecik 한국대기환경학회 2021 한국대기환경학회 학술대회논문집 Vol.2021 No.10

Climate change can affect human health by making our air less healthy to breathe. Atmospheric warming associated with climate change has the potential to increase surface ozone levels, particularly in mid-latitude regions of the world. Rising ozone levels cause serious health problems, especially in summer, and may pose difficulties in complying with ozone air quality standards in the future. The study aims to investigate the ability of the COSMO-CLM model to reproduce the climate characteristics over Turkey and northwest of the country and emphasizing Istanbul to evaluate the projections of the regional climate model by determining the future changes in the temperature and precipitation variables. This study examines the present (1991-2005) and high-resolution climate projections for (2041-60) and (2071-90) over Istanbul and its surrounding areas at a spatial resolution of 0.0275o (2.8 km), employing the IPCC RCP 8.5 emission scenario by the COSMO-CLM_5.0 regional climate model forced by the earth system model MPI-ESM-LR. The performance of the model was validated by comparing simulation results to the observations. Climate projections show significant warming expected over the whole area in the period of 2041-2060 and especially in 2071-2090. Warming over Istanbul is around 1.25°C in the first period but, significantly higher in the case of the second period, which reaches up to 3.0°C. With the effect of Marmara at the south and the Black Sea on the north, warming increases in the coastline are higher than in the inner parts of the city. Moreover, in the spring and summer seasons, the north of Istanbul warms up more slowly than the south, the difference in the rate of temperature increase is expected to be more pronounced in the summer season. An increase in summer temperatures is expected especially in the southern coastal parts of the city. This will lead to an increase in ozone levels with the effect of land-sea breeze circulations. A significant reduction in precipitation is particularly evident at the end of the century over Istanbul. It is expected that the greatest decrease will occur in the spring season in both periods. The decrease in precipitation will lead to an increase in particulate pollution caused by Saharan dust transport, which affects Istanbul, especially in the spring season.

The Relation of Androgenetic Alopecia Severity with Epicardial Fat Thickness

( Emine Colgecen ),( Huseyin Ede ),( Mustafa Fatih Erkoc ),( Yurdanur Akyuz ),( Ali Riza Erbay ) 대한피부과학회 2016 Annals of Dermatology Vol.28 No.2

Background: Androgenetic alopecia (AGA) is the most commonly encountered baldness pattern in men. Epicardial fat tissue is found on the cardiac surface between the myocardium and visceral pericardium. Both AGA and epicardial fat thickness (EFT) are related to coronary artery disease, which is also reflected by an increase in carotid intima media thickness (CIMT). Objective: The purpose of this study was to investigate the relation of AGA severity with EFT. Methods: One hundred twenty-six male patients with AGA aged 18 to 55 years without histories of chronic disease were enrolled. Subjects were divided into three groups (mild, moderate, and severe) on the basis of the Hamilton baldness scale as modified by Norwood. Maximum EFT was measured at end-systole on the midventricular free wall of the right ventricle. CIMT was also recorded for all patients. Results: The groups did not have statistically significant differences with respect to age, height, weight, body mass index, left ventricular ejection fraction, or left atrial diameter (p>0.05 for all comparisons), but the severe group had a higher EFT compared with the moderate (p<0.001; z score, .7.040) and mild groups (p<0.001; z score, .6.667). The moderate group also had higher EFT than the mild group (p<0.001; z score, .5.931). Mean CIMT value in the severe group was significantly higher compared with the value in the other groups. Conclusion: The study showed that subjects in advanced stages of AGA had increased EFT, which was measured via echocardiography.(Ann Dermatol 28(2) 205∼209, 2016)

Radical Oncological Surgery and Adjuvan Therapy in Non-Small Cell Lung Cancer Patients over 70 years of Age

Demirci, Nilgun Yilmaz,Ulger, Sukran,Yilmaz, Ulku,Aydogdu, Koray,Yilmaz, Aydin,Erdogan, Yurdanur Asian Pacific Journal of Cancer Prevention 2015 Asian Pacific journal of cancer prevention Vol.16 No.11

Background: The incidence of lung cancer increases with age. Approximately 50% of non-small cell lung cancer (NSCLC) patients are over 70 years old. Because of the increasing elderly population, treatment approaches in this age group continue to be studied similar to groups of young people. Materials and Methods: In the current study, 26 patients who underwent radical surgery and adjuvan chemoradiation at Ataturk Chest Diseases and Chest Surgery Training and Research Hospital were evaluated retrospectively. Results: Of 21 patients (81%) were male and the average age was 74.4. Lobectomy was performed in 18 cases, pneumonectomy in 3, sleeve lobectomy in 3 and bilobectomy in 2. There was no perioperative or early period mortality. Overall survival was 24.5 months. Conclusions: From our study, lung cancer surgery and adjuvant therapy can be performed safely with low morbidity in the elderly.

Male Breast Cancer: 20 Years Experience of a Tertiary Hospital from the Middle Black Sea Region of Turkey

Serarslan, Alparslan,Gursel, Bilge,Okumus, Nilgun Ozbek,Meydan, Deniz,Sullu, Yurdanur,Gonullu, Guzin Asian Pacific Journal of Cancer Prevention 2015 Asian Pacific journal of cancer prevention Vol.16 No.15

Background: Male breast cancer is a rare neoplasm, and its treatments are based on those of female breast cancer. This study aimed to analyze 20 years of male breast cancer clinical characteristics and treatment results from the Middle Black Sea Region of Turkey. Materials and Methods: A retrospective analysis of 16 male breast cancer patients treated in our tertiary hospital between 1994 and 2014 was performed. Epidemiologic data, tumor characteristics, and treatments were recorded and compared with 466 female breast cancer ((premenopausal; n = 230) + (postmenopausal n = 236)) patients. The 5-year disease-free and overall survival rates were calculated. Results: Male breast cancer constituted 0.1% of all malignant neoplasms in both sexes, 0.2% of all malignant neoplasms in males, and 0.7% of all breast cancers. The mean patient age in this study was $59.8{\pm}9.5$ (39-74) years. The mean time between first symptom and diagnosis was $32.4{\pm}5.3$ (3-60) months. Histology revealed infiltrative ductal carcinoma in 81.3% of patients. The most common detected molecular subtype was luminal A, in 12 (75%) patients. Estrogen receptor rate (93.8%) in male breast cancer patients was significantly higher than that in female breast cancer (70.8% in all females, p = 0.003; 68.2% in postmenopausal females, p = 0.002) patients. Most of the tumors (56.3%) were grade 2. Tumor stage was T4 in 50% of males. The majority (56.3%) of the patients were stage III at diagnosis. Surgery, chemotherapy, radiotherapy and endocrine-therapy were applied to 62.5%, 62.5%, 81.2% and 73.3%, respectively. Loco-regional failure did not occur in any of the cases. All recurrences were metastastic. The 5-year disease-free and overall survival rates in male breast cancer patients were 58% and 68%, respectively. Conclusions: Tumors found in male breast cancer patients were similar in size to tumors found in females, but they advanced to T4 stage more rapidly because of the lack of breast parenchymal tissues. The rate of estrogen receptor expression tended to be higher in male breast cancer patients than in female breast cancer patients. Metastasis is the most important problem in initially non-metastatic male breast cancer patients.

Benign cementoblastoma of the anterior mandible: an unusual case report

Armağ,an Ç,alış,kan,Tuğ,ç,e Berre Karö,z,Mahmut Sumer,Aydan Aç,ıkgö,z,Yurdanur Sü,llü 대한구강악안면외과학회 2016 대한구강악안면외과학회지 Vol.42 No.4

A benign cementoblastoma, which is another name for a true cementoma, is a rare neoplasm that develops from odontogenic ectomesenchyme. It is characterized by a mineralized mass attached to the apex of the root produced by neoplastic cementoblasts. More than 75% of cases arise in the mandible, with 90% of them manifesting in the molar and premolar regions. This neoplasm occurs most commonly in children and young adults, with males being affected slightly more than females. Radiographically, the tumor is observed as a well-defined radiopaque mass that is fused to a tooth root and is surrounded by a radiolucent rim. The treatment of benign cementoblastoma consists of removal of the lesion and extraction of the affected tooth. This report presents an unusual case of benign cementoblastoma in a 31-year-old female, presenting as a densely mineralized mass seen at the apex of the impacted right mandibular canine tooth on radiographs.