Browsing by Author "Sirin, A"

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    Effect of acupressure on chemotherapy-induced nausea and vomiting in gynecologic cancer patients in Turkey
    Taspinar, A; Sirin, A
    Purpose: The aim of the current study was to assess the effect of acupressure applied to the pericardium 6 (P6 or Neiguan) acupuncture point with a wristband (Sea-Band (TM)) on nausea-vomiting in addition to the standard antiemetic medications used to prevent nausea-vomiting due to chemotherapy in gynecologic cancer patients. Method: In this prospective research we used pre- and posttests. The study consisted of 34 patients with gynecologic cancer. Results: We found a significant decrease in the patients mean scores of nausea and the use of antiemetic medications following acupressure applied to the patients with a wristband, when compared with their mean scores of nausea and the use of ant/emetic medications prior to the application (p 0.05), and we also observed a decline in their mean scores of vomiting and retching episodes; however, this decline was not found to be statistically significant (p > 0.05). Conclusions: The findings from this study suggest that the acupressure applied to P6 acupuncture point with wristbands may be effective in reducing chemotherapy-related nausea and may decrease the antiemetic use after chemotherapy. Further research with more subjects is needed. (C) 2009 Elsevier Ltd. All rights reserved.
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    Relation between mothers' types of labor, birth interventions, birth experiences and postpartum depression: A multicentre follow-up study
    Atan, SU; Ozturk, R; Satir, DG; Çalim, SI; Weller, BK; Amanak, K; Saruhan, A; Sirin, A; Akercan, F
    Aim: This definitive and cross-sectional study was conducted to determine the relation between mothers' types of labor, birth interventions, birth experiences and postpartum depression. Methods: A total of 1010 mothers who gave birth in four different provinces of Turkey were chosen to participate in the study via purposive sampling method Results: The Edinburgh Postpartum Depression Scale score was determined to be 13 and over in 36.4% of the women. In this study, it was determined that the Edinburgh Postpartum Depression Scale scores for women in the 18-24 age group who had a vaginal birth, did not have health insurance, experienced health problems during pregnancy and were not trained about type of labor during pregnancy were statistically higher. There was no significant correlation between the birth experiences and postpartum depression. The linear regression model showed that there was a statistically significant correlation between enema and amniotomy interventions practised during the birth and the Edinburgh Postpartum Depression Scale scores. Conclusion: In conclusion, it is thought that preparing the mothers for birth with birth preparation training in the antenatal period and imposing the necessary regulations in the delivery room for the mothers to have a positive birth experience are important in reducing postpartum depression risk.
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    Reno-vascular hypertension in childhood: a nationwide survey
    Bayazit, AK; Yalcinkaya, F; Cakar, N; Duzova, A; Bircan, Z; Bakkaloglu, A; Canpolat, N; Kara, N; Sirin, A; Ekim, M; Oner, A; Akman, S; Mir, S; Baskin, E; Poyrazoglu, HM; Noyan, A; Akil, I; Bakkaloglu, S; Soylu, A
    Renovascular disease accounts for 8-10% of all cases of paediatric hypertension, whereas, in adults, its incidence is approximately 1%. The Turkish Paediatric Hypertension Group aimed to create the first registry database for childhood renovascular hypertension in Turkey. Twenty of the 28 paediatric nephrology centres in Turkey responded to the survey and reported 45 patients (27 girls, 18 boys) with renovascular hypertension between 1990 and 2005. The age at presentation ranged from 20 days to 17 years. The mean blood pressure at the diagnosis was 169/110 mmHg. Chief complaints of symptomatic patients were headache (38%), seizure (18%), epistaxis (4%), growth retardation (4%), cognitive dysfunction (4%), polyuria (2%), palpitation (2%), and hemiplegia (2%). Renovascular hypertension was found incidentally in 11 children. The diagnosis of renovascular hypertension was established with conventional angiography in 39 patients, MR angiography in three, CT angiography in two, and captopril diethylene triamine penta-acetic acid (DTPA) scintigraphy in one patient. Twenty-one children had bilateral renal artery stenosis and 24 had unilateral renal artery stenosis. Of these, 14 (31%) had fibromuscular dysplasia; 12 (27%) Takayasu's arteritis; six (13%) neurofibromatosis; two (5%) Williams syndrome; one (2%) Kawasaki disease; one (2%) mid-aortic syndrome; one (2%) extrinsic compression to the renal artery, and eight (18%) unspecified bilateral renal artery stenosis. Hypertension was controlled with antihypertensive drugs in 17 patients. Percutaneous transluminal angioplasty (PTRA) or surgery had to be performed in 28 patients: PTRA in 16 patients, PTRA + surgery in one patient and surgery in 11 patients (four nephrectomies). The importance of vasculitic disease, especially Takayasu's arteritis, should not be underestimated in children with renovascular hypertension.
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    Renovascular hypertension in childhood: A nation-wide survey
    Bayazit, AK; Yalcinkaya, F; Cakar, N; Duzova, A; Bircan, Z; Aslan, S; Bakkaloglu, A; Canpolat, N; Kara, N; Sirin, A; Ekim, M; Oner, A; Akman, S; Mir, S; Baskin, E; Poyrazoglu, H; Noyan, A; Akil, I; Bakkaloglu, S; Soylu, A