Browsing by Author "Guner, Sukriye Ilkay"

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Are Consanguineous Marriage and Swaddling the Risk Factors of Developmental Dysplasia of the Hip
(Springer, 2013) Guner, Sukriye Ilkay; Guner, Savas; Peker, Erdal; Ceylan, Mehmet Fethi; Guler, Ayse; Turktas, Ugur; Kaki, Baris
The purpose of this study was to investigate prospectively the effects of swaddling and consanguineous marriage on developmental dysplasia of the hip and associated risk factors. We screened by ultrasound 265 infants using the Graf method. The Pediatrics Department referred all newborn infants with suspected instability or a recognized risk factor to the orthopedic clinic. Risk factors of developmental dysplasia of the hip were searched and noted in these patients. Swaddling and consanguineous marriage were also determined and noted. We observed 164 of 265 infants (61.9 %) who had been swaddled and that 64 of 265 infants' parents were in a consanguineous marriage (24.2 %). In the statistical analysis that was conducted for swaddling and consanguineous marriage, highly significant differences were found. Our study showed that the rate of developmental dysplasia of the hip is very high, 11.7 %, in our region, eastern Turkey. Also, we commonly see improper swaddling and consanguineous marriage in our region, which affects many infants.
Comparison of the Fistula Risk Associated With Rotation Palatoplasty and Conventional Palatoplasty for Cleft Palate Repair
(Lippincott Williams & Wilkins, 2014) Kahraman, Ahmet; Yuce, Serdar; Kocak, Omer Faruk; Canbaz, Yasin; Guner, Sukriye Ilkay; Atik, Bekir; Isik, Daghan
The aims of the cleft palate repair techniques are to reduce the velopharyngeal insufficiency risk and oronasal fistula development to minimal levels without affecting the maxillofacial development. In this article, we present a retrospective study comparing the conventional palatoplasty techniques with the new technique of rotation palatoplasty for the risk of development of oronasal fistula. Materials and Methods: Of the 100 patients who were operated on because of cleft palate between the years 2002 and 2008, 12 patients had Furlow palatoplasty, and 88 patients received the Veau-Wardill-Kilner (V-Y pushback) operation (group C). A total of 67 patients who were operated on between 2008 and 2011 had rotation palatoplasty (group R). Results: One hundred patients were men, and 67 were women. Among all the patient groups, 22.8% were classified as Veau 1, 24.6% were classified as Veau 2, 37.1% were classified as Veau 3, and 15.6% were classified as Veau 4. The rate of fistula was found to be 17.7% in all patients. Fistula development was found in 6% of the patients in group R (4/67) and in 18% of the patients in group C (18/100). The difference between group R and group C regarding the number of patients who developed fistula was statistically significant (P = 0.011). Conclusions: The Veau classification of the cleft palate affects the risk of fistula development, and the risk for fistula after rotation palatoplasty is lower than that associated with the V-Y pushback technique.
Effectiveness of Local Tenoxicam Versus Corticosteroid Injection for Plantar Fasciitis Treatment
(Slack inc, 2013) Guner, Savas; Onder, Haci; Guner, Sukriye Ilkay; Ceylan, Mehmet Fethi; Gokalp, Mehmet Ata; Keskin, Siddik
Plantar fasciitis is one of the most common causes of foot pain in adults. In this prospective study, the outcomes of local tenoxicam injection and corticosteroid therapy for the treatment of plantar fasciitis were compared. Patients were randomly assigned to either the tenoxicam or corticosteroid group. The tenoxicam group (n=31) was treated using a local injection of 1 mL of tenoxicam (20 mg/2 mL) and 1 mL of 2% lidocaine, whereas the steroid group (n=30) was treated with a local 1-mL injection containing 40 mg of methylprednisolone acetate and 1 mL of 2% lidocaine. Clinical evaluations, which were performed before the injection and 6 and 12 months after the injection, consisted of patient-assessed pain using a visual analog scale. In addition, patient satisfaction was measured using the Roles and Maudsley score. Comparison of pre- and posttreatment visual analog scale scores demonstrated a statistically significant difference in both groups (P<.05). Furthermore, no significant difference was found between the steroid and tenoxicam groups in terms of visual analog scale scores measured 12 months after injection (P>.05). The tenoxicam injection was not significantly more effective than the corticosteroid injection. However, both methods were effective and successful in treating patients with plantar fasciitis. Tenoxicam therapy appears to provide pain relief, but its effectiveness in the long term should be explored in additional studies.
Evaluation of Crush Syndrome Patients With Extremity Injuries in the 2011 Van Earthquake in Turkey
(Wiley, 2014) Guner, Sukriye Ilkay; Oncu, Mehmet Resit
Aims and objectives To perform a descriptive analysis of crush syndrome patients with extremity injuries, which will be used as a reference for future disasters. BackgroundIn disasters like earthquake, cooperation among medical workers is very important for the follow-up and treatment of patients. Knowing the complications that may emerge with the crush syndrome is one of the responsibilities of the nurses. DesignDescriptive analysis. MethodsThe medical records of patients with crush syndrome following the 2011 Van Earthquake were retrospectively reviewed. The results were compared with the current literature. ResultsOf the 46 patients with crush syndrome who had extreme trauma, 26 (57%) were men, 20 (43%) were women, and the average age was 389125. Fasciotomy was performed in 21 of the patients due to progressive compartment syndromes. Amputations were performed in seven patients who had previously undergone a fasciotomy. Sepsis was observed in seven patients, wound infection in 18, pericardial effusion in three and pleural effusion in two. Additionally, femoral fracture was observed in one patient, tibial fractures in five, haemothorax in three, abdominal traumas in seven and pulmonary embolism in one. ConclusionWound care and antibiotic treatment are important to prevent infections in crush injury. In addition to this, dehydration and electrocardiography changes in hyperkalaemia are observed in crush syndrome. Nurses have significant responsibilities to follow up these observations and their implications. Relevance to clinical practiceThe results of this study may provide the basis for developing strategies in future for optimising attempts to rescue and the nurse care planning of survivors with crush injuries and crush syndrome after earthquakes.
Investigation of the Effects of Chest Physiotherapy in Different Positions on the Heart and the Respiratory System After Coronary Artery Bypass Surgery
(Sage Publications inc, 2015) Guner, Sukriye Ilkay; Korkmaz, Fatma Demir
This trial was conducted to investigate the effect of chest physiotherapy in different positions on the heart and the respiratory system after coronary artery bypass surgery. Patients are divided into two groups of 30 patients each in the study. To the patients in the first group (30 patients), percussion-vibration was performed in the 45 degrees supine position, while slightly laterally lying and endotracheal aspiration was performed in the supine position. To the patients in the second group (30 patients), percussion-vibration was performed in the 00 supine position, while slightly laterally lying and endotracheal aspiration was performed in the supine position. The procedures are repeated two times for all patients and their means were taken. The pre- and post-application values of patients were measured from central venous and arterial catheters and the values of patient monitors were recorded. Comparison of the two groups in terms of respiratory values did not reveal a significant difference, but chest physiotherapy with the head of the bed at 0 degrees was determined to improve cardiac functions. Evaluation of the groups in terms of pre- and postphysiotherapy applications showed a significant increase in mixed venous oxygen saturation in both groups. Chest physiotherapy with the head of the bed elevated to 45 degrees may be recommended in patients who carry a risk of pulmonary complications and who are candidates for chest physiotherapy at an early stage.
Perceived Social Support Levels Among Medical Staff Working at the Medical Faculty Hospital of Van Following the 2011 Van-Turkey Earthquake
(Sage Publications inc, 2014) Guner, Sukriye Ilkay; Sevimli, Sukran; Bulduk, Bahattin; Orakci, Hakan
The aim of the study was to evaluate the "perceived social support levels" of the medical staff after the earthquake. The sample of this study is made up of 300 of the 490 medical staff of the Medical Faculty Hospital of Van. The data were collected using a survey that included the personal information and the "multidimensional perceived social support scale." It was observed that since the houses of the medical staff were being repaired or rebuilt, 55% of the medical staff were not residing in their homes. It was determined that 41.3% of the staff were residing in different cities away from their families. Among those, 52.4% was obliged to live apart from their families for more than 6 months. The medical staff whose families did not relocate, those who stayed with their spouses, and those who lived in containers were reported to have high social support.
Perceived Social Support Levels Among University Students Following the 2011 Earthquake in Van, Turkey
(Pakistan Medical Assoc, 2018) Guner, Sukriye Ilkay; Ozdemir, Nurgul
Objective: To evaluate the perceived social support levels of students after an earthquake. Methods: This cross-sectional, descriptive study was conducted between June and July 2012 in Van, Turkey, following an earthquake in the region. Sample comprised students at the midwifery and nursing department of Yuzuncu Yil University, Turkey. Data was collected using a questionnaire including student information and the multidimensional scale of perceived social support inventory. Quantitative data was analysed using SPSS 17. Results: Of the 650 subjects, 461(70.9%) migrated away from the city following the earthquake, while 189(29%) stayed back, and, of them, 98(52%) students stayed in tents and 52(27.5%) in containers. The mean perceived social support level of students was 58.9 +/- 17.9 and the level of perceived social support increased as respondents' age, class and economic status increased (p<0.05). Conclusions: Perceived social support was found to be affected by variables such as university year, age and relation with friends, economic status and migration status after the earthquake.
Review of Van Earthquakes Form an Orthopaedic Perspective: a Multicentre Retrospective Study
(Springer, 2013) Guner, Savas; Guner, Sukriye Ilkay; Isik, Yasemin; Gormeli, Gokay; Kalender, Ali Murat; Turktas, Ugur; Dursun, Recep
This is a descriptive analysis, of victims of Turkey's October 23, 2011 and November 21, 2011 Van earthquakes. The goal of this study is investigated the injury profile of the both earthquakes in relation to musculoskeletal trauma. We retrospectively reviewed medical records of 3,965 patients admitted to in seven hospitals. A large share of these injuries were soft tissue injuries, followed by fractures, crush injuries, crush syndromes, nerve injuries, vascular injuries, compartment syndrome and joint dislocations. A total of 73 crush injuries were diagnosed and 31 of them were developed compartment syndrome. The patients with closed undisplaced fractures were treated with casting braces. For closed unstable fractures with good skin and soft-tissue conditions, open reduction and internal fixation was performed. All patients with open fracture had an external fixator applied after adequate debridement. Thirty one of 40 patients with compartment syndrome were treated by fasciotomy. For twelve of them, amputation was necessary. The most common procedure performed was debridement, followed by open reduction and internal fixation and closed reduction-casting, respectively. The results of this study may provide the basis for future development of strategy to optimise attempts at rescue and plan treatment of survivors with musculoskeletal injuries after earthquakes.
Serum Antioxidant Enzyme and Oxidative Stress Levels in Patients With Developmental Dysplasia of the Hip: a Preliminary Study
(Parlar Scientific Publications (p S P), 2018) Guner, Savas; Guner, Sukriye Ilkay; Gokalp, Mehmet Ata; Unsal, Seyyid Serif; Demir, Halit
This study was conducted based on the hypothesis that serum antioxidant activity and oxidative stress could be associated with developmental dysplasia of the hip. The purpose of this study was to investigate prospectively the relationship between serum antioxidant levels and developmental dysplasia of the hip. This study included 27 patients with developmental dysplasia of the hip (18 females, 9 males; mean age 24.3 +/- 6.3 months, range 18-36 months) and 26 healthy controls (15 females, 11 males; mean age 23.8 +/- 5.4 months, range 18-36 months) who were free of symptoms. Venous blood samples were taken all of the participants and serum superoxide dismutase, malondialdehyde, glutathione, and catalase levels were evaluated. The serum malondialdehyde level was found to be statistically significantly higher in patients with developmental dysplasia of the hip than controls. Serum superoxide dismutase, glutathione and catalase levels were found to be statistically significantly lower in patients with developmental dysplasia of the hip than controls. Our results may show that serum antioxidant activity and oxidative stress parameters may be adjunctive tools for the diagnosis in patients with developmental dysplasia of the hip. This is a preliminary study, and further prospective randomized clinical studies with larger sample sizes are needed to elucidate whether these alterations are consistent and clinically relevant.
A Simple, Safe and Painless Method for Acute Anterior Glenohumeral Joint Dislocations: "the Forward Elevation Maneuver
(Springer, 2013) Guner, Savas; Guner, Sukriye Ilkay; Gormeli, Gokay; Turkozu, Tulin; Gormeli, Cemile Ayse; Bora, Aydin
The glenohumeral joint is the most frequently dislocated joint in the body. Numerous techniques for reducing an acute anterior dislocation of the glenohumeral joint have been described. The goal of this study was to assess the efficacy of Janecki's forward elevation maneuver for reducing a traumatic acute anterior glenohumeral joint dislocation. Between May 2010 and November 2011, the forward elevation maneuver was applied to 27 patients who presented to the emergency department of Yuzuncu Yil University Medical School with a traumatic anterior glenohumeral joint dislocation. For each patient, the forward elevation maneuver was used to reduce the anterior glenohumeral joint dislocation. The type of dislocation, the effectiveness of the procedure in achieving reduction, the need for premedication, the ease of performing the reduction and complications (if present) were noted. Janecki's forward elevation maneuver was successful for 25 patients (92.6 %) on the first attempt. Premedication was not used for 22 patients, and reduction was successful for 20 of them. The method was not successful in two cases. Twenty-three of the patients (85.2 %) experienced no pain or mild pain. Complications referred to the reduction technique were not found in any patient. This paper concludes that Janecki's forward elevation maneuver is a simple, safe, painless, and effective reduction method. Consequently, the forward elevation maneuver seems to be a good method for reducing anterior glenohumeral joint dislocation.