Sayı 1
Permanent URI for this communityhttps://hdl.handle.net/11443/84
Browse
Search Results
Item Aşırı Kilo Kaybının Nadir Bir Nedeni: Diensefalik Sendromlu Üç Olgu(Acıbadem Mehmet Ali Aydınlar Üniversitesi, 2017-01-01) Işık, Uğur; Kuter Yılancıoğlu, Şebnem; Eryılmaz, Sema; Canpolat, CengizÖzet Diensefalik sendrom, daha çok erken çocukluk döneminde görülen, yaygın kilo kaybı ve cilt altı yağ dokusu kaybı, aşırı hareketlilik, öfori ve aşırı uyanıklık durumu ile karakterize bir sendromdur. Genellikle hipotalamik-optik ki azmatik bölgenin yer kaplayıcı neoplastik oluşumlarına eşlik eder. Kitle boyutu ile kilo alımı arasında ters orantı mevcuttur. Bu olgu sunumunda kliniğimizde hipotalamik-optik kiazmatik gliom tanısı ile tedavi alan ve boy uza ması devam ettiği halde aşırı kilo kaybı olan ve tartıları -2 standart sapmanın altında izlenen 1 yaş altı 3 olgu, endokrinolojik incelemeleri ile birlikte literatür bilgileri ışığında değerlendirilerek sunulmuştur. Kilo alımında duraklamanın ender de olsa önemli nedenlerinden birinin diensefalik sendrom olabileceğine dikkat çekilmiştir.Item A Case of Fetal Ovarian Cyst: Prenatal Detection, Postnatal Diagnostic Approach and Outcome(Acıbadem Mehmet Ali Aydınlar Üniversitesi, 2017-01-01) Eroğlu, Derya; Tekant, Gonca; Akhun, Nilay; Kapucuoğlu, NilgünABSTRACT This paper describes the perinatal and postnatal outcome of a case considered to have a fetal ovarian cyst. At 29 weeks of gestation, routine ultrasound examination showed an anechoic cyst 15x16mm in diameter located in the abdomen at the left superolateral side of the bladder. The normal fetal anatomy of other abdominal organs and gender suggested an ovarian cyst as the most likely diagnosis and mesenteric or duplication cyst as differential diagnosis. Ultrasonographic follow-ups documented an increase in size to 40x22mm by 36 weeks of gestation. At postnatal 4 months, ultrasonographic scan showed a left-sided complex ovarian cyst 40x39mm in diameter containing fluid-debris levels and suggesting haemorrhage and/or torsion. At 4.5 months of age laparoscopic exploration demonstrated a normal right ovary and fallopian tube and a left ovary that had undergone torsion and remained a cystic structure. A laparoscopic left salpingo-oophorectomy was performed. Pathological examination demonstrated a microscopic amount of intact ovarian tissue. Fibrosis, dystrophic calcification and multinucleated cells were observed in the cyst wall, suggesting intrauterin torsion of the ovary. Torsion is one of the most serious complications that occur more frequently during fetal life than postnatally and may lead to loss of the gonad.Item Six Sigma Approach and Examples from Healthcare Organizations(Acıbadem Mehmet Ali Aydınlar Üniversitesi, 2017-01-01) Deniz, Serkan; Çimen, MesutABSTRACT The need for scientific studies focusing on obtaining efficiency in healthcare services, using resources accurately, increasing patient satisfaction, and preventing waste and instability has been increasing due to the financial crises in the sector and the changes in patient expectations. One of the instruments that can be used in the healthcare sector to solve these problems is Six Sigma approach. In this study, the definition and the importance of Six Sigma approach, methodologies used in Six Sigma, Six Sigma roles and responsibilities, and examples related to Six Sigma implementations in healthcare organizations are discussed.Item A Study on the Burnout Levels of Hospital Patient Services Employees(Acıbadem Mehmet Ali Aydınlar Üniversitesi, 2017-01-01) Çan, Özge; Çimen, Mesut; Özsarı, HalukABSTRACT Objective: Burnout is often seen in the service sector and in areas with stressful human interactions. In hospitals patient services employees are also one of the groups at risk of experiencing burnout syndrome due to the intense involvement of close personal relations. This study aimed to determine burnout levels of patient services employees in private hospitals. Method: The sample of this study included patient services employees from seven private hospitals located in Istanbul, Turkey. In January 2016, a survey study was conducted with research participants (n=295). The measurement scale used was Maslach’s Burnout Inventory. The burnout level was examined relating to age, gender, marital status, number of children, education, tenure, and monthly income. Findings: According to the survey results, there was a significant difference in burnout scores among people of different ages, genders, education levels, and monthly incomes. On the other hand, there was not a significant relationship between burnout levels and marital status, number of children or tenure in patient service personnel. Moreover, it was found that the burnout level of patient services employees is low. Specifically, the score of the depersonalization aspect of burnout was found to be minimal. Conclusion: It was concluded that burnout is an important issue that needs to be prevented and overcome with patient service employees.Collection Collection Collection