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  • Küçük Resim
    Öğe
    Evaluation of the achievement of hematologists to transfusion medicine education with self-assessment questionnaire in Turkey
    (Tıp Eğitimini Geliştirme Derneği, 2020) Tayfun Küpesiz, Funda; Andıç, Neslihan; Sezgin Evim, Melike; Eker, İbrahim; Yılmaz, Fergün; Tüysüz Kintrup, Gülen; Gürlek Gökçebay, Dilek; Işık, Melek; Oymak, Yeşim; Ateşağaoğlu, Berna; Belgemen Özer, Tuğba; Erdoğan Özünal, Işıl; Aygüneş, Utku; İlhan, Gül; Töret, Ersin; Akıncı, Ayşe Burcu; Tüfekçi, Özlem; Tatlı Güneş, Burcu; Koç, Begüm Şirin; Ünver Koluman, Başak; Ocak, Süheyla; Duran, Mustafa; Gürpınar, Erol; Özel Erkan, Deniz; Aydınok, Yeşim
    Background: Proper clinical use of blood andblood products requires competent theoreticaland practical knowledge of transfusion medicine.The Curriculum Development and StandardDetermination System Medical SpecializationBoard is prepared Hematology SpecialistEducation Core Curriculum in Turkey. In thisstudy, we aimed to determine the access ofhematologists to the learning objectives definedby curriculum for the transfusion medicine andthe factors affecting it.Methods: Hematologists who have beenmembers of Turkish Hematology Society since2013 have been included in the study, Thesurvey questions were prepared based on thecurriculum for transfusion medicine. The studywas applied to hematologists with “surveymonkey” application. The questionnaireconsisted of a competence self-assessment withLikert scale and theoretical multiple-choiceknowledge questions.Results: Of the 213 hematologists, 54 (25%)were included in the study. Hematologists ratedtheir competences in the clinical competenceareas as 3,65 ± 0,73 (median 3,60) as “I knowbut not t a sufficient level”. The participants‘perception of competence was “I know, butnot at a sufficient level’” with an average of3.31 ± 0.84 (median3.5) in the blood bankingfield, while the average in hemapheresis andtransfusion medicine was 4.04 ± 0.63 (median4) as “enough”. In interventional procedures,hematologists stated that their vocationalcompetences were 2,79± 0,92 (median 2,93)on average as “I have an idea- I know, but notenough”. The correct answer to 13 theoreticalquestions was an average of 6,96 ± 1,89(median 7). Hematologists performing bloodrotation felt significantly more competent thanthe physicians who could not do the rotation inthe blood bank, blood banking t(52) = -3.9, p <.001 , transfusion medicine and interventionalcompetence t(52) = -2.2, p = .04 . Physicianswho believed that they are sufficient in theblood banking area, were more confident intransfusion medicine r(54) = .67, p <.001 andmanaging interventional procedures r(54) =.85, p <.001.Conclusion: In this study, hematologistsgenerally felt more competent in subjects suchas transfusion and therapeutic apheresis,which they often think of as not having enoughknowledge in the area of blood banking.Hematologists have been more confident inthe field of transfusion medicine as their yearsof expertise increased, but they did not feelbetter equipped in the fields of blood bankingand interventional competence. The currentresults suggested that hematologists who areexpected to be the blood bank supervisors do notinternalize the area of blood banking, are notstrong in their competence, and do not want towork in this area unless they are required.In hematology education curriculum, positiverevisions in education can be achieved byrevising blood banking curriculum and learningobjectives, standardizing blood center rotationswith content and duration, and support fromonline distance education programs.
  • Küçük Resim
    Öğe
    Evaluation of the relationship between the levels of high-sensitivity C-reactive protein and saphenous vein graft disease
    (2013) Uysal, Onur Kadir; Şahin, Durmuş Yıldıray; Koç, Mevlut; Duran, Mustafa; Özkan, Buğra; Tekin, Kamuran; Karaarslan, Osman; Akın, Fatih; Büyükkaya, Eyüp; Çaylı, Murat
    Amaç: Bu çalışmada safen ven greft hastalığı (SVGH) ile yüksek duyarlıklı C-reaktif protein (hs-CRP) seviyeleri arasındaki ilişki değerlendirildi. Çalışma planı: Çalışmaya koroner arter baypas greft ameliyatı öyküsü olan, önceden belirlenen objektif kriterlere göre koroner anjiyografi yapılan toplam 78 hasta (54 erkek, 24 kadın; ort. yaş 60.4±9.4 yıl; dağılım 37-78 yıl) dahil edildi. Ateroskleroza neden olan risk faktörleri sorgulandı ve tüm hastaların biyokimyasal testleri çalışıldı. Safen ven greftlerden herhangi birinde %50 ve daha fazla darlık olması SVGH olarak tanımlandı. Hastalar SVGH olan (grup 1) ve SVGH olmayanlar (grup 2) olmak üzere iki gruba ayrıldı. Bulgular: Her iki grubun demografik özellikleri ve laboratuvar değerleri karşılaştırıldığında, grup 1’de vücut kütle indeksi (VKİ), total kolesterol/yüksek yoğunluklu lipoprotein (HDL) kolesterol, ürik asit (ÜA) ve hs-CRP düzeyleri anlamlı oranda yüksek olup, HDL kolesterol düzeyi anlamlı oranda düşüktü. Yapılan çok değişkenli lojistik regresyon analizinde VKİ, ÜA ve hs-CRP düzeylerinin SVGH’yi öngörmede bağımsız belirteçler olduğu tespit edildi (hs-CRP OR: 1.522, p<0.01, ÜA OR: 1.48, p=0.01, VKİ OR: 1.31, p=0.04). Yapılan ROC analizinde hs-CRP düzeyi 0.8 mg/dL ‘‘kesim değeri’’ olarak alındığında %80 duyarlılık ve %85 özgüllük oranı ile SVGH’yi belirlediği bulundu. Sonuç: Çalışmamızda SVGH’yi öngördüren en güçlü belirtecin hs-CRP olduğu saptandı. Yüksek duyarlıklı C-reaktif protein, SVGH varlığını öngörme ve izleminde noninvaziv, güvenilir ve yararlı bir belirteçtir.