No abstract

Objective: One of the few factors, that affect life of people have stoma negatively, are complications developing in tissues where placed stomas or near stomas. We aimed to evaluate the stoma practices performed frequently in our clinic.Methods: Between January 2008 and December 2011, the records of 96 patients who had stoma retrospectively. Factors indication for stoma, emergency procedure, preoperative stoma, type of stoma and complications siting recorded.Results: Ninety-six stoma patients were examined. Of them 66 (68%) of them was male, 30 (32%) of them was female. The mean age was 58.8±12.6 years. The most common colostomy patients were diagnosed obstruction of colon(66%) and ileostomy patients were diagnosed anastomosis protective ((75%). The most common type of stoma were as follows 54 loop colostomy, 16 end colostomy, 10 tube gastrostomy and 7 loop ileostomy. The overall complication rate was 48%. Both elective and emergency stomas had similar complication rates. The most common complication included peristomal skin irritation (63%), peristomal infection (25%) and prolapse (5%) The stoma with the highest complications rate was loop colostomy (57%). Conclusion:In our opinion, mortality and morbidity of stomas may be decreased with the meticulous surgical principle, regular follow-up and patient education.

Agility and acceleration are known as high speed actions and impact soccer performance. Soccer players need MaxVO2 and standing long-jump to make high - speed actions during soccer match. The purpose of this study was to examine the prediction of the effect of acceleration on agility, endurance, long jump and 30 m-speed. Total 21 amateur male soccer players (mean ± SD: age = 20.29±1.82 yr, height = 1.81±0.37 m, and body weight = 72.10±3.71 kg) volunteered to participate in the study. Acceleration performance (10 m), sprint (30 m), agility (zigzag test), endurance (Yo-Yo intermittent recovery test 1), and jumping ability (standing long jump) were tested. Acceleration predicts MaxVO2 by 19.8 %, agility by 49.9 %, and 30 m-speed by 32.9 %. On the other hand, there is not relationship between acceleration and standing long jump. If we consider that there is a decrease in agility and subsequent increase in football players' sudden change of direction, we see that acceleration explains the decrease and increase in agility rate at the best level. It is thought that acceleration does not affect the long jump by stopping, as footballers are exposed to vertical jump rather than horizontal jump. To improve agility and speed performance, football coaches can design combined acceleration based training.

Although a rectal foreign body (FB) usually occurs in children with iatrogenic causes, it may be seen in older children due to an object used for sexual stimulation. The extraction process of retained rectal FBs can require various interventions including laparotomy. A 12-year-old male was admitted to the emergency department with complaints of abdominal and anal pain. A plain abdominal x-ray revealed a retained rectal FB. The foreign object was extracted manually from the rectum in the emergency intervention room. Initially, the patient said that he had swallowed the FB; however, after a detailed inquiry it was determined that he was using the object for self-satisfaction. In this case report, we emphasized that rectal FBs could also be readily removed by digital rectal manipulation without the need for general anesthesia and this patient was very young with a rectal FB.

Bu araştırmanın amacı farklı engel gruplarına sahip farklı branşlardaki engelli sporcuların antrenör ve spora yönelik metaforik algılarının belirlenmesidir. Araştırmada nitel araştırma desenlerinden biri olan olgu bilim deseni kullanılmıştır. Araştırmamızın örneklem grubunu Kilis, Gaziantep ve Elazığ illerinde farklı engel gruplarına ve farklı spor branşlar da aktif spor yapan 49 kadın, 12 erkek olmak üzere toplamda 61 engelli sporcu oluşturmuştur. Veri toplama amacıyla katılımcıların kişisel bilgilerine ulaşmak için demografik bilgi formu, metaforik algılarını belirlemek amacıyla ise “Antrenör………gibidir. Çünkü ………” Cümlesini ve “Spor………gibidir. Çünkü……” cümlesini tamamlamaları istenmiştir. Toplanan veriler içerik analizi yardımı ile çözümlenmiştir. Katılımcıların demografik bilgilerinin çözümlenmesinde SPSS 22.0 programından faydalanılarak frekans ve yüzdelik hesaplamalar yapılmıştır. Engelli sporcular antrenör ve spor kavramıyla ilgili toplamda 56 metafor oluşturmuş, antrenörler için oluşturdukları metaforlar toplam 5 kategoride toplanmıştır. Bunlar “Gerçek Hayat”, “Liderlik”, “Faydalı”, “Yaşam Kaynağı” ve “İstenmeyen” kategorileri, spor için oluşturdukları metaforlara ait kategoriler ise “Pozitif Duygular”, “Yaşamsal Kaynak”, “Fiziksel Sağlık” ve “Olumsuz” şeklinde oluşturulmuştur. Sonuç olarak genelde olumlu metaforların üretildiğini sadece bir katılımcının olumsuz ve istenmeyen metafor ürettiğini söyleyebiliriz.