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Öğe Anxiety Levels and Needs of Fathers of Children Hospitalized in Pediatric Surgery Intensive Care Units(2020) Didişen, Nurdan Akçay; Karakul, Atiye; Ertürk, Sevinç; Dökümcü, ZaferAim: The purpose of this study was to determine the anxiety levels and needs of those fathers whose children were hospitalized in a pediatric surgery intensive care unit. Materials and Methods: This cross-sectional study was conducted with the fathers of children hospitalized in a pediatric surgery intensive care unit in 2016/2017 by using the critical care family needs inventory (CCFNI), and State and Trait Anxiety scale. Setting: Turkey, a university hospital. Results: This study included 113 fathers. The fathers’ mean age was 36.6±6.31 years. There was a weak positive correlation between the scores the fathers obtained from the State Anxiety scale and the CCFNI. There was a difference between the fathers’ intensive care needs in terms of their education levels. While ‘‘feeling that hospital personnel are attentive to the patient’’ was important for 92% of the fathers, ‘‘being sure that as much care as possible is given” was important for 88.5% and ‘‘being informed about the patient at least once a day’’ was important for 85.8%. Conclusion: The anxieties and needs of the fathers of the patients staying in a pediatric surgery intensive care unit were high, particularly in those with a low educational level. Health professionals should be aware of the fathers’ feelings, needs and stressors so that they can provide interventions specific to fathers.Öğe Anxiety Levels and Needs of Fathers of Children Hospitalized in Pediatric Surgery Intensive Care Units(2020) Didişen, Nurdan Akçay; Karakul, Atiye; Ertürk, Sevinç; Dökümcü, ZaferAim: the purpose of this study was to determine the anxiety levels and needs of those fathers whose children were hospitalized in a pediatric surgery intensive care unit. Materials and Methods: This cross-sectional study was conducted with the fathers of children hospitalized in a pediatric surgery intensive care unit in 2016/2017 by using the critical care family needs inventory (CCFNI), and State and Trait Anxiety scale. Setting: Turkey, a university hospital. Results: This study included 113 fathers. the fathers’ mean age was 36.6±6.31 years. There was a weak positive correlation between the scores the fathers obtained from the State Anxiety scale and the CCFNI. There was a difference between the fathers’ intensive care needs in terms of their education levels. While ‘‘feeling that hospital personnel are attentive to the patient’’ was important for 92% of the fathers, ‘‘being sure that as much care as possible is given” was important for 88.5% and ‘‘being informed about the patient at least once a day’’ was important for 85.8%. Conclusion: the anxieties and needs of the fathers of the patients staying in a pediatric surgery intensive care unit were high, particularly in those with a low educational level. Health professionals should be aware of the fathers’ feelings, needs and stressors so that they can provide interventions specific to fathers.Öğe Pediatric Bilateral Pheochromocytoma and Experience of Laparoscopic Cortical Sparing Adrenalectomy(2018) Altıncık, Selda Ayça; Özen, Samim; Çelik, Ahmet; Dökümcü, Zafer; Darcan, Şükran; Abacı, Ayhan; Böber, EcePheochromocytomas are neuroendocrine tumors. in this report, we present a 15-year-old girl who had cerebral palsy and pheochromocytoma. She also had a diagnosis of hyperinsulinemic hypoglycemia in her history. She underwent bilateral laparoscopic cortical sparing adrenalectomy. We report the experience of laparoscopic bilateral cortical sparing adrenalectomy of a pediatric pheochromocytoma.Öğe Radiological nodule behavior: A critical parameter in the surgical management of pediatric pulmonary metastases(2018) Divarcı, Emre; Arslan, Serkan; Dökümcü, Zafer; Kantar, Mehmet; Demirağ, Bengü; Öniz, Haldun; Alper, HüdaverRadiological nodule behavior (RNB) means the course of nodule appearance on consecutive CT scans. in this study, we aimed to discuss the effects of RNB on prognosis of patients with pulmonary metastasis. Retrospective analysis of patients who underwent pulmonary metastasectomy (PM) between 2005- 2015 was performed. RNBs were grouped as stable, enlarging or new rising nodules. the effects of RNBs were analyzed on recurrence, 1- and 3-year event free survival (EFS) and mortality. Twenty-seven patients (18 male) underwent PM with a median age of 15 years (3-18 years). the diagnoses were listed as osteosarcoma (13), Wilms’ tumor (7), Ewing’s sarcoma (3), synovial sarcoma (2), rabdomyosarcoma (1) and mixed germ cell tumor of testis (1). RNBs were new rising in 15 patients (55%), enlarging in seven patients (26%) and stable in five patients (19%). Vital tumor metastasis was detected in all of the patients with enlarging nodules (100%); in 10 of the 15 patients with new rising nodules (66%) and none of the patients with stable nodules. None of the patients with stable nodules developed recurrence or died after PM (p?0.05). in patients with enlarging nodules, metastases recurred and they died in the postoperative period. These findings were similar in different types of tumors. RNB could be used as a critical parameter in deciding surgical management strategies of pulmonary metastases. Stabile nodules should be observed by close follow-up with serial CT scans without surgery. All of the suspected new rising nodules should undergo surgical sampling to avoid unnecessary chemotherapy. Nodule progression under chemotherapy is a poor prognostic criteria for overall survival.Öğe Single-incision laparoscopy-assisted gastric transpositioncombined with thoracoscopic esophagectomy for esophagealreplacement(2019) Dökümcü, Zafer; Divarcı, Emre; Özcan, Coşkun; Erdener, Hakkı Ata…
