Stoma education has been traditionally given in a one-to-one setting. Since 2007, daily group education programmes were organised for stoma patients and their relatives by our stoma therapy unit. The programmes included lectures on stoma and stoma care, and social activities in which patients shared their experiences with each other. Patients were also encouraged to expand interaction with each other and organise future social events. A total of 72 patients [44 (61.1%) male with a mean (± SD) age of 56.8 ± 13.6 years] with an ileostomy (n= 51, 70.8%), a colostomy (n= 18, 25.0%) or a urostomy (n= 3, 4.2%) were included in the study. Patients were asked to answer a survey (SF-36) face-to-face before the initiation of the programme, which was repeated 3 months later via telephone call. The comparison of pre-education and post-education SF-36 scores revealed a statistically significant improvement in all 8-scale profiles, but not in vitality scale, and both psychometrically-based and mental health summary measures. Analyses disclosed that married patients and those who were living at rural districts seem to have the most improvement in life quality particularly in bodily pain, general health and role-emotional scales and mental health summary measure. In our opinion, group educations may be beneficial for stoma patients, and stoma therapy units may consider organising similar activities.
Objectives: This study aims to assess the frequency and factors relevant to metabolic syndrome in workers employed in the collection and disposal of solid waste sector. Materials and Methods: This cross-sectional study was conducted in the major solid waste collecting and disposal company named İSTAÇ AŞ (İstanbul Environmental Protection and Waste Processing Corporation) in Istanbul, Turkey. All 715 male employees of the company were included in the study without sampling. The study was completed with 619 subjects. Since it was a small group, female workers were not taken into account in the study. Metabolic syndrome frequency was investigated according to the NCEP-ATP III criteria including the levels of systolic and diastolic blood pressure, waist perimeter, HDL, triglyceride, fasting blood glucose values. Results: Metabolic syndrome was present in 40.9% of participating employees. Metabolic syndrome was more common in those working in the excavation field (54.0%), such as caterpillar operators (56.5%), and less common in employees working in administrative offices, such as office staff or managers, who were under 35 years old and who had been working for less than 10 years (p < 0.05). Employees working in work stations other than administrative offices had a 2.60 times higher risk compared to those working in administrative offices. Conclusions: Metabolic syndrome may be related to work station, job, age and period worked by the subjects. MATERIALS AND METHODSThis study is a cross-sectional study conducted between March and July, 2009. The study was conducted in the major solid waste collecting and disposal company ISTAÇ AŞ (İstanbul Environmental Protection and Waste Processing Corporation) of Istanbul Metropolitan Municipality. All 715 employees of the company were included in the study without sampling. Permission was taken from company managers and employees who volun teered in participating. 68 employees did not agree to participate and the study was completed with 619 employees. Since it was a small group, female workers were not included in the study and 5 employees quit their job for various reasons. Occupational classification of employees was as follows: office and administrative staff (office staff, advisor, lawyer, general manager, occupational physician, coordinator, unit manager, engineer, healthcare staff, specialist refectory supervisor); caterpillar ope rators and drivers (caterpillar operator, driver); security staff and field control employees (control overseer, control employee, shift supervisor) and unqualified-master workers. Solid waste storage areas (combustion facility, Asian and European storage areas, Hasdal energy field compost facility, coal storage room, machinery maintenance room), excavation, medical waste disposal area, administrative office (research and development, chieftaincies, security personnel, drivers [except caterpillar operators]), naval services (Port of Haydarpaşa and coast cleaning) and street-avenues scavenging (Asian and European main arteries) were cl...
This study aims to examine the effects of changing rules of wrestling competitions on the elite wrestlers' muscular damage levels. Twenty male wrestlers from the wrestling team established by the Izmir Metropolitan Municipality, which competes in the 1st Wrestling League, volunteered to take part in the research. The age average of the wrestlers was 20.4±2.8 years, their average age of sports 7.45±4.29 years, their height average 173,8 ±4,97 cm, and weight average 77.4 ±16.22 kg. Some blood samples of 5 cc each were taken from each wrestler's forearm vein by means of the vacutainer (a closed blood taking system) for the two competitions separately before and after the competitions; and on 24th, 48th, and 72nd hours following the competitions in the research. For looking at the levels of Creatine Kinase (CK), Lactate Dehydrogenase (LDH), Aspartate Aminotransferase (AST), and Alanine Aminotransferase (ALT), serums were obtained by centrifuging the blood samples those taken to determine the levels of the skeletal muscle damages of the wrestlers at 1000 RPM for 20 minutes. The enzyme levels of the blood samples (the serum of which was decomposed) were determined by the SIEMENS ADVIA biochemistry auto-analyzer using the SIEMENS kit. While the repetitive measurements were assessed via one-way analysis of variance (ANOVA), the Bonferroni testing was applied in order to determine from which measurement times the differences were originated. The Paired Samples-t testing, meanwhile, was performed in order to compare the blood samples collected from the athletes at same times for the both completed competitions having different rules. No significant difference was observed between AST and ALT values on the aminotransferase of the wrestlers according to two different rules (p˃0.05). Whereas significant differences were confirmed between the values of 48 hours after and 72 hours after the competition for the LDH values (p<0.05), no significant difference, on the other hand, were detected between other values (p˃0.05). Although significant differences were observed between the results obtained following competition and 72 hours after the competition for the CK values (p<0.05), there was no significant difference between other values (p˃0.05). Consequently, it was observed that when the wrestlers took part in two-day wrestling competitions, the basal values were reached 72nd hour after the competition, and no muscle damage remained, whereas when they took part in half-day wrestling competitions it was confirmed at the end of the 72nd hour that the LDH and CK levels of the wrestlers couldn't come close to the basal and the muscle damage was present (p<0.05).
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