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Son zamanlarda sağlıkla ilgili alanlarda bireyi incelerken hem araştırma hem uygulamada multidisipliner yaklaşım teşvik edilmektedir. Sağlık alanında bireyin bedensel boyutu dışında ruhsal ve sosyal boyutlarda da incelenmesi gerekliliği biyopsikososyal modelin önemini ortaya koymuştur. Özellikle kronik hastalıklarda hastanın hem fiziksel hem de psikolojik açıdan iyileştirilebilmesi, hastanın hastalık ile olan uyumlu olumlu düzeyde etkileyebilmekte ve aynı zamanda kaliteli bir yaşam sürdürebilmesinde önemli bir rol oynamaktadır. Tüm kronik hastalıklar gibi, talasemi de hastaların hayatını ciddi şekilde etkileyen fiziksel olumsuz sonuçlar doğururken aynı zamanda psikolojik açıdan da olumsuz etkilenmelerine sebep olabilmektedir. Talesemi tanısı alan bir bireyin, yaşamı boyunca tekrarlamak zorunda olduğu enjeksiyon gereksinimleri, kan alımları ve cerrahi tedaviler gibi ihtiyaçları kaliteli bir yaşam sürme şansını azaltmaktadır. Bununla birlikte hastanın, hastalıkla olan uyumu kaliteli bir yaşam sürme şansını artırabilir. Bu olgu sunumunda talasemi ile ilgili yeterli bilginin olmadığı zamanda dünyaya gelmiş olan 45 yaşındaki talasemi (majör) hastası bir kadının, doğumdan itibaren hastalık ile olan uyumuna yer verilecektir. Kaliteli bir yaşam sürebilmeyi başaran bu olgunun, sağlık psikolojisinin önerdiği hastalık ile olan uyumluluk temelinde incelenmesi amaçlanmaktadır. Birçok ülke de önleme programları uygulanmasıyla talasemili hasta oranı oldukça düşmüştür. Bu hastaların tedaviye uyumlarını artırabilecek stratejilerin geliştirilebilmesi için daha fazla araştırmaya ihtiyaç duyulmaktadır.

Objective: This descriptive, cross sectional study was conducted to examine the effect of levels of self-efficacy on children's perceptions of pros and cons of smoking., Methodology: The sample was 233 fifth-grade students. Data were collected in September 2010 using the Socio-Demographic Data Collection Form, Self Efficacy Scale Child Form and Child Decision Balance Scale and analyzed via percentage calculations and t test with the SPSS 11.00 statistical package program., Results: Average age of the students participating in the research was 11.1±0.41, 49.8% (n: 116) being female and 50.2% (n:117) male. The difference between the score averages of the pros of smoking perceptions of children with a high self-efficacy level and of those with a low self efficacy level (t=2.117, p=.042) and the difference between the score averages of the cons of smoking perceptions of children with a high self-efficacy level and of those with a low self-efficacy level (t=2.206, p=.035) were found to be statistically significant., Conclusions: Children's positive perceptions of smoking were low and negative perceptions high when their self efficacy levels were high. Conversely, children's positive perceptions of smoking were high when their self efficacy levels were low.

Objective: To determine the frequency of the oral lesions related to gender, age, the length of time of denture usage, education level and economic status., Methods: The 153 patients with old complete dentures (CD) were asked to participate in the investigation. The subjects (76 male and 77 female) were 37-85 years of age with a mean age of 61.8 ± 9.8 years. Education, economic status and age factors were estimated in subgroups. The data obtained were evaluated by one-way anova, Mann-Whitney U-test, Kruskal-Wallis test, Student's t-test and chi-squared test. The level of statistical significance was set at p<0.05., Results: The patients who had denture stomatitis and traumatic ulcers were statistically significantly older than the ones who did not have these lesions (p<0.05). Based on the length of denture usage, patients who had a flabby ridge, fibrous inflammatory hyperplasia, traumatic ulcers (p<0.01) and denture stomatitis (p<0.05) were using their dentures statistically significantly longer than the ones who had healthy tissues., Conclusions: The CD wearers should be advised to visit their dentist regularly to prevent oral mucosal lesions due to the changing supporting tissues during the length of denture usage and to improve their quality of life., (© 2010 The Gerodontology Society and John Wiley & Sons A/S.)

Purpose: We investigated whether inserting an intrathecal catheter and leaving it in place for 24 h after an unintentional dural puncture in orthopedic patients reduced the incidence of post-dural puncture headache (PDPH)., Methods: The study consisted of 427 patients in whom a total of 21 unintentional dural punctures had occurred during orthopedic surgery performed between 2002 and 2006. Seven patients (phase I; evaluated retrospectively) each underwent placement of an epidural catheter at another level after dural puncture during the period January 2002 to February 2004. Fourteen patients (phase II; evaluated prospectively) received an epidural catheter through the dural tear after an unintentional dural puncture during the period February 2004-March 2006, Results: In phase I, 5 of the 7 patients experienced PDPH, and one required an epidural blood patch. In phase II, only one of the 14 patients complained of PDPH, which resolved after 48 h of medical therapy. No patient experienced paresthesia, neurologic or hemorrhagic complication, or infection., Conclusion: Inserting an epidural catheter through the dural tear following an unintentional dural puncture and leaving it in place for 24 h significantly reduces the incidence of PDPH.