In this issue, I will talk about palliative surgery, which is a problem in general surgery

Objective:In Coronavirus disease-19 (COVID-19), as in all pandemics, employees are the human force fighting against the disease at the forefront, and they face the risk of infection for themselves and their relatives during this struggle. In this study, it was aimed to determine the stress, anxiety and work-related strain levels of healthcare employees dealing with the treatment of infected patients during the COVID-19 pandemic and the factors affecting these levels.Methods:This descriptive study was conducted in Karadeniz Technical University Farabi Hospital. Healthcare employees who were deemed to be at high/low risk in terms of Covid-19 transmission were included in the study. Perceived stress scale (PSS), state and trait anxiety inventory (STAI-S, STAI-T), and work-related strain inventory (WRSI) were used.Results:Stress,anxiety and work-related strain levels were high in the high-risk group.This difference was significant in PSS (p=0.000). Stress, anxiety and work-related strain levels of those working in the high and low-risk work areas and who weren’t satisfied with their work were higher.This difference was significant according to WRSI (p=0.000). Stress, anxiety and work-related strain levels of men were higher in high-risk group and women in low-risk group. In high-risk group, this difference was found to be statistically significant according to the STAI-S (p=0.048), in low-risk group this difference was statistically significant according to PSS (p=0.004) and STAI-S (p=0.010).Conclusion:Increasing stress, anxiety and work-related strain levels with the COVID-19 pandemic negatively affect both healthcare professionals and healthcare services provided by healthcare professionals. Efforts, activities, and measures should be taken to improve and eliminate these negativities.

This systematic review was conducted to demonstrate the effectiveness of the use of reiki therapy in cancer pain management and to draw attention to the availability of this application in palliative care units. The studies on cancer pain management, both in English and Turkish, of which full text versions were accessible, were systematically analyzed, and the studies without full text and ongoing studies were not included. The study was conducted by reviewing Cumulative Index to Nursing and Allied Health Literature, EBSCOhost, MEDLINE, ScienceDirect, Ovid, ProQuest, Web of Science, and ULAKBM National DataBases. There were no year restrictions in screening. Keywords such as "cancer pain", "cancer pain management", "reiki" and "palliative care" were used to access the studies. Nineteen research papers were accessed and 5 of them were found to be compatible with the inclusion criteria of our study. Cohrane was established as the guideline to determine levels of evidence. Of the included studies, one was a randomized controlled study, three were experimental studies, the other one was a systematic review. In our day, randomized controlled studies examining the effect of reiki therapy on pain in cancer patients who receive palliative care are limited. In particular, studies have shown that reiki is even more effective in reducing pain when used in addition to pharmacological treatment and conventional nursing care. It is observed that the studies are carried out with a small sample number and generally with a single group. Pain assessments are usually performed with visual scale and numeric scale, reiki sessions are performed in the range of 10-90 minutes and 2-6 sessions per week.

The most common psychological health problems are depression and stress. Depressive symptoms and stress are increasing day by day in university youth. Since depression and stress negatively affect the health of the young population, it is important that it contribute to the increase of the healthy population. The objective of the study was to evaluate the relationship of depression and stress with tryptophan consumption among university students.

Objective: Surgery of complex congenital spinal malformations has a risk to damage functional neural structures. Intraoperative neurophysiological monitoring for congenital spinal pathologies is suggested to reduce this risk for neural tissues and thus improve the surgical results. Our aim is to evaluate which patients are liable to reveal critical neurophysiological changes during surgery by presenting our intraoperative neurophysiological approach and the early clinical outcome of patients with congenital spinal malformations.

Objective: To investigate the effects of therapeutic exercises added to the comprehensive chest physiotherapy program after liver transplantation on physical fitness, movement level and kinesophobia. Methods: Forty individuals with liver transplantation were included in the study. Individuals were divided into two groups by using simple randomization method. The first group was included in the comprehensive chest physiotherapy program. In addition to the comprehensive chest physiotherapy, combined therapeutic exercises with respiration were added to the program of the second group. The patients were included in the treatment program for 4 weeks, 1 session a day, and 5 days a week. Physical and demographic characteristics of the individuals were recorded. "Senior Fitness Test", "Patient Mobility Scale and Observer Mobility Scale", "Tampa Kinesophobia scale" were used to evaluate physical fitness, movement level and kinesophobia, respectively. Results: Physical and demographic characteristics of the individuals were recorded. "Senior Fitness Test", "Patient Mobility Scale and Observer Mobility Scale", "Tampa Kinesophobia scale" were used to evaluate physical fitness, movement level and kinesophobia, respectively. According to the results of "Senior Fitness Test" aerobic endurance, lower extremity muscle endurance, dynamic The improvement in balance and agility parameters was significantly higher in group 2 (p<0.05). Results of the "Patient Mobility Scale" showed significant improvements in post-treatment measurements in both groups (p<0.001). The development in the 2nd group showed a significant difference compared to the 1st group (p<0.05). While a significant improvement was observed in both groups in Ama: almann amac; karacier transplantasyonu sonras kapsaml gs fizyoterapi programna eklenen teraptik egzersizlerin fiziksel uygunluk, hareket dzeyi ve kinezyofobi zerine olan etkilerini aratrmaktr. Yntemler: almaya karacier nakli olan 40 birey dahil edildi. Bireyler basit randomizasyon yntemi ile

Objective: Acute lymphoblastic leukemia (ALL) is a disease related to the overproduction of immature lymphocytes. For diagnosis and classification of ALL, recognizing chromosome aberrations using conventional cytogenetic analysis (CCA) is essential. However, limited ability of CCA to capture cryptical chromosomal aberrations is a major drawback. The aim of this study was to investigate recurrent aberrations in patients with ALL with normal karyotype or unsuccessful karyotyping using the fluorescence in situ hybridization (FISH) method.

Objective: To determine the prevalence of different electrolyte imbalances in a cohort of elderly subjects aged 65 years, and evaluate associations between each electrolyte imbalance and functional dependence.

The diagnosis and treatment of mecC positive methicillin resistant Staphylococcus aureus (MRSA) isolates pose a significant problem in clinical microbiology and infectious disease practices. The studies on the frequency of mecC positive isolates in Turkey is rather scarce. In the present study, we aimed to investigate the presence of mecA, mecC, spa and pvu genes in MRSA strains isolated from various clinical specimens submitted to Clinical Microbiology Laboratories of Bezmialem Vakf Hospital.

The coronavirus disease-2019 (COVID-19) is a highly contagious disease, which has human-to-human transmission through droplet and contact. It commonly manifests with fever, dry cough, myalgia, and dyspnoea; the severity of this disease may range from mild to severe or critical. Currently, there is no definitive treatment or vaccine for COVID-19. The only evidence-based management of the disease is isolation and supportive care. Therefore, nurses play an important role in the management of the disease. This evidencebased, comprehensive literature review describes the importance of initial assessment, triage, sample collection, patient care with mild to moderate symptoms, critical patient care, and nursing practices in patient management during the COVID-19 pandemic.