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    Can the Drain Fluid pH Predict Anastomotic Leakage after Sleeve Gastrectomy?
    (Zamensalamati Publ Co, 2022) Kutluer, Nizamettin; Dogan, Serhat; Aksu, Ali; Ayyildiz, Hakan; Kalayci, Mehmet; Karagoz, Zuhal Karaca; Ozkan, Zeynep
    Background: Laparoscopic Sleeve Gastrectomy is the most common type of surgical treatment for morbid obesity. One of the most important complications is leakage from the stapler line. Early detection of a leakage is important in preventing undesirable events. Objectives: The aim of this study was to evaluate the predictive value of postoperative drain fluid pH on early detection of leakage. Methods: This study was performed with 63 patients including 33 patients who underwent laparoscopic sleeve gastrectomy for morbid obesity (Group SG) and 30 patients who underwent laparoscopic cholecystectomy (Group LC), as the control group. Fluid sample was obtained after surgery with intra-abdominal drain. The pH value of this fluid was measured using a pH meter at the Ohaus device in the biochemistry laboratory of study hospital. Results: When the differences in the mean pH values of patients who underwent obesity surgery and gallbladder surgery were evaluated; no statistically significant difference was found between the mean pH value of patients (p: 0.808> 0.05). Conclusion: None of our patient had leakage and unable to demonstrate how would be the drain fluid pH value if there was a leak, we suggest that drain fluid pH would not be a suitable alarming sign for a leakage in the early period. Because we know that most of the leaks occur at the proximal part of the stomach and that there is more saliva drainage through the line of leakage. Although it is known that the acidic fluid of the stomach can be drained from the same leak in this condition, it is not unlikely that saliva can bring the pH to normal levels. Therefore, if the pH of the drain fluid is close to normal, it is meaning that there is no leakage from the site.
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    A scale development study:The readiness to smoking cessation scale
    (2020) Kurcer, Mehmet Ali; Ozkan, Zeynep; Erdogan, Zeynep
    Aim: Today, smoking has become an epidemic that causes many health problems. One of the starting steps for individuals who want to quit smoking is the determination of the readiness level of the individual to quit. The aim of this study was to develop a measurement tool to determine the readiness levels of individuals who want to quit tobacco use.Material and Methods: This is a methodological study. For the context validity of the Readiness to Smoking Cessation Scale, the 120 item draft scale was sent to 4 expert physicians for their views. The construct validity of the draft scale was tested using the SPSS (Statistical Package for the Social Sciences) program running factor analysis tests (KMO, Bartlett test, Anti Image Correlation, Principal Components Analysis, Varimax Rotation)Results: A draft scale consisting of 28 items was formed from the pool of 120 items. Before explanatory factor analysis, principal components analysis on the non rotated components and principal components rotated on the principal axis were performed. The KMO of 0.853 at this point showed the high validity of our scale. Since the value attained was over 0.70, the scale was considered reliable. The Cronbach Alpha value of the scale was found to be 0.874. 10 items with total test correlation values under 0.45 were excluded from the scale. Conclusion: The RSC-Scale is a valid and reliable measurement tool with 18 items and 4 sub dimensions measuring the readiness of individuals to quit smoking. Through the RSC-S, the readiness levels of individuals who want to quit smoking can be determined, preventing loss of time and motivation as well as increasing costs.