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Other Current Induction Therapy Strategies and Anti-T Lymphocyte Globulin Usage in Kidney Transplantation: Consensus-Based Recommendations by a Turkish Expert Panel(Aves, 2024) Çakır, Ülkem; Dinçkan, Ayhan; Karadoğan, Nayim; Keven, Kenan; Koçak, Hüseyin; Koç, Serkan Kubilay; Yıldız, AlaattinThis advisory committee convened to review national and global kidney transplantation dynamics and provide recom- mendations on the use of anti-T lymphocyte globulin (ATLG) for prevention and treatment of rejection after allogeneic kidney transplantation. A critical evaluation of 6 relevant articles released up to October 2022 was performed to reveal their importance in clinical practice. Additionally, 27 key questions on the indication, dosage of ATLG, and risk stratification were used for the Delphi technique with 8 members of the Turkish Society of Nephrology including 5 kidney transplanta- tion (KTx) subcommittee members and a surgeon experienced in solid organ transplantation. The committee declared that Türkiye had great potential in KTx; however, increase in transplantation would be possible in the case of raise in the deceased donor transplantation. As a consensus, ATLG was strongly recommended for induction and rejection treatment. Also, committee members recommended the safe dosage range in steroid resistant acute rejection as 2.5-3 mg/kg daily for 5-7 days, and the median of preferred dosage in induction sounded as 2-2.5 mg/kg daily for 3 days in intermediate risk state. Additionally, post-transplant infection and malignancy cases due to immunosuppression were much rarely encoun- tered than they were in the past.Article Validation of the Outcomes Tools for Urinary Incontinence in Nursing Outcomes Classification System and Their Sensitivities on Nursing Interventions(2020) Gençbaş, Dercan; Bebiş, Hatice; Moorhead, SueAim: There are many scales to measure urinary incontinence (UI). Nursing OutcomesClassification (NOC) scales which include Urinary Continence, Urinary Elimination, Self-CareToileting, Medication Response, and Tissue integrity: Skin and Mucous Membranes are ideal foruse in the nursing process for comprehensive and holistic assessment, with surveys available.For this reason, the purpose of this study is to evaluate the validity of these NOC outcomes andindicators used for UI.Methods: This research is a methodological study. Scope validations were applied andcalculated according to Fehring 1987 work model. Total of 55 experts which were the sample ofthe study rated Fehring as a “senior degree” with a score of 90 according to the experts’ scoring.These weighted scores obtained for NOC indicators were classified as critical, supplemental orexcluded.Results: In the NOC system, 5 NOCs proposed for nursing diagnosis of UI were proposed. Theseoutcomes are; Urinary Continence, Urinary Elimination, Tissue Integrity, Self Care-Toileting, andMedication Response. After the scales were translated into Turkish, the weighted average of thescores was obtained from specialists for the coverage of all 5 NOCs. After getting the experts’opinion, 79 of the 82 indicators were calculated as critical, 3 of the indicators were calculated assupplemental. All NOCs were identified as valid and usable scales in Turkey.Conclusion: The five NOCs were verified for the evaluation of the output of individuals whoreceived nursing knowledge of UI and variant types. Recommendations include the testing ofNOC outcomes in clinical practice and inclusion in nursing curriculum.
