Ufuk Universitesi Akademik Acikerisim Sistemi
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OCT Evaluation of Retinal Parameters in Pediatric Gastritis Patients with Helicobacter Pylori
No full textObjectives: The aim of this study was to investigate the effect of Helicobacter pylori (H. pylori) infection on choroidal thickness (CT), retinal nerve fiber layer (RNFL) thickness, and ganglion cell (GCL+IPL) complex thickness in childhood cases of gastritis. Methods: A total of 104 eyes of 52 children were included in the study. Two groups were created: 54 eyes of 27 H. pylori gastritis cases (Group 1) and 50 eyes of 25 gastritis without H. pylori cases (Group 2), as confirmed by an endoscopic biopsy. The mean subfoveal, submacular, and peripapillary CT, RNFL thickness, and GCL+IPL complex thickness was measured using spectral domain optical coherence tomography. Results: The mean subfoveal CT values were significantly higher in Group 1 compared with Group 2 (p=0.042). The mean submacular CT and peripapillary CT measurements of the eyes in Group 1 was greater than that of Group 2, but the difference was not statistically significant (p>0.05). There was also no statistically significant difference between the GCL+IPL complex or RNFL thickness values of the groups (p>0.05). Conclusion: H. pylori is a common gastrointestinal infectious agent with asymptomatic carriers in the population. The role of this agent in ocular pathologies in adult patients has been the subject of many recent studies, but secondary ocular findings in patients with H. pylori gastritis in childhood have not yet been investigated. The results of this study showed that the subfoveal CT value was significantly greater in children with H. pylori gastritis
An alternative for the treatment of vulvar syringoma: 577 nm pro-yellow laser
Get PDFBackground: Syringoma is a benign sweat gland tumor.
Aim: Vulvar location of syringoma is rare. Although the lesions are asymptomatic, it
requires treatment due to the cosmetic concerns.
Patients/Methods: We present a 42-year-old woman with vulvar syringoma.
Results: The patient treated with 577 nm pro-yellow laser with a great success.
Conclusion: A 577 nm pro-yellow laser is a good alternative in the treatment of vulvar
syringoma
The utility of systemic-immune inflammation index for predicting the disease activation in patients with psoriasis
Get PDFObjective: To evaluate the utility of systemic-immune inflammation index (SII) in themanagement of patients with psoriasis.Method: This retrospective case-control study was conducted on patients who wereadmitted to the dermatology outpatient clinic. Patients with psoriasis (n = 71) werecompared with a age and gender-matched control group (n = 70) with other non inflammatory dermatologic diseases. Study and control groups were compared interms of clinical characteristics and SII values (neutrophil X platelet/lymphocyte).Afterwards, 50th percentile value (4.5) for psoriasis area severity index (PASI) wascalculated for the study group. Two subgroups were formed according to PASI val ues: (1) PASI < 4.5 group (n = 36) and (2) PASI ? 4.5 (n = 35). Clinical characteristicsand SII values were also compared between these two subgroups. Furthermore, SIIvalues were compared according to the presence of scalp, joint, nail, and genital area involvement in the study group. Finally, a receiver operating characteristic (ROC)curve analysis was performed in order to assess the performance of SII in determin ing the activation of psoriasis in the study group.Results: Significantly higher SII values were found in patients with psoriasis.PASI ? 4.5 subgroup and patients with nail and genital involvement had also signifi cantly higher SII values (P < .05). A cut-off value of 575.8 was calculated with 66.7%sensitivity and 66% specificity for psoriasis activation.Conclusion: SII may be used for the prediction of psoriasis activation
Is air travel safe for patients with cardiac implantable electronic devices?
Get PDFParallel to the rapid expansion of air travel services and advances in medical technology, more passengers with cardiac implantable electronic devices (CIEDs) fly each year. In general, commercial airline flights are considered safe for patients with CIEDs; nevertheless, some specific precautions should be undertaken in some certain circumstances. Apart from the risk of a minor and overlooked pneumothorax early after implantation of a CIED, which may be aggravated due to sudden pressure changes during flight, electromagnetic interference, cosmic radiation and vibration are the other risks a patient with a CIED may encounter during air travel, nevertheless, these are rare and often do not bring about significant clinical consequences
Suction above cuff endotracheal tube can reduce ventilator-associated pneumonia in COVID-19 patients
Get PDFIdentifying clinical characteristics of hypoparathyroidism in Turkey: HIPOPARATURK‑NET study
Get PDFHypoparathyroidism is an orphan disease with ill-defined epidemiology that is subject to geographic variability. We conducted
this study to assess the demographics, etiologic distribution, treatment patterns and complication frequency of
patients with chronic hypoparathyroidism in Turkey. This is a retrospective, cross-sectional database study, with collaboration
of 30 endocrinology centers located in 20 cities across seven geographical regions of Turkey. A total of 830 adults
(mean age 49.6 ± 13.5 years; female 81.2%) with hypoparathyroidism (mean duration 9.7 ± 9.0 years) were included in
the final analysis. Hypoparathyroidism was predominantly surgery-induced (n = 686, 82.6%). The insulting surgeries was
carried out mostly due to benign causes in postsurgical group (SG) (n = 504, 73.5%) while patients in nonsurgical group
(NSG) was most frequently classified as idiopathic (n = 103, 71.5%). The treatment was highly dependent on calcium salts
(n = 771, 92.9%), calcitriol (n = 786, 94.7%) and to a lower extent cholecalciferol use (n = 635, 76.5%) while the rate of
parathyroid hormone (n = 2, 0.2%) use was low. Serum calcium levels were most frequently kept in the normal range (sCa
8.5–10.5 mg/dL, n = 383, 46.1%) which might be higher than desired for this patient group. NSG had a lower mean plasma
PTH concentration (6.42 ± 5.53 vs. 9.09 ± 7.08 ng/l, p < 0.0001), higher daily intake of elementary calcium (2038 ± 1214
vs. 1846 ± 1355 mg/day, p = 0.0193) and calcitriol (0.78 ± 0.39 vs. 0.69 ± 0.38 mcg/day, p = 0.0057), a higher rate of chronic
renal disease (9.7% vs. 3.6%, p = 0.0017), epilepsy (6.3% vs. 1.6%, p = 0.0009), intracranial calcifications (11.8% vs. 7.3%,
p < 0.0001) and cataracts (22.2% vs. 13.7%, p = 0.0096) compared to SG. In conclusion, postsurgical hypoparathyroidism
is the dominant etiology of hypoparathyroidism in Turkey while the nonsurgical patients have a higher disease burden with
greater need for medications and increased risk of complications than the postsurgical patients
Follicular flushing using double lumen needle yields more oocytes in mono-follicular poor responders
Get PDFObjective: To compare the efficacy of follicular flushing (FF) with double lumen needle and direct follicularaspiration with single lumen needle in terms of oocyte yield in mono-follicular responder patients undergo ing assisted reproduction techniques (ART).Materials and Methods: Prospective ‘quasi-experimental’ study was carried out in an IVF center. Infertilewomen 18-42 years of age with diminished ovarian reserve who revealed a single follicle >17 mm on theday of oocyte retrieval were included in the study. Follicular flushing up to 8 times was performed in FFgroup using an 17-G double lumen needle. Direct follicular aspiration using a 17-G single lumen needle with out FF was performed in direct aspiration group. Total numbers of collected oocytes, metaphase 2 oocytes,fertilization and pregnancy rates were compared among groups.Results: A total of 206 women underwent oocyte retrieval procedure; 106 women were assigned to FF and 100women into direct aspiration arm. Overall oocyte retrieval rate was 50.4% in all cases. The total oocyte retrievalrate was higher (65/106, 61.9%) in FF group, than in direct aspiration group (39/100, 39%, p = 0.001). Metaphase 2oocyte rate was also higher in FF group (47/106, 44.3% vs 29/100, 29% p = 0.04). Fertilization rates, total number ofpatients with a cleavage stage embryo and grade 1 cleavage embryo were similar among the groups (p>0.5).Numbers of positive hCG, ongoing pregnancy and miscarriage rates were similar among groups.Conclusion: Follicular flushing using double lumen needle in mono-follicular responder patients with dimin ished ovarian reserve yields more oocytes and mature oocytes than direct aspiration of follicles
Anesthesiologists' Approach to the Treatment of Catheter Related Bladder Discomfort: A Survey Study
No full textObjective: Urinary catheterization causes catheter related bladder discomfort (CRBD) in the early postoperative period following all surgeries. CRBD mostly develops after urological interventions and has two independent predictors: Male gender and urinary catheters ?18F. We aimed to investigate the awareness of Anesthesiology and Reanimation specialists to CRBD and its treatment. Methods: After ethics committee approval, a questionnaire with informed consent of 20 multiple-choice and open-ended questions was transferred to docs.google.com. and Turkish Society of Anesthesiology and Reanimation Specialists were contacted for contribution. Results: 144 anesthesiologists, 26-66 years old (39.5±8.02 years), 54.5% males, 45.5% females, 66.4% with a teaching position and 55.5% with >10 years of experience participated. 54.4% reported encountering >1 CRBD per week and mostly following urology (70.9%), obstetrics and gynecology (52.5%) and general surgery (51.1%) cases. The frequency and severity (66% and 69.5%) of CRBD was reported higher in male patients. 94.4% agreed that CRBD should be treated. 37.8% believed the surgeon should manage CRBD, 60.1% believed it should be planned together. All male participants stated treatment was necessary (p=0.008). Participants chose preemptive (19.9%, n=28), symptomatic (80.1%, n=113) or both (4.3%, n=6) treatments. The choices for preemptive and symptomatic treatment were similar; non-steroidal anti-inflammatory drugs (70.8%, 59%), paracetamol (43.4%, 50.7%) and tramadol (18.9%, 21.6%). Participants' know-ledge on factors effecting CRBD was lacking. Conclusion: Anesthesiologists do not utilize preemptive and effective treatment for CRBD; one thirds of them do not consider it their responsibility. Anesthesiologists should be aware of CRBD and participate in the treatment using multimodal approaches. © 2021 Anestezi Dergisi. All rights reserved
Examination of married individuals marital satisfaction in terms of psychological well- being, spousal support and mindfulness levels
No full textEvli Bireylerin Evlilik Doyumlarının Psikolojik İyi Oluş, Eş Desteği ve Bilinçli Farkındalık Düzeyleri Açısından İncelenmesi, Yüksek Lisans Tezi, Ankara, 2021. Bu çalışmanın amacı evli bireylerin evlilik doyumlarının psikolojik iyi oluş, eş desteği, bilinçli farkındalık düzeylerinin bazı kişisel değişkenler açısından incelenmesidir. Bu amaçla evli bireylerin psikolojik iyi oluş düzeyleri, eş destek düzeyleri, bilinçli farkındalık düzeyleri; cinsiyet, yaş, eğitim durumu, çalışma durumu, kaç yıldır evli oldukları, çocuk sayıları ve nasıl evlendikleri (görücü usülü, flört) değişkenleri bakımından incelenmiştir. Bu araştırma ilişkisel tarama modeline uygun bir araştırmadır. Araştırma Ankara ilinde yaşayan en az 3 yıldır evli olan 485 (354 kadın, 131 erkek) katılımcıdan elde edilen veriler ile gerçekleştirilmiştir. Bu araştırmada verilerin toplanması için demografik bilgileri içeren kişisel bilgi formu, bireylerin evlilik doyumunu ölçek amacıyla 'Evlilik Doyumu Ölçeği', psikolojik iyi oluş düzeylerini tespit etmek amacıyla 'Psikolojik İyi Oluş Ölçeği', eş destek düzeylerini belirlemek amacıyla 'Eş Destek Ölçeği' ve bilinçli farkındalık düzeylerini ölçmek amacıyla 'Bilinçli Farkındalık Ölçeği' kullanılmıştır. Araştırmadaki verilerin normal dağılıp dağılmadığının test edilmesi amacıyla veriler üzerinde Kolmogorov Smirnov testi yapılmış ve daha sonra verilerin analizi kısmına geçilmiştir. Verilerin analizi için: Kruskall Wallis testi, Mann Whitney U testi, Spearman Korelasyon analizi ve çoklu regresyon analizi kullanılmıştır. Araştırmanın sonuçlarına göre evlilik doyumu yaş, eğitim durumu, çocuk sayısı, çalışma durumu, evlilik süresine göre farklılık göstermezken; cinsiyet, evlilik süresi ve evlenme biçimine göre anlamlı farklılık göstermektedir. Katılımcıların Evlilik Doyumu Ölçeğinden aldıkları puanlara bakıldığında; erkeklerin puanlarının kadınların puanlarından daha yüksek olduğu, kendileri tanışarak evlenenlerin puanlarının görücü usulü ile evlenenlerden daha yüksek olduğu, 3-7 yıl evli olan bireylerin puanları en düşük iken, 17 yıl ve üzeri evli olan bireylerin puanları en yüksek bulunmuştur. Psikolojik iyi oluş düzeyi cinsiyet, eğitim durumu, çalışma durumu, evlilik süreleri, evlenme biçimi, yaş ve çocuk sayısı değişkenlerine göre anlamlı farklılık göstermemektedir. Eş destek düzeyi, cinsiyet, çalışma durumu, yaş gibi değişkenlere göre farklılık göstermezken; eğitim düzeyi, evlilik süresi, evlenme biçimi ve çocuk sayısı değişkenlerine göre farklılık göstermektedir. Katılımcıların eş desteği alt boyutları olan; duygusal destek, maddi yardım ve bilgi desteği puanları eğitim durumlarına göre anlamlı bir farklılık gösterirken; takdir etme desteği, sosyal ilgi desteği puanları eğitim durumlarına göre anlamlı bir farklılık göstermemiştir. Katılımcıların görücü usulü ile evlenenlerin puanları kendileri tanışarak evlenenlerden daha yüksek olduğu; duygusal destek puanlarına bakıldığında, 13- 17 yıl evli olan bireylerin puanları en yüksek iken, 3-7 yıl evli olan bireylerin puanları en düşük olduğu; çocuğu olmayanların, 1 çocuğa sahip olanların, 2 çocuğa sahip olanların, 3 ve üzeri çocuğa sahip olanların puanları diğer boyutlardan alınan puanlara göre daha yüksek bulunmuştur. Bilinçli farkındalık ise, evlenme biçimi, çalışma durumu, cinsiyet, evlilik süresi, çocuk sayısı, eğitim durumuna göre farklılık göstermezken; yaş değişkenine göre anlamlı farklılık göstermektedir. Yaş değişkeni açısından 36-66 yaş aralığında yer alan katılımcıların puanlarının 21-35 yaş aralığında olan katılımcılardan daha yüksek olduğu belirlenmiştir. Spearman korelasyon analizleri sonucunda bireylerin evlilik doyumu düzeyi ile psikolojik iyi oluş düzeyleri arasında pozitif yönlü anlamlı ilişki olduğu saptanmıştır. Evlilik doyumu düzeyi ile eş destek düzeyleri arasında negatif yönlü ilişki bulunmuştur. Evlilik doyumu ile bilinçli farkındalık düzeyleri arasında ise pozitif yönlü bir ilişki olduğu belirlenmiştir. Yapılan regresyon analizi sonucunda psikolojik iyi oluş ve eş desteğinin evlilik doyumu üzerindeki değişimin %23'ünü açıkladığı sonucuna ulaşılmıştır.The aim of this study is to examine the marital satisfaction of married individuals, psychological well- being, spousal support, mindfulness levels in terms of some personal variables. For this purpose, psychological well-being levels, spousal support levels, mindfulness levels of married individuals were examined in terms of; gender, age, education level, employment status, how many years they have been married, the number of children and how they got married (arranged, dating) variables. This research is suitable for the relational screening model. The research was carried out with the data obtained from 485 (354 female, 131 male) participants who have been married for at least 3 years, living in Ankara. In this study, a personal information form containing demographic information, a 'Marriage Satisfaction Scale' to measure individuals' marital satisfaction, a 'Psychological Well-being Scale' to measure psychological well-being levels, a 'Spousal Support Scale' to measure spousal support levels. The 'Mindful Attention Awareness Scale' to measure mindfulness level were used to collect data. In order to test whether the data in the research show a normal distribution. Kolmogorov Smirnov test was performed on the data and then the data analysis part was started. For the analysis of the data: Kruskall Wallis test, Mann Whitney U test, Spearman Correlation analysis and multiple regression analysis were used. According to the findings of the research, while marital satisfaction does not differ according to age, education level, employment status, and duration of marriage; there are significant differences according to gender, type of marriage and number of children. Considering the scores of the participants from the Marriage Satisfaction Scale; ıt was found that male's scores were higher than female's, that the scores of those who got married by themselves were higher than those who got married by arranged method, while the scores of the individuals who were married for 3-7 years were the lowest, while the scores of the individuals who were married for 17 years or more were the highest. The level of psychological well-being did not differ according to gender, educational status, employment status, duration of marriage, and type of marriage; differs significantly according to age and number of children variables. While the level of spousal support does not differ according to gender and working status; ıt differs significantly according to age, education level, duration of marriage, type of marriage and number of children. The sub- dimensions of the participants' spousal support; emotional support, fianncial aid and information support scores show a significant difference according to their educational status; Appreciation support and social interest support scores did not show a significant difference according to educational status. The scores of the participants who got married by arranged method were higher than those who got married by meeting themselves; When the emotional support scores are examined, the scores of the individuals married for 13-17 years are the highest, while the scores of the individuals married for 3-7 years are the lowest; The scores of those who do not have children, those who have 1 child, those who have 2 children, and those who have 3 or more children were found to be higher than the scores obtained from other dimensions. Mindfulness, on the other hand, does not differ according to the type of marriage, gender, education level; ıt differs significantly according to age, employment status, duration of marriage and number of children. In terms of age variable, it was determined that the scores of the participants in the 36-66 age range were higher than the participants in the 21- 35 age range. As a result of Spearman correlation analysis, a positive and significant relationship was found between the level of marital satisfaction and the level of psychological well-being. A negative relationship was found between marital satisfaction and spousal support. A positive relationship was found between marital satisfaction and the level of mindfulness. As a result of the regression analysis, it was concluded that psychological well-being and, spousal support explained 23% of the change in marital satisfaction