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Anatolian Clinic the J. of Medical Sciences     Open Access  
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Anatolian Clinic the Journal of Medical Sciences
Number of Followers: 0  

  This is an Open Access Journal Open Access journal
ISSN (Print) 2149-5254 - ISSN (Online) 2458-8849
Published by Hayat Sağlık ve Sosyal Hizmetler Vakfı Homepage  [1 journal]
  • A simple proof of vitamin D deficiency and inflammation relation: single
           center study, over two thousand patients

    • Authors: Ekmel Burak ÖZŞENEL; Mehmet Yavuz GÜRLER
      Abstract: Aim: Vitamin D deficiency is a very common condition in the world. Although vitamin D appears to be effective mainly on calcium and bone metabolism, it is an important molecule that also affects immune functions and inflammation. In our study, we tried to evaluate the contribution of vitamin D deficiency to inflammation by examining the platelet indices of patients with low and normal vitamin D levels.Methods: Healthy patients who applied to internal medicine outpatient clinics of our hospital for routine control in 2017 were included in our study. Patients are included in the study by following needed criteria; creatinine <1.3 mg/dl, hemoglobine >12 gr/dl, vitamin B12 >150 pg/dl, red cell distribution width <14 fL, thyroid stimulating hormone (TSH) between 1-5 IU/L and C-reactive protein (CRP) <10 mg/dl. Patients were divided into two groups, those with vitamin D less than 10 ng/ml as the study group and those above 30 ng/ml as the control group.Results: A total of 2179 patients, 644 male and 1535 female, were included in the study. 797 patients constituted the study group (27.1% male), and 1382 patients constituted the control group (31% male). When the two groups were compared in terms of platelet indices, we found that mean platelet volume (MPV) and plateletcrit (PCT) were significantly higher in the study group (p<0.001, p<0.001).Conclusion: In our study, we found that MPV and PCT values increased significantly with vitamin D deficiency. We attributed this result to the absence of the anti-inflammatory activity of vitamin D. As a result, treating a patient’s vitamin D deficiency can also protect patients from cardiovascular or autoimmune diseases through the anti-inflammatory effect of vitamin D.
      PubDate: Tue, 23 May 2023 00:00:00 +030
  • Knowledge, attitude, practices, seroprevalence and vaccination status
           concerning hepatitis B, hepatitis C, human immunodeficiency virus among
           health care students

    • Authors: İrem SALDUZ; Aclan ÖZDER
      Abstract: Aim: Students of all departments that serve patients during their education are in the risk group in terms of parenterally transmitted microorganisms. This study aims to evaluate the knowledge level and serologic status of healthcare students about viral hepatitis and Human Immunodeficiency Virus (HIV) infection.Methods: A sociodemographic questionnaire consisting of 29 questions was applied to 262 students who presented to the medico-social outpatient clinic between January 2015 and December 2020. Additionally, hepatitis B surface antigen (HBsAg), hepatitis B surface antibody (Anti HBs), hepatitis B core antibody (Anti HBc total), hepatitis C virus antibody (Anti HCV), HIV antibody (Anti-HIV) serum levels were investigated. The obtained information was evaluated with descriptive statistics and chi-square test in statistical package for the social sciences package program version 20. Results were given as frequency and percentage.Results: The mean age of the study group (230 female and 32 male) was 21.29 ± 2.2 years. According to the questionnaire, 43.9% of students stated that they had HBV vaccination, while 56.1% of the students stated that they were not vaccinated. The rate of the student who checked antibodies after vaccination was 14.1%. While 74% of students stated that they took lessons about hepatitis risk factors, 26% of students did not take any lessons. According to the laboratory results, Anti HBs positivity was found in 235 students (89.7%). Anti-HBc total positivity was found in 5 students (1.9%). HBsAg positivity was found in 2 students (0.8%). Anti-HCV and Anti-HIV were negative in all our students.Conclusion: Our results indicate that high prevalence of Anti HBs seropositivity among healthcare students. This result can be explained by our successful vaccination program in Turkey. As a preventive medicine perspective, it should be ensured that students studying at these schools should be trained, screened, and guided to become immune.
      PubDate: Tue, 23 May 2023 00:00:00 +030
  • Comparative analysis of laboratory and clinical characteristics of
           appendicitis in child and adult populations

    • Authors: Veli AVCİ; Davut DEMİR
      Abstract: Aim: Appendicitis is the most common cause of acute abdomen faced by pediatric surgeons and general surgeons. Early diagnosis and treatment are very important in appendicitis. There are numerous articles on appendicitis. There are numerous articles about appendicitis; however, studies comparing pediatric and adult appendicitis are very rarely. The aim of this study is to compare the laboratory and clinical features of appendicitis in child and adult patient groups. Methods: The study consists of patients were diagnosed with appendicitis as a result of pathology. The patients were divided into two groups as acute appendicitis and perforated appendicitis. In addition, both groups were divided into two groups as under 18 years old and over. Demographic characteristics, laboratory values, cost analysis, surgical method, pathology reports, appendix diameters, complaints and hospitalization times of the patients in the groups were evaluated retrospectively. Results: Of the 150 patients included in the study, 42 were pediatric patients. Acute appendicitis was detected in 131 patients and perforated appendicitis in 29 patients. The mean age was 9.38±2.25 years in children and 36.33±13.54 years in adults. In the study, a significant difference was found in the acute appendicitis groups in terms of gender, surgical technique, white blood cell (WBC), time of hospitalization, and cost analysis although there was no significant difference in terms of complaint duration, appendix diameter, C-reactive protein (CRP), and percentage of neutrophils. There was no significant difference between all parameters in the perforated appendicitis groups.Conclusion: Although there are important differences between pediatric and adult acute appendicitis patients; no differences were found in perforated appendicitis. We believe that this condition should be taken into account by clinicians during the evaluation of patients.
      PubDate: Tue, 23 May 2023 00:00:00 +030
  • Evaluation of clinical neurological complications and prognosis in
           children with acute lymphoblastic leukemia

      Abstract: Aim: The aim of the present study is to evaluate the neurological complications, which occur during the treatment process, to determine the risk factors of these complications and their impact on children with acute lymphoblastic leukemia.Methods: In our study, patients who were younger than 18 years of age with the diagnosis of acute lymphoblastic leukemia and who were treated with Berlin Frankfurt Munster (BFM) TR ALL-2000 chemotherapy protocol between January 2006 and December 2011 were retrospectively retrieved from our medical records. A total number of 200 patients were included in the study and 6 of them were excluded due to central nervous system involvement when diagnosed. Demographic, clinical, radiological, neurological findings and laboratory results of 194 patients were analyzed together. Patients were divided into two groups regarding the occurrence of neurological complications and were compared in terms of gender, age, laboratory findings, treatment, survival and relapse.Results: Neurological complications were observed in 28 of 194 patients throughout the treatment process who did not have a central nervous system involvement at the time of diagnosis. The most common neurological complication was convulsion (7.7%). Although the majority of patients with neurological complications were male, no statistically significant correlation was found between gender, age and the complication occurrence. It was detected that the leukocyte levels at the time of diagnosis were high in patients with neurological complications. These high levels were found to be related with the increased the risk of complication occurrence during chemotherapy. Although the survival rate of patients with neurological complications were lower, no statistically significant difference was found in terms of survival rate between these two groups.Conclusion: It should be kept in mind that high leukocyte level at the time of diagnosis, which is known to be a poor prognostic factor in pediatric patients with acute lymphoblastic leukemia, might also be a precursor of neurological complications those occur during the treatment.
      PubDate: Tue, 23 May 2023 00:00:00 +030
  • Evaluation of the efficacy of extracorporeal shockwave therapy in the
           treatment of plantar fasciitis

    • Authors: Tuğba ŞAHBAZ; Ahmet Kıvanç MENEKŞEOĞLU
      Abstract: Aim: It was aimed to investigate the effectiveness of extracorporeal shockwave therapy (ESWT) intervention in addition to exercise therapy on pain and functionality in the treatment of plantar fasciitis.Methods: A total of 57 participants aged 18-65 years, who were clinically diagnosed with plantar fasciitis and had complaints for more than 6 months, were included in the study. The patients were divided into two groups as ESWT (n=29) and control (n=28). The participants in both groups were given exercises for plantar fasciitis and ESWT was applied to the ESWT+exercise group once a week for a total of 3 sessions. Pain status of the patients was evaluated with Visual Analog Scale (VAS) and functional status was evaluated with Foot Function Index (FFI).Results: In the evaluations, a significant improvement was found in VAS resting and activity values, AFI pain, disability and activity limitation values in the 4th and 8th week follow-ups in the ESWT+exercise group and the patients who received only exercise therapy (p<0.05). When the two groups were compared, the improvement in the ESWT+exercise group was statistically significant in all subgroups of both VAS and AFI compared to the exercise group in both the 4th and 8th week evaluations (p<0.05).Conclusion: In conclusion, ESWT added to exercise intervention in the treatment of plantar fasciitis is an effective and safe treatment method. ESWT treatment in addition to exercise therapy can reduce pain and improve functionality in patients with plantar fasciitis.
      PubDate: Tue, 23 May 2023 00:00:00 +030
  • Risk factors for reduced core endurance, fatigue and physical inactivity
           in medical students

    • Authors: Başak ÇİĞDEM KARAÇAY; Naime Meric KONAR
      Abstract: Aim: In medical faculty students’ investigation of risk factors for physical inactivity and fatigue and basic resilience is important to identify individuals at risk. The primary aim of this study was to determine the factors affecting core endurance, fatigue, and physical inactivity in medical faculty students. The secondary aim is to evaluate the relationship between core endurance and fatigue, physical activity, and low back pain. Additionally, to investigate the relationship between fatigue and physical activity level.Methods: This quantitative cross-sectional study was conducted with 201 healthy volunteer medical faculty students. Demographic data and the history of low back pain were recorded. The trunk flexors endurance test (FLET), Modified Biering-Sorensen test (MBST), and lateral bridge test (LBT) were used to measure trunk muscle core endurance. The physical activity levels of the participants were measured using the “International Physical Activity Scale” (IPAQ). The fatigue Severity Scale was used for the evaluation of fatigue. Results: FLET (p=0.021), MBST (p=0.004), LBT-Right (<0.001), LBT-Left (<0.001) tests were significantly higher in the group with FSS <2.3. A significant correlation was found between female gender and FLET (p<0.001), MBST (p<0.001), LBT-Right (p<0.001), LBT-Left (p<0.001). Gender (p=0.049), MBST (p=0.003) and MET 3 (p=0.025) were determined as factors affecting fatigue in the regression model. Female gender (OR= 0.376; p= 0.049) and MBST (OR= 0.986; p= 0.003) was determined as a risk factor for fatigue.Conclusion: Female gender, decreased core endurance, and physical inactivity are protective factors affecting fatigue in medical school students. Age, gender, body mass index, smoking, alcohol, and low back pain history were not found to be risk factors for physical inactivity. Improving core endurance is protective for physical inactivity.
      PubDate: Tue, 23 May 2023 00:00:00 +030
  • Online gaming features in adolescents with attention-deficit/hyperactivity

    • Authors: Ömer UÇUR; Yunus Emre DÖNMEZ
      Abstract: Aim: Leisure activities in adolescents with Attention-deficit/hyperactivity disorder (ADHD) tend to focus on Internet activities, especially online games. Online gaming addiction has been observed in ADHD populations. Game genres and characteristics may affect addiction in ADHD adolescents who play online games. This study aims to contribute to the literature by examining the Internet gaming disorder (IGD) risk effects and game genres of hyperactivity/impulsivity, inattention, and ADHD index separately.Methods: A total of 884 adolescents playing online games were included. Participants answered the online game features form, Conners-Wells’ adolescent self-report scale—long version and digital gaming addiction scale—short form under the observation of their teachers. Game genres and ADHD symptomatology (Inattention, Hyperactivity/impulsivity, ADHD index) were categorized within themselves.Results: IGD was significant in all subcomponents of ADHD symptomatology. In all subcomponents, insulting/threatening speeches were found in the chat tab. In the Hyperactivity/impulsivity component, more hours of online gaming and spending real money on in-game advantages were found. In the Inattention and ADHD index, the amount of gaming in the social environment of the adolescents was high. In ADHD symptomatology, no significant results were found in game genres (except sports in the Inattention component).nclusion: Although levels of online gaming are high in adolescents with ADHD, a bidirectional relationship is likely. We believe that social factors and communicative characteristics are important in relational factors in adolescents. Longitudinal studies should be conducted to answer important empirical questions about the relationship between ADHD-IGD and game genres.
      PubDate: Tue, 23 May 2023 00:00:00 +030
  • Akciğer vereminde iklim ve irtifa istitbapları ve sanatoryum

    • Authors: Abdulkadir LÜTFİ
      Abstract: Anadolu Kliniği, 1934; Yıl 2 No 1'de yayınlanan Profesör Dr. Abdulkadir Lütfi'nin kaleme aldığı "Akciğer vereminde iklim ve irtifa istitbapları ve sanatoryum intihabı" isimli yazısını içermektedir.
      PubDate: Tue, 23 May 2023 00:00:00 +030
  • The effect of inspiratory muscle training on functional exercise capacity
           and quality of life in patients with pulmonary arterial hypertension: a
           systematic review

    • Authors: Zeynep Betül ÖZCAN; Esra PEHLİVAN
      Abstract: Aim: Patients with pulmonary arterial hypertension, symptoms occur with exertion in the early stages of the disease, can also be observed at rest in the advanced stages of the disease. Although there is optimized medical treatment for patients with pulmonary arterial hypertension, most patients with pulmonary arterial hypertension complain of low exercise capacity and quality of life. One of the treatment parameters for pulmonary arterial hypertension is pulmonary rehabilitation. The most important component for pulmonary arterial hypertension is the physiotherapy program. Personalized physiotherapy programs consist of exercise training, respiratory muscle training and patient training components. Respiratory muscle strength training is more specifically applied as inspiratory muscle training. The number of studies investigating and discussing the general effects of inspiratory muscle training for patients with pulmonary arterial hypertension is scarce. For this reason, the application of inspiratory muscle training is recommended for patients with pulmonary arterial hypertension. The aim of this study was ‘Is inspiratory muscle training effective in increasing the functional exercise capacity and quality of life of patients with pulmonary arterial hypertension'’ is to answer the question. Methods: Before January 2022, four main databases were searched: PubMed, Web of Science, Cochrane Library and Springer Link. The search was limited to randomized controlled prospective studies published in the last 5 years. Results: Studies involving inspiratory muscle training in patients with pulmonary arterial hypertension were included. After reading the full texts, two studies were found that fulfil the inclusion criteria. These publications were all randomized controlled prospective studies.Conclusion: It has been reported that inspiratory muscle training application increases functional exercise capacity and inspiratory muscle strength in patients with pulmonary arterial hypertension. However, its effectiveness in improving quality of life was unclear.
      PubDate: Tue, 23 May 2023 00:00:00 +030
  • A rare infectious agent: Rhodococcus equi, a case report and literature
           review of soft tissue infections in immunocompetent patients

    • Authors: Halime ARAZ; Aliye BASTUG, İpek MUMCUOĞLU, Esragül AKINCİ, Hurrem BODUR
      Abstract: Rhodococcus equi (R. equi) is a microorganism that was first identified in horses. Afterward, it was found to cause opportunistic infections in immunosuppressed patients. It causes especially pulmonary infections in immunocompromised patients while it rarely causes diseases such as septic arthritis and soft tissue infections. It is important to question epidemiological risk factors for the diagnosis of the disease. Also, the clinician-microbiologist relationship is important in the laboratory diagnosis of the microorganism because it is possible to be missed as part of normal flora or contaminant or to be confused with microorganisms with similar phenotypic features (Nocardia species or rapidly growing mycobacteria). Rarely, it has been reported in immunocompetent patients, as in our case. MEDLINE, SCOPUS, Google Scholar, and Cochrane searches were performed using the keywords Rhodococcus equi and Corynebacterium equi from 1945 to July 2021. A total of 582 articles were determined. Articles containing these keywords were then scanned for the words “humans”, “soft tissue infections”, and “cellulite” and a total of 42 articles were listed in the end. A total of 14 case reports of soft tissue infection/cellulitis in immunocompetent patients related to R. equi were detected in the literature. In our case, there was a soft tissue infection and R. equi was detected in the abscess culture. Obtaining culture and determining the factor is very important in the treatment of infections. In this report, soft tissue infections caused by R. equi in immunocompetent patients are reviewed.
      PubDate: Tue, 23 May 2023 00:00:00 +030
  • Preventive rehabilitation approaches and physical activity in chronic

    • Authors: Hafize Reyhan ÇALIKUŞU; İrem Nur USLUER, Müberra TANRIVERDİ
      Abstract: Chronic diseases are the most common cause of morbidity and mortality among non-communicable diseases. The most common chronic diseases worldwide and in our country are cardiovascular disease, cancer, diabetes, stroke and Chronic Obstructive Pulmonary Disease (COPD). According to 2019 Turkish Statistical Institute data, approximately 70% of deaths in our country are caused by chronic diseases. Hospitalization rates of individuals with chronic diseases are seen more frequently than other diseases and this causes a great financial burden, approximately 26.4 billion TL in 2016. Increasing the measures in all stages of health services significantly reduces the death burden due to disease and public health expenditures. Therefore, prevention of diseases as well as their treatment is important in the management and coping of the disease. Prevention of chronic diseases, treatment of the disease in the early period, slowing down its progression and increasing the life expectancy of patients constitute the aims of preventive rehabilitation approaches. For these purposes, preventive rehabilitation approaches for chronic diseases are divided into three as primary, secondary and tertiary prevention. In this direction, there are action plans and guides published in the world and in our country. It is stated in these guidelines that regular physical activity also plays an important role in the prevention and management of diseases. Studies have shown that regular physical activity reduces the risk of chronic diseases and increases the health-related quality of life of patients. In our review, preventive rehabilitation approaches in chronic diseases and the importance of physical activity are discussed.
      PubDate: Tue, 23 May 2023 00:00:00 +030
  • Myroides infection with underestimated frequency: a case report

    • Authors: Huzeyfe Feyyaz DEMİREL; Esma EROĞLU
      Abstract: Myroides species are gram-negative bacteria that rarely infects humans. However Myroides species are not part of the human microbiota and they are commonly found in the environmental sources. It has been reported that Myroides infection typically develops after contact with contaminated water. It often causes infection in immuno-compromised patients. In our case, we present a urinary tract infection caused by multidrug-resistant Myroides odoratimimus.
      PubDate: Tue, 23 May 2023 00:00:00 +030
  • A childhood secondary headache case associated with Langerhans cell

    • Authors: Yasemin BARANOĞLU KILINÇ; Ayşegül DANIŞ, Sıddıka HALICIOĞLU
      Abstract: Neurological involvement is very rare in patients with a diagnosis of Langerhans Cell Histiocytosis (LCH). During the course of the disease, headache can also be seen in addition to systemic effects. A 6 years old girl was admitted to the hospital with only a headache without any systemic symptoms and was diagnosed with LCH. Magnetic resonance imaging showed a solid mass extending from the sphenoid bone corpus to the left great wing of the sphenoid, left orbital apex, left posterior ethmoid cells, left cavernous sinus, and dural space. The correct decision for neuroimaging in patients with headaches is very important in terms of mortality and morbidity. We wanted to share our patient’s case who was diagnosed with LCH by presenting only with headache without any other systemic finding, to remind that LCH may be a secondary cause of headache.
      PubDate: Tue, 23 May 2023 00:00:00 +030
  • Temporal changes of QT dispersion in patients with acute ischemic stroke

    • Authors: Serhan ÖZYILDIRIM; Gülümser HEPER
      Abstract: Aim: Ischemic stroke is a significant cause of morbidity and mortality and can lead to fatal arrhythmias even in the absence of underlying cardiac pathology. The objective of this study was to investigate the impact of acute ischemic stroke on QT dispersion and its temporal changes over time.Methods: A total of 124 patients with acute ischemic stroke who did not receive any reperfusion treatment were included in the study. Corrected QT dispersion (QTcd) values were obtained from 12-lead surface electrocardiograms taken within the first 12 hours and after 48 hours of stroke onset. These values were compared with those of 93 age and sex-matched control subjects. The effects of diabetes and lesion lateralization on QT dispersion were also analyzed. Stroke patients whose lesions were clearly localized to either the right or left hemisphere were divided into two subgroups. The change in QT dispersion overtime during the follow-up period was also determined.Results: The study included 124 patients with acute ischemic stroke (54 females and 70 males) with a mean age of 67±11 years, as well as a control group of 93 subjects (49 females and 44 males) with a mean age of 69±8 years. The QTcd values of the stroke group were significantly longer than the control group in the first 12 hours of symptom onset. However, after 48 hours, the QTcd values of the stroke group decreased and the difference between the two groups was not statistically significant. The presence of diabetes mellitus caused a more significant increase in QT dispersion, and after 48 hours, the QTcd values of diabetic stroke patients were still significantly longer. The QTcd values of patients with left hemispheric lesions were significantly longer than those of patients with right hemispheric lesions, and this difference persisted after 48 hours.Conclusion: This study found that QT dispersion increases during the first few hours of ischemic stroke and decreases during the treatment period. This increase is more obvious and lasts longer in stroke patients with diabetes and left hemispheric lesions. The results suggest that QT dispersion may be a useful prognostic indicator for patients with acute ischemic stroke.
      PubDate: Tue, 23 May 2023 00:00:00 +030
  • The mysterious island of Ali Münşî of Bursa and Risâle-i Fevâid-i
           Nârcîl-i Bahrî

    • Authors: İbrahim TOPÇU; Beyzanur KAÇ
      Abstract: Aim: The aim of this study is to introduce the “Risâle-i Fevâid-i Nârcîl-i Bahrî” of Bursalı Ali Münşî, one of the important physicians of the 18th century and one of the representatives of the Tıbb-ı Cedid movement, by transcribing it into contemporary Turkish and to examine the treatise in the context of Tıbb-ı Cedid.Methods: There are two copies of the work. The transcription is based on the copy registered in Fatih Ali Emiri Library with the number 278-4. However, the Istanbul University copy was also read comparatively during the transcription and the differences between the two copies are indicated in the footnotes. In addition, the Arabic part of the treatise was translated into Turkish.Results: In the work, Ali Münşî describes the geographical location and characteristics of the place where the plant named nârcîl-i bahrî grows and various mysterious rumors about that region. In addition, it was also seen that expressions about the shape and value of the plant were also included.Conclusion: In this treatise, which is one of the important monographs of Ali Münşî of Bursalı, it is understood that the physician has some information about the place where nârcîl-i bahrî grows, but he does not include any information about the medicinal importance of the plant. In addition, although it is stated that it is not true, it is important to include the rumor that the place where nârcîl-i bahrî grows was known with the discovery of the new world in the treatise in order to show the traces of the Tıbb-ı Cedid period. Nevertheless, it is understood that all of Ali Münşî’s works should be carefully examined in order to better understand the Tıbb-ı Cedid period, to obtain information on the medicinal use of the plant, and to comprehend the relationship between this work and its author’s identity as a physician.
      PubDate: Tue, 23 May 2023 00:00:00 +030
  • Factors affecting renal involvement in immunoglobulin A vasculitis

    • Authors: Nimet ÖNER; Serkan COŞKUN, Tuba KURT, Vildan GÜNGÖRER, Elif ÇELİKEL, Zahide EKİCİ TEKİN, Nilüfer TEKGÖZ, Müge SEZER, Cüneyt KARAGÖL, Melike Mehveş KAPLAN, Merve Cansu POLAT, Özlem Yüksel AKSOY, Umut Selda BAYRAKÇI, Banu ACAR
      Abstract: Aim: The aim of this study was to evaluate the factors affecting the duration of renal involvement in children with immunoglobulin A vasculitis (IgAV; formerly Henoch Schonlein Purpura).Methods: Data from IgAV patients who were followed up on for at least a year between January 2015 and June 2022 were analyzed retrospectively. Demographic, clinical, laboratory findings and treatments were recorded.Results: The study included 372 IgAV patients, 81 of whom had IgAV kidney involvement. Forty-six (56.8%) of the patients were male and 35 (43.2%) were female. All patients had skin involvement, 32 (39.5%) had joint involvement, 44 (54.3%) had gastrointestinal (GI) tract involvement, and 2 (2.5%) had neurologic involvement. 3 patients had hypertension at the time of diagnosis. Renal involvement was diagnosed at the time of diagnosis in 45 patients (55.5%), within the first 2 weeks in 10 patients (12.4%), between weeks 2-4 in 12 patients (14.8%), and between 1 month and 3 months in 14 patients (17.3%). After 3 months, there was no renal involvement. Renal involvement at the time of diagnosis was associated with older age and low albumin level, and renal involvement at 1-3 months was associated with joint and GI tract involvement. Among patients with renal involvement, those with renal involvement and nephrotic proteinuria at diagnosis had longer time to recovery. Patients with renal involvement and hematuria between 1-3 months had a shorter time to recovery. Conclusion: The development of IgAV-renal involvement in older age and those with low albumin levels should be carefully monitored. Especially the first 3 months is a risky period in terms of development of renal involvement.
      PubDate: Tue, 23 May 2023 00:00:00 +030
  • Comparison of laryngeal mask airway and endotracheal tube using
           percutaneous dilatational tracheostomy

    • Authors: Nezir YILMAZ; Mehmet DURAN, Fikret ÖZERDEM
      Abstract: Aim: The study’s objective was to determine whether laryngeal mask airway (LMA) use in percutaneous tracheostomy applications is superior compared to classic endotracheal tube (ETT) use.Methods: The study comprised patients who had percutaneous tracheostomy at Adıyaman Training and Research Hospital between 2013 and 2018. The patients were separated into two groups those who used ETT for airway management (group E) and those who used LMA instead of ETT (group L) during PT application. 4 patients were excluded from the study due to the lack of data from the 170 patient files obtained. The diagnosis for intensive care unit admission, age, gender, length of hospital stay, length of the procedure, number of attempts, complications, and mortality were compared between the two groups.Results: Of the 166 patients involved in the study, 76 were female and 90 were male. All patients underwent successful tracheostomy procedures, but 20 patients had minimal bleeding, and 21 patients had a second attempt. The duration of the tracheostomy procedure was found to be significantly shorter in group L (p<0.05). In comparison to group E, group L had a significantly longer hospital stay (p<0.05).Conclusion: It was considered that the use of LMA in percutaneous dilatational tracheostomy applications reduces the duration of the surgery. However, there is no significant difference between the use of ETT and LMA in terms of procedural success and complication rates.Keywords: Airway management, laryngeal mask airway, tracheostomy
      PubDate: Tue, 23 May 2023 00:00:00 +030
  • Evaluation of the knowledge, attitudes and concerns of the mothers of
           children who applied to the hospital during the COVID-19 pandemic

    • Authors: Şenay GÜVEN BAYSAL; Betül YILDIZ AKNAR, Fatma Hilal YAĞIN, Derya DOĞAN, Cengiz YAKINCI
      Abstract: Aim: During the coronavirus disease 2019 (COVID-19) pandemic many families have faced difficulties such as using masks, maintaining social distancing, and isolating themselves to stop spreading the virüs. However, there is limited data about how mothers of affected children with acute/chronic diseases overcome this challenging and stressful process.Methods: Between January 2021 and June 2021, mothers of 315 children aged 1-17 years admitted to the Pediatrics Outpatient Clinic of Inonu University were included in our study. Sociodemographic information, attitudes, and knowledge levels about the prevention of the disease towards COVID-19 were reviewed and the Stait-Trait Anxiety Inventory test was applied.Results: The overall mean score of knowledge of the mothers for COVID-19 disease was 4.9 ± 1.4 (max=8). The low educational level and employment status of the father, the presence of any chronic disease in the family, and the presence of a chronic disease in their children increased the anxiety scores in those mothers.Conclusion: Since COVID-19 still affect the community, it is very important to understand its psychological consequences on mothers who have children or close relatives with chronic diseases and to develop policies to improve their emotional and mental status.
      PubDate: Tue, 23 May 2023 00:00:00 +030
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