Pub Date : 2023-01-01DOI: 10.14744/hnhj.2023.33349
Esma Kobak Tur
{"title":"Assessment of non-motor symptoms in cervical dystonia","authors":"Esma Kobak Tur","doi":"10.14744/hnhj.2023.33349","DOIUrl":"https://doi.org/10.14744/hnhj.2023.33349","url":null,"abstract":"","PeriodicalId":12831,"journal":{"name":"Haydarpasa Numune Training and Research Hospital Medical Journal","volume":"74 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75685300","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.14744/hnhj.2021.82542
Yusuf Murat Bag
{"title":"Evaluation of Osteoporosis After Total Thyroidectomy in Euthyroid Postmenopausal Women","authors":"Yusuf Murat Bag","doi":"10.14744/hnhj.2021.82542","DOIUrl":"https://doi.org/10.14744/hnhj.2021.82542","url":null,"abstract":"","PeriodicalId":12831,"journal":{"name":"Haydarpasa Numune Training and Research Hospital Medical Journal","volume":"11 6 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81072236","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.14744/hnhj.2023.62333
D. Omaygenç
{"title":"Acute kidney injury after hip replacement surgery under spinal anesthesia in the elderly: A retrospective analysis","authors":"D. Omaygenç","doi":"10.14744/hnhj.2023.62333","DOIUrl":"https://doi.org/10.14744/hnhj.2023.62333","url":null,"abstract":"","PeriodicalId":12831,"journal":{"name":"Haydarpasa Numune Training and Research Hospital Medical Journal","volume":"40 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78506210","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.14744/hnhj.2023.17048
Melih Gaffar Gözükara
Introduction: Although emergency services are at a vital point in health systems, they occupy a large place in terms of service capacity and finance. An emergency service visit complaint may be within the scope of the primary health-care service, or it may be a health problem that must be completed with the minutes. Overcrowding of emergency departments (EDs) and delayed visits may be critical for priority patients to receive treatment. In our study, it was aimed to examine all 6-year patient visits to all emergency services in Turkiye in detail and to determine the epidemiological trends of visits. Methods: The study includes a total of 925,161,028 ED visits, including both children and adults. Data were collected from the EDs of all healthcare institutions in Türkiye, through the Sağlıkta İstatistik ve Nedensel Analizler (Statistics and Causal Analysis in Health) program web inter-face. Results: Average time from registration to triage was 16.9 min. 787,617,762 triages have been made. About 28.30% were classified as green triage, 68.51% were classified as yellow triage, 3.18% as red triage, <0.01% as black triage, and 137,543,266 visits (14.87% of among total visits) were as other (non-triaged). The highest number of visits, 66.2 million (7.2%), occurred be-tween 20: 00 and 21: 00 weekly, while the lowest number of visits occurred between 5: 00 and 6: 00, with about 6 million visits (0.65%). Discussion and Conclusion: The high volume of ED visits, particularly during non-office hours and among certain de-mo-graphic groups, highlights the need for targeted strategies to optimize healthcare delivery. This could include enhancing primary and secondary care services, improving health literacy among the population, and implementing effective triage systems and which, will be key to ensuring the sustainability of Türkiye’s health-care system and improving health outcomes for the population.
导言:虽然紧急服务在卫生系统中处于至关重要的位置，但在服务能力和资金方面却占有很大的地位。紧急服务访问投诉可能属于初级保健服务的范围，也可能是必须用记录完成的健康问题。急诊科(EDs)的过度拥挤和就诊延误可能对优先接受治疗的患者至关重要。在我们的研究中，其目的是详细检查土耳其所有急诊服务的所有6年患者就诊情况，并确定就诊的流行病学趋势。方法:该研究共包括925,161,028例ED就诊，包括儿童和成人。通过Sağlıkta İstatistik ve Nedensel Analizler(健康统计和因果分析)程序web界面，从 rkiye所有医疗机构的急诊科收集数据。结果:从挂号到分诊平均时间为16.9 min，共分诊787,617,762次。其中，绿色分诊占28.30%，黄色分诊占68.51%，红色分诊占3.18%，黑色分诊占<0.01%，其他(未分诊)分诊137,543,266次，占总访问量的14.87%。每周20点至21点的访问次数最多，为6620万次(7.2%)，而5点至6点的访问次数最少，约为600万次(0.65%)。讨论和结论:急诊科的高访问量，特别是在非办公时间和某些人口统计学群体中，突出了有针对性的战略，以优化医疗保健服务的必要性。这可能包括加强初级和二级保健服务，提高人口的卫生素养，以及实施有效的分诊系统，这将是确保缅甸卫生保健系统可持续性和改善人口健康结果的关键。
{"title":"Critical Insights Based on the Ministry of Health’s 6-Year Data Analysis: An Epidemiological Study of Patient Visits Trends of Emergency Departments in Türkiye","authors":"Melih Gaffar Gözükara","doi":"10.14744/hnhj.2023.17048","DOIUrl":"https://doi.org/10.14744/hnhj.2023.17048","url":null,"abstract":"Introduction: Although emergency services are at a vital point in health systems, they occupy a large place in terms of service capacity and finance. An emergency service visit complaint may be within the scope of the primary health-care service, or it may be a health problem that must be completed with the minutes. Overcrowding of emergency departments (EDs) and delayed visits may be critical for priority patients to receive treatment. In our study, it was aimed to examine all 6-year patient visits to all emergency services in Turkiye in detail and to determine the epidemiological trends of visits. Methods: The study includes a total of 925,161,028 ED visits, including both children and adults. Data were collected from the EDs of all healthcare institutions in Türkiye, through the Sağlıkta İstatistik ve Nedensel Analizler (Statistics and Causal Analysis in Health) program web inter-face. Results: Average time from registration to triage was 16.9 min. 787,617,762 triages have been made. About 28.30% were classified as green triage, 68.51% were classified as yellow triage, 3.18% as red triage, <0.01% as black triage, and 137,543,266 visits (14.87% of among total visits) were as other (non-triaged). The highest number of visits, 66.2 million (7.2%), occurred be-tween 20: 00 and 21: 00 weekly, while the lowest number of visits occurred between 5: 00 and 6: 00, with about 6 million visits (0.65%). Discussion and Conclusion: The high volume of ED visits, particularly during non-office hours and among certain de-mo-graphic groups, highlights the need for targeted strategies to optimize healthcare delivery. This could include enhancing primary and secondary care services, improving health literacy among the population, and implementing effective triage systems and which, will be key to ensuring the sustainability of Türkiye’s health-care system and improving health outcomes for the population.","PeriodicalId":12831,"journal":{"name":"Haydarpasa Numune Training and Research Hospital Medical Journal","volume":"117 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80447688","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.14744/hnhj.2021.92260
Özlem Yayıcı Köken
Introduction: This study aims to investigate the knowledge levels and attitude of pediatricians and pediatric residents toward spinal muscular atrophy (SMA), which is one of the most frequent neuromuscular diseases and the second most common cause of mortality among autosomal recessive diseases. Methods: Pediatric residents and pediatricians were asked to answer a questionnaire consisting of 27 questions prepared by the authors. The questionnaire investigated knowledge levels and attitudes concerning genetic, pathophysiologic, and laboratory characteristics, in addition to follow-up and management features of SMA. The questionnaire was distributed using Google Forms (Google LLC, Mountain View, CA, USA). Results: Ninety-three physicians (48.4% (n=45) pediatricians, 15.1% (n=14) fellows, and 36.6% (n=34) pediatric residents) responded to the questionnaire. Of these, 56 (60.2%) had experience of working in a pediatric clinic for more than 5 years and 95.7% (n=89) had followed an SMA patient. Sixty-eight (73.1%) of the participants knew that a deletion in exon 7–8 was the cause of SMA in more than 95% of patients, 83 (89.2%) knew that it was characterized by progressive loss of motor neurons in the anterior horn, 86 (92.5%) knew that SMA classification was made based on the onset time of symptoms and genetic features, and 92 (98.9%) believed that SMA subtypes could define the prognosis. Ninety (96.8%) stated that the most important cause of mortality was the involvement of accessory respiratory muscles. Discussion and Conclusion: This study revealed that physicians possess a satisfactory level of knowledge concerning the symptomatology, diagnostic algorithm, and follow-up features of SMA disease, which has become more popular following the development of treatments that could prolong survival and improve the quality of life. Modern treatment options are expected to change the natural course of the disease, and pediatricians are expected to stay up-to-date with the changing algorithms for diagnosis, follow-up, and treatment.
脊髓性肌萎缩症(SMA)是最常见的神经肌肉疾病之一，是常染色体隐性遗传病中第二大致死率的疾病，本研究旨在调查儿科医生和儿科住院医师对脊髓性肌萎缩症的知识水平和态度。方法:要求儿科住院医师和儿科医生回答一份由作者准备的包含27个问题的问卷。该问卷调查了有关SMA的遗传、病理生理和实验室特征的知识水平和态度，以及随访和管理特点。问卷使用Google Forms (Google LLC, Mountain View, CA, USA)分发。结果:93名医生(48.4% (n=45)儿科医生，15.1% (n=14)研究员，36.6% (n=34)儿科住院医师)参与问卷调查。其中，56人(60.2%)有在儿科诊所工作超过5年的经验，95.7% (n=89)有跟踪SMA患者的经历。68名(73.1%)的参与者知道95%以上的患者的外显子7-8缺失是导致SMA的原因，83名(89.2%)的参与者知道其特征是前角运动神经元的进行性丢失，86名(92.5%)的参与者知道SMA的分类是基于症状的发病时间和遗传特征，92名(98.9%)的参与者认为SMA亚型可以定义预后。90例(96.8%)认为副呼吸肌受累是最重要的死亡原因。讨论与结论:本研究显示，医生对SMA疾病的症状、诊断方法和随访特征的了解程度令人满意，随着治疗方法的发展，SMA疾病越来越受欢迎，可以延长生存期，提高生活质量。现代治疗方案有望改变疾病的自然进程，儿科医生也有望在诊断、随访和治疗方面跟上不断变化的算法。
{"title":"An Assessment of the Knowledge, Attitudes, and Practices of Pediatricians and Pediatric Residents in Spinal Muscular Atrophy","authors":"Özlem Yayıcı Köken","doi":"10.14744/hnhj.2021.92260","DOIUrl":"https://doi.org/10.14744/hnhj.2021.92260","url":null,"abstract":"Introduction: This study aims to investigate the knowledge levels and attitude of pediatricians and pediatric residents toward spinal muscular atrophy (SMA), which is one of the most frequent neuromuscular diseases and the second most common cause of mortality among autosomal recessive diseases. Methods: Pediatric residents and pediatricians were asked to answer a questionnaire consisting of 27 questions prepared by the authors. The questionnaire investigated knowledge levels and attitudes concerning genetic, pathophysiologic, and laboratory characteristics, in addition to follow-up and management features of SMA. The questionnaire was distributed using Google Forms (Google LLC, Mountain View, CA, USA). Results: Ninety-three physicians (48.4% (n=45) pediatricians, 15.1% (n=14) fellows, and 36.6% (n=34) pediatric residents) responded to the questionnaire. Of these, 56 (60.2%) had experience of working in a pediatric clinic for more than 5 years and 95.7% (n=89) had followed an SMA patient. Sixty-eight (73.1%) of the participants knew that a deletion in exon 7–8 was the cause of SMA in more than 95% of patients, 83 (89.2%) knew that it was characterized by progressive loss of motor neurons in the anterior horn, 86 (92.5%) knew that SMA classification was made based on the onset time of symptoms and genetic features, and 92 (98.9%) believed that SMA subtypes could define the prognosis. Ninety (96.8%) stated that the most important cause of mortality was the involvement of accessory respiratory muscles. Discussion and Conclusion: This study revealed that physicians possess a satisfactory level of knowledge concerning the symptomatology, diagnostic algorithm, and follow-up features of SMA disease, which has become more popular following the development of treatments that could prolong survival and improve the quality of life. Modern treatment options are expected to change the natural course of the disease, and pediatricians are expected to stay up-to-date with the changing algorithms for diagnosis, follow-up, and treatment.","PeriodicalId":12831,"journal":{"name":"Haydarpasa Numune Training and Research Hospital Medical Journal","volume":"35 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73740626","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.14744/hnhj.2022.60430
Gizem Gürsoy
{"title":"Diagnostic role of EEG in Parkinson’s disease patients with cognitive impairment","authors":"Gizem Gürsoy","doi":"10.14744/hnhj.2022.60430","DOIUrl":"https://doi.org/10.14744/hnhj.2022.60430","url":null,"abstract":"","PeriodicalId":12831,"journal":{"name":"Haydarpasa Numune Training and Research Hospital Medical Journal","volume":"31 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73964618","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.14744/hnhj.2022.80217
S. Sager
{"title":"Evaluation Of The Mean Platelet Volume And Neutrophil/Lymphocyte Ratıo, As Inflammatory Markers In Chıldren Wıth Autisim Spektrum Disorders","authors":"S. Sager","doi":"10.14744/hnhj.2022.80217","DOIUrl":"https://doi.org/10.14744/hnhj.2022.80217","url":null,"abstract":"","PeriodicalId":12831,"journal":{"name":"Haydarpasa Numune Training and Research Hospital Medical Journal","volume":"64 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77928594","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.14744/hnhj.2022.74507
Ozlem Kesim Şahin
{"title":"Pituitary Apoplexy Presenting As Unilateral Oculomotor Palsy In A Patient With Diabetes Mellitus","authors":"Ozlem Kesim Şahin","doi":"10.14744/hnhj.2022.74507","DOIUrl":"https://doi.org/10.14744/hnhj.2022.74507","url":null,"abstract":"","PeriodicalId":12831,"journal":{"name":"Haydarpasa Numune Training and Research Hospital Medical Journal","volume":"16 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90385752","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.14744/hnhj.2021.34366
O. Dere
{"title":"Diffusion-weighted MR imaging of normal pancreas in children and adults; Relation of apparent diffusion coefficient values with age and gender","authors":"O. Dere","doi":"10.14744/hnhj.2021.34366","DOIUrl":"https://doi.org/10.14744/hnhj.2021.34366","url":null,"abstract":"","PeriodicalId":12831,"journal":{"name":"Haydarpasa Numune Training and Research Hospital Medical Journal","volume":"134 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79879545","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.14744/hnhj.2023.03271
H. G. Gunhan
{"title":"Types of Anemias and Iron Deficiency Frequency In Hospitalized Patients With Decompensated Heart Failure: Internal Medicine Clinic Experience","authors":"H. G. Gunhan","doi":"10.14744/hnhj.2023.03271","DOIUrl":"https://doi.org/10.14744/hnhj.2023.03271","url":null,"abstract":"","PeriodicalId":12831,"journal":{"name":"Haydarpasa Numune Training and Research Hospital Medical Journal","volume":"34 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82743783","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：