Emin Çakiroğlu, A. Annakkaya, Kezban Özmen Süner, Ümran TORU ERBAY
Aims: In this study, our objective was to evaluate mean platelet volume (MPV), an indirect marker of platelet activation, in patients with obstructive sleep apnea (OSA), and assess the effect of OSA treatment with continuous positive airway pressure (CPAP) on MPV Methods: In this study, records of consecutive patients who underwent polysomnographic evaluation for OSA symptoms in the Sleep Disorders Laboratory during a one-year period were reviewed retrospectively. Patients who had both complete blood count and MPV measurements were included in the study. Results: A total of 158 patients, including 51 females (32.3%) and 107 males (67.7%), were included in the study. The mean age of the patients was 51±13 (min-18, max-82) years. OSA was detected in 74.1% (117/158) of the patients. It was determined that as the severity of OSA increased, hemoglobin and hematocrit values increased significantly. There was no significant difference in platelet count according to the presence and severity of OSA. The MPV was significantly lower in severe OSA cases compared to those without OSA and mild OSA cases. A negative correlation was observed between MPV and the apnea-hypopnea index, desaturation index, and the amount of oxygen saturation below 90% during sleep. There was no significant difference in median erythrocyte and thrombocyte counts, hematocrit percentage and hemoglobin values before and after treatment in OSA patients who used CPAP therapy. However, a significant decrease in MPV was observed after OSA treatment compared to pre-treatment. (p=0.021). Conclusions: The results of the study do not support an increase in MPV and hence platelet activation in severe OSA patients compared with those without OSA. However, the results suggest that one month of CPAP treatment reduces MPV and thus platelet activation in severe OSA patients. Further controlled, prospective studies including treatment outcomes are needed on this subject.
目的：本研究旨在评估阻塞性睡眠呼吸暂停（OSA）患者的平均血小板体积（MPV）（血小板活化的间接标志），并评估使用持续气道正压（CPAP）治疗 OSA 对 MPV 的影响：在这项研究中，我们回顾性审查了一年内因 OSA 症状在睡眠障碍实验室接受多导睡眠图评估的连续患者的记录。同时进行全血细胞计数和脉压测量的患者均被纳入研究范围。 研究结果共有 158 名患者参与了研究，其中包括 51 名女性（32.3%）和 107 名男性（67.7%）。患者的平均年龄为 51±13 岁（最小-18 岁，最大-82 岁）。74.1%的患者（117/158）被检测出患有 OSA。研究结果表明，随着 OSA 严重程度的增加，血红蛋白和血细胞比容值也明显增加。血小板计数在 OSA 的存在和严重程度上没有明显差异。与无 OSA 和轻度 OSA 病例相比，重度 OSA 病例的 MPV 明显较低。MPV 与呼吸暂停-低通气指数、失饱和度指数以及睡眠中氧饱和度低于 90% 的数量之间呈负相关。使用 CPAP 治疗的 OSA 患者的红细胞和血小板计数中位数、血细胞比容百分比和血红蛋白值在治疗前后无明显差异。然而，与治疗前相比，OSA 治疗后观察到 MPV 明显下降。(p=0.021). 结论：与没有 OSA 的患者相比，研究结果不支持严重 OSA 患者的 MPV 增加，从而导致血小板活化。然而，研究结果表明，CPAP 治疗一个月可降低 MPV，从而降低严重 OSA 患者的血小板活化。关于这个问题，还需要进一步开展包括治疗结果在内的前瞻性对照研究。
{"title":"Obstrüktif Uyku Apnede (OUA) Ortalama Trombosit Hacmi (OTH) ve OUA'da Sürekli Pozitif Hava Yolu Basıncı (CPAP) Tedavisinin OTH Üzerine Etkisi","authors":"Emin Çakiroğlu, A. Annakkaya, Kezban Özmen Süner, Ümran TORU ERBAY","doi":"10.18521/ktd.1350048","DOIUrl":"https://doi.org/10.18521/ktd.1350048","url":null,"abstract":"Aims: In this study, our objective was to evaluate mean platelet volume (MPV), an indirect marker of platelet activation, in patients with obstructive sleep apnea (OSA), and assess the effect of OSA treatment with continuous positive airway pressure (CPAP) on MPV Methods: In this study, records of consecutive patients who underwent polysomnographic evaluation for OSA symptoms in the Sleep Disorders Laboratory during a one-year period were reviewed retrospectively. Patients who had both complete blood count and MPV measurements were included in the study. Results: A total of 158 patients, including 51 females (32.3%) and 107 males (67.7%), were included in the study. The mean age of the patients was 51±13 (min-18, max-82) years. OSA was detected in 74.1% (117/158) of the patients. It was determined that as the severity of OSA increased, hemoglobin and hematocrit values increased significantly. There was no significant difference in platelet count according to the presence and severity of OSA. The MPV was significantly lower in severe OSA cases compared to those without OSA and mild OSA cases. A negative correlation was observed between MPV and the apnea-hypopnea index, desaturation index, and the amount of oxygen saturation below 90% during sleep. There was no significant difference in median erythrocyte and thrombocyte counts, hematocrit percentage and hemoglobin values before and after treatment in OSA patients who used CPAP therapy. However, a significant decrease in MPV was observed after OSA treatment compared to pre-treatment. (p=0.021). Conclusions: The results of the study do not support an increase in MPV and hence platelet activation in severe OSA patients compared with those without OSA. However, the results suggest that one month of CPAP treatment reduces MPV and thus platelet activation in severe OSA patients. Further controlled, prospective studies including treatment outcomes are needed on this subject.","PeriodicalId":17884,"journal":{"name":"Konuralp Tip Dergisi","volume":"64 12","pages":""},"PeriodicalIF":0.2,"publicationDate":"2023-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139149547","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}
İ. Arman, Kübra TEMEL ASLAN, Yusuf Arman, Çiğdem Apaydın Kaya
Objective:Although children presenting with respiratory tract infection (RTI) symptoms can be managed by in primary care, these symptoms are the most common reasons for children to present to the emergency department(ED). The aim of this study is to investigate the effect of the education given to mothers by their family physician in reducing the unnecessary admissions of children with RTI symptoms to the ED. Method:A quasi-experimental, single-blinded, controlled educational intervention study was conducted with the mothers of 6 months–6 years old children. Family Medicine Units were randomized as control and intervention group. Sociodemographic features, admissions to ED, fever-related practices were questioned and a questionnaire including propositions on Knowledge, Attitude and Behaviour (KAB) about RTI symptoms (KABaRTIS) were applied in both groups before-after the intervention. Intervention group received one-to-one, face-to-face education focusing on home management of acute RTI symptoms and alarm findings, also a booklet was given. No intervention was made to the control group. Result:Study was completed with 178 mothers(Control:118, Intervention:60). The KABaRTIS scores of the mothers increased significantly in both groups(Control:76.9-82.2;p
{"title":"A Quasi-Experimental Controlled Educational Intervention for Mothers To Reduce Unnecessary Emergency Department Admissions in Children with Respiratory Tract Infection Symptoms","authors":"İ. Arman, Kübra TEMEL ASLAN, Yusuf Arman, Çiğdem Apaydın Kaya","doi":"10.18521/ktd.1353592","DOIUrl":"https://doi.org/10.18521/ktd.1353592","url":null,"abstract":"Objective:Although children presenting with respiratory tract infection (RTI) symptoms can be managed by in primary care, these symptoms are the most common reasons for children to present to the emergency department(ED). The aim of this study is to investigate the effect of the education given to mothers by their family physician in reducing the unnecessary admissions of children with RTI symptoms to the ED. \u0000Method:A quasi-experimental, single-blinded, controlled educational intervention study was conducted with the mothers of 6 months–6 years old children. Family Medicine Units were randomized as control and intervention group. Sociodemographic features, admissions to ED, fever-related practices were questioned and a questionnaire including propositions on Knowledge, Attitude and Behaviour (KAB) about RTI symptoms (KABaRTIS) were applied in both groups before-after the intervention. Intervention group received one-to-one, face-to-face education focusing on home management of acute RTI symptoms and alarm findings, also a booklet was given. No intervention was made to the control group. \u0000Result:Study was completed with 178 mothers(Control:118, Intervention:60). The KABaRTIS scores of the mothers increased significantly in both groups(Control:76.9-82.2;p","PeriodicalId":17884,"journal":{"name":"Konuralp Tip Dergisi","volume":"19 7","pages":""},"PeriodicalIF":0.2,"publicationDate":"2023-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138955109","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}
İrfan Küçük, Yusuf Yazgan, Idris Yildirim, Tuğba AKBAŞ ŞİMŞEK, Başak Çakır Güney, Musa Salmanoğlu, Mustafa Kaplan
ABSTRACT Objective: Annexin A1(AnxA1) is an anti-inflammatory mediator. In the current study,we aimed to evaluate whether or not serum Annexin A1 levels of inflammatory boweldiseases (IBDs) patients relate to the clinical and laboratory traits of IBDs. Methods: This case-control study included 67 ulcerative colitis (UC) patients (47 males and 20 females), 53 Crohn’s disease (CD) patients (37 males and 16 females) and 60 healthy controls (36 males and 24 females). The Mayo Clinical scoring system (MCS) was used for UC and the histological activity index (HAI) was determined by Truelove and Richards method. The Crohn's disease activity index (CDAI) was used for CD patients. Montreal classification was used for the localization of IBDs. Results: The mean serum AnxA1 concentrations were not statistically significant in UC, CD and the control groups (26.36±17.30 ng/ml vs 22.98±12.74 vs 24.45±12.18 ng/ml respectively, p=0.404). The MCS, HAI of UC patients negatively correlated with the serum AnxA1 values (rho=-0.616, p
目的:膜联蛋白A1(AnxA1)是一种抗炎介质。在本研究中，我们旨在评估炎症性肠病(IBDs)患者血清膜联蛋白A1水平是否与IBDs的临床和实验室特征相关。方法:本病例-对照研究纳入67例溃疡性结肠炎(UC)患者(男性47例，女性20例)、53例克罗恩病(CD)患者(男性37例，女性16例)和60例健康对照(男性36例，女性24例)。UC采用Mayo临床评分系统(MCS)，组织活动指数(HAI)采用Truelove和Richards法测定。对CD患者采用克罗恩病活动性指数(CDAI)。采用蒙特利尔分类对ibd进行定位。结果:UC组、CD组和对照组血清AnxA1平均浓度(26.36±17.30 ng/ml vs 22.98±12.74 vs 24.45±12.18 ng/ml, p=0.404)差异无统计学意义。UC患者的MCS、HAI与血清AnxA1值呈负相关(rho=-0.616, p
{"title":"Evaluation of Serum Annexin A1 Values in Patients with Inflammatory Bowel Diseases","authors":"İrfan Küçük, Yusuf Yazgan, Idris Yildirim, Tuğba AKBAŞ ŞİMŞEK, Başak Çakır Güney, Musa Salmanoğlu, Mustafa Kaplan","doi":"10.18521/ktd.1373002","DOIUrl":"https://doi.org/10.18521/ktd.1373002","url":null,"abstract":"ABSTRACT \u0000Objective: Annexin A1(AnxA1) is an anti-inflammatory mediator. In the current study,we aimed to evaluate whether or not serum Annexin A1 levels of inflammatory boweldiseases (IBDs) patients relate to the clinical and laboratory traits of IBDs. \u0000Methods: This case-control study included 67 ulcerative colitis (UC) patients (47 males and 20 females), 53 Crohn’s disease (CD) patients (37 males and 16 females) and 60 healthy controls (36 males and 24 females). The Mayo Clinical scoring system (MCS) was used for UC and the histological activity index (HAI) was determined by Truelove and Richards method. The Crohn's disease activity index (CDAI) was used for CD patients. Montreal classification was used for the localization of IBDs. \u0000Results: The mean serum AnxA1 concentrations were not statistically significant in UC, CD and the control groups (26.36±17.30 ng/ml vs 22.98±12.74 vs 24.45±12.18 ng/ml respectively, p=0.404). The MCS, HAI of UC patients negatively correlated with the serum AnxA1 values (rho=-0.616, p","PeriodicalId":17884,"journal":{"name":"Konuralp Tip Dergisi","volume":"15 9","pages":""},"PeriodicalIF":0.2,"publicationDate":"2023-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138585226","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}
Serkan AKSU, Harun BAL, İlker AKARKEN, Hasan DELİKTAŞ, Hayrettin ŞAHİN
Objective
Different mechanisms such as psychological, neurobiological, autonomic, and genetic factors might be involved in the etiology of lifelong Premature Ejaculation (PE). Albeit cortical activity changes have been reported, the relationship between PE and impulsivity/decision-making is minimally studied to date. The present study aimed to assess impulsivity and risky decision-making in individuals with lifelong PE for the first time.
Method
26 lifelong PE patients were diagnosed by the International Society for Sexual Medicine (ISSM-2014) criteria and 26 healthy volunteers were recruited. The Premature Ejaculation Diagnostic Tool (PEDT), International Erectile Function Index (IIEF), Barratt Impulsiveness Scale-11 (BIS-11), Patient Health Questionnaire-9 (PHQ-9), Balloon Analogue Risk Task (BART), and Monetary Choice Questionnaire-27 (MCQ-27) were administered.
Results
The mean age was 37.28 (18-55). No differences were found between groups in risky decision-making and impulsivity.
Conclusion
No alterations of impulsivity and risky decision-making were found in lifelong PE patients. Impulsivity may only exist in a subset of individuals with lifelong PE or may only be evident in neural levels or specific subtypes of impulsivity.
{"title":"Prematür Ejakülasyon Tanılı Bireylerde Karar Verme ve Dürtüselliğin Değerlendirilmesi","authors":"Serkan AKSU, Harun BAL, İlker AKARKEN, Hasan DELİKTAŞ, Hayrettin ŞAHİN","doi":"10.18521/ktd.1359309","DOIUrl":"https://doi.org/10.18521/ktd.1359309","url":null,"abstract":"Objective
 Different mechanisms such as psychological, neurobiological, autonomic, and genetic factors might be involved in the etiology of lifelong Premature Ejaculation (PE). Albeit cortical activity changes have been reported, the relationship between PE and impulsivity/decision-making is minimally studied to date. The present study aimed to assess impulsivity and risky decision-making in individuals with lifelong PE for the first time.
 Method
 26 lifelong PE patients were diagnosed by the International Society for Sexual Medicine (ISSM-2014) criteria and 26 healthy volunteers were recruited. The Premature Ejaculation Diagnostic Tool (PEDT), International Erectile Function Index (IIEF), Barratt Impulsiveness Scale-11 (BIS-11), Patient Health Questionnaire-9 (PHQ-9), Balloon Analogue Risk Task (BART), and Monetary Choice Questionnaire-27 (MCQ-27) were administered. 
 Results
 The mean age was 37.28 (18-55). No differences were found between groups in risky decision-making and impulsivity. 
 Conclusion
 No alterations of impulsivity and risky decision-making were found in lifelong PE patients. Impulsivity may only exist in a subset of individuals with lifelong PE or may only be evident in neural levels or specific subtypes of impulsivity.","PeriodicalId":17884,"journal":{"name":"Konuralp Tip Dergisi","volume":"183 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135944342","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}
Objective: Gender affects how we serve and receive medical care. World Health Organization evaluates gender as a social determinant of health. However, a knowledge gap exists among physicians. The present study aims to adapt Nijmegen Gender in Medicine Awareness Scale (N-GAMS) in the Turkish language and define Turkish medical students’ gender awareness level and related factors.
Methods: Two hundred seventy-two medical students participated. The Ambivalent Sexism Inventory, Jefferson Scale of Physician Empathy- Student Version, and N-GAMS were utilized to collect data; in addition to sociodemographic form.
Results: Confirmatory factor analysis repeated a three-factor structure, as previously demonstrated. The Cronbach’s alpha of the Turkish N-GAMS was 0.887. Criteria-related validity analysis resulted as follows: Gender sensitivity was associated with higher empathy and higher benevolent sexism. Gender role ideology toward patients scores were related to the male sex, lower empathy, and higher levels of sexist attitudes regarding both hostile and benevolent types. Gender role ideology toward doctors was higher in male students, in those with lower empathy, and in ambivalent sexism. Turkish medical students in our sample were less gender-sensitive than their European counterparts.
Conclusion: N-GAMS is valid and reliable among Turkish medical students. There is a need for training in gender awareness in medical faculties.
{"title":"Turkish Adaptation and Psychometric Properties of Nıjmegen Gender Awareness in Medicine Scale: Assessment of Validity and Relıability","authors":"İmran Gökçen YILMAZ KARAMAN, Cennet YASTIBAŞ, Ali Ercan ALTINÖZ, İrem Naz ÖRNEKEL, Muzaffer BİLGİN, Gulcan GULEC","doi":"10.18521/ktd.1294869","DOIUrl":"https://doi.org/10.18521/ktd.1294869","url":null,"abstract":"Objective: Gender affects how we serve and receive medical care. World Health Organization evaluates gender as a social determinant of health. However, a knowledge gap exists among physicians. The present study aims to adapt Nijmegen Gender in Medicine Awareness Scale (N-GAMS) in the Turkish language and define Turkish medical students’ gender awareness level and related factors.
 Methods: Two hundred seventy-two medical students participated. The Ambivalent Sexism Inventory, Jefferson Scale of Physician Empathy- Student Version, and N-GAMS were utilized to collect data; in addition to sociodemographic form.
 Results: Confirmatory factor analysis repeated a three-factor structure, as previously demonstrated. The Cronbach’s alpha of the Turkish N-GAMS was 0.887. Criteria-related validity analysis resulted as follows: Gender sensitivity was associated with higher empathy and higher benevolent sexism. Gender role ideology toward patients scores were related to the male sex, lower empathy, and higher levels of sexist attitudes regarding both hostile and benevolent types. Gender role ideology toward doctors was higher in male students, in those with lower empathy, and in ambivalent sexism. Turkish medical students in our sample were less gender-sensitive than their European counterparts.
 Conclusion: N-GAMS is valid and reliable among Turkish medical students. There is a need for training in gender awareness in medical faculties.","PeriodicalId":17884,"journal":{"name":"Konuralp Tip Dergisi","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135944339","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}
Erdinç ŞENGÜLDÜR, Kudret SELKİ, Cengiz TUNCER, Mehmet Cihat DEMİR
Objective: To reveal the characteristics of patients needing neurosurgery by examining neurosurgery consultations within the emergency department (ED) admissions of a tertiary academic hospital.
Method: This is a retrospective, single-centre observational study. Patients admitted to the ED between 01.01.2022 and 31.12.2022 and consulted to the neurosurgery department were identified through the hospital computer system and included in the study. The demographic information of the patients, mode of admission to the ED, the reasons for admission, the time of admission, the number of brain computed tomography (CT) scans, whether they underwent surgery or not, and the mortality results were recorded.
Results: A total of 441 neurosurgery consultations were examined. Fall 35.6% (n=157) and traffic accident 16.6% (n=73) were the most common reasons for consultation. It was observed that 92.5% (n=408) of the patients had a brain CT scan, and 19.5% (n=86) had two or more brain CTs. It was determined that 12.7% (n=56) of the patients consulted for neurosurgery were operated on, and 4.1% (n=18) of the patients' hospital admissions resulted in death. Only 53.7% (n=237) of the patients who underwent neurosurgery consultation were discharged from the ED. It was determined that significantly more Neurosurgery consultations were requested during working hours (p = 0.013)
Conclusion: Most consultation calls from the ED to neurosurgery are for trauma patients. Brain CT examination is frequently used in neurosurgical patient evaluation. As a result of the consultations, almost half of the patients are hospitalized. Emergency physicians can select patients who need neurosurgery well.
{"title":"Üçüncü Basamak Bir Hastanede Acil Servis Nöroşirurji Konsültasyonları","authors":"Erdinç ŞENGÜLDÜR, Kudret SELKİ, Cengiz TUNCER, Mehmet Cihat DEMİR","doi":"10.18521/ktd.1360048","DOIUrl":"https://doi.org/10.18521/ktd.1360048","url":null,"abstract":"Objective: To reveal the characteristics of patients needing neurosurgery by examining neurosurgery consultations within the emergency department (ED) admissions of a tertiary academic hospital.
 Method: This is a retrospective, single-centre observational study. Patients admitted to the ED between 01.01.2022 and 31.12.2022 and consulted to the neurosurgery department were identified through the hospital computer system and included in the study. The demographic information of the patients, mode of admission to the ED, the reasons for admission, the time of admission, the number of brain computed tomography (CT) scans, whether they underwent surgery or not, and the mortality results were recorded. 
 Results: A total of 441 neurosurgery consultations were examined. Fall 35.6% (n=157) and traffic accident 16.6% (n=73) were the most common reasons for consultation. It was observed that 92.5% (n=408) of the patients had a brain CT scan, and 19.5% (n=86) had two or more brain CTs. It was determined that 12.7% (n=56) of the patients consulted for neurosurgery were operated on, and 4.1% (n=18) of the patients' hospital admissions resulted in death. Only 53.7% (n=237) of the patients who underwent neurosurgery consultation were discharged from the ED. It was determined that significantly more Neurosurgery consultations were requested during working hours (p = 0.013)
 Conclusion: Most consultation calls from the ED to neurosurgery are for trauma patients. Brain CT examination is frequently used in neurosurgical patient evaluation. As a result of the consultations, almost half of the patients are hospitalized. Emergency physicians can select patients who need neurosurgery well.","PeriodicalId":17884,"journal":{"name":"Konuralp Tip Dergisi","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136077607","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}
Objective: Thyroid nodules are clinical conditions frequently encountered in the community and known to be associated with malignancy. In this study, it was aimed to determine the frequency of malignancy in patients diagnosed with autonomous (toxic) thyroid nodules (TTN). In addition, the effectiveness of ultrasonography (US) findings and fine needle aspiration (FNA) results in helping the diagnosis of malignancy were investigated.
Methods: Autonomous (Toxic) thyroid nodule was diagnosed by presence of nodule on US in the presence of subclinical or clinical hyperthyroidism, and detection of suppression in other parts of the gland with increased activity in scintigraphy performed with Tc‐99m pertechnetate. Fine-needle aspiration was performed on patients who were considered suspicious by ultrasonographic findings. The histopathology results of the patients who were found to need surgical resection were recorded.
Results: 125 patients with autonomous (toxic) thyroid nodules were included in the study. Of the patients, 82 (65.60%) were female and 43 (34.40%) were male, with a mean age of 63.55±11.13 years. Ultrasonography revealed that nodules were less frequently located in the isthmus and left upper pole. The presence of microcalcification was detected in 8 (6.4%) patients. Histopathologically, the nodules of 2 (1.6%) patients were found to be malignant. Both patients who were found to be malignant were male and their nodules were seen as hypoechoic on US.
Conclusions: Since it has been seen that autonomic (toxic) thyroid nodules may be related to malignancy, careful evaluation of male patients with a hypoechoic image on US was considered appropriate.
{"title":"Evaluation of Ultrasonographic Characteristics and Cytopathological Results of Autonomous (Toxic) Thyroid Nodules","authors":"Mustafa ÇALIŞKAN","doi":"10.18521/ktd.1342204","DOIUrl":"https://doi.org/10.18521/ktd.1342204","url":null,"abstract":"Objective: Thyroid nodules are clinical conditions frequently encountered in the community and known to be associated with malignancy. In this study, it was aimed to determine the frequency of malignancy in patients diagnosed with autonomous (toxic) thyroid nodules (TTN). In addition, the effectiveness of ultrasonography (US) findings and fine needle aspiration (FNA) results in helping the diagnosis of malignancy were investigated.
 Methods: Autonomous (Toxic) thyroid nodule was diagnosed by presence of nodule on US in the presence of subclinical or clinical hyperthyroidism, and detection of suppression in other parts of the gland with increased activity in scintigraphy performed with Tc‐99m pertechnetate. Fine-needle aspiration was performed on patients who were considered suspicious by ultrasonographic findings. The histopathology results of the patients who were found to need surgical resection were recorded.
 Results: 125 patients with autonomous (toxic) thyroid nodules were included in the study. Of the patients, 82 (65.60%) were female and 43 (34.40%) were male, with a mean age of 63.55±11.13 years. Ultrasonography revealed that nodules were less frequently located in the isthmus and left upper pole. The presence of microcalcification was detected in 8 (6.4%) patients. Histopathologically, the nodules of 2 (1.6%) patients were found to be malignant. Both patients who were found to be malignant were male and their nodules were seen as hypoechoic on US.
 Conclusions: Since it has been seen that autonomic (toxic) thyroid nodules may be related to malignancy, careful evaluation of male patients with a hypoechoic image on US was considered appropriate.","PeriodicalId":17884,"journal":{"name":"Konuralp Tip Dergisi","volume":"93 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135695935","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}
Introduction: From the public health perspective, young people are considered as a priority group in terms of sexually transmitted diseases and sexual habits. Sexual dimension among adolescents and young adults can be influenced by their overall and sexual health due to its impact on intellectual growth and development and their level of knowledge can significantly affect their reproductive health. The study aims to measure university students’ health literacy, sexual health knowledge and sexual myths and in this way explore the relationship between these variables and among various demographic variables.
Materials and Methods: The sample of the study is comprised of 559 female and 282 male university students. In the first part, demographic information scale, in the second part sexual health knowledge test, in the third part sexual myths scale, in the fourth part health literacy in Turkey scale were implemented.
Results: In the analysis across the sexes, it was revealed that males have more sexual myths than females (p
{"title":"Öğrencilerin Cinsel Sağlık Bilgileri, Cinsel Mitler Hakkındaki Görüşleri ve Sağlık Okuryazarlığı Düzeyleri Arasındaki İlişkinin İncelenmesi","authors":"Funda KOCAAY, Hilal Melis ALTINTAŞ","doi":"10.18521/ktd.1347600","DOIUrl":"https://doi.org/10.18521/ktd.1347600","url":null,"abstract":"Introduction: From the public health perspective, young people are considered as a priority group in terms of sexually transmitted diseases and sexual habits. Sexual dimension among adolescents and young adults can be influenced by their overall and sexual health due to its impact on intellectual growth and development and their level of knowledge can significantly affect their reproductive health. The study aims to measure university students’ health literacy, sexual health knowledge and sexual myths and in this way explore the relationship between these variables and among various demographic variables. 
 Materials and Methods: The sample of the study is comprised of 559 female and 282 male university students. In the first part, demographic information scale, in the second part sexual health knowledge test, in the third part sexual myths scale, in the fourth part health literacy in Turkey scale were implemented.
 Results: In the analysis across the sexes, it was revealed that males have more sexual myths than females (p","PeriodicalId":17884,"journal":{"name":"Konuralp Tip Dergisi","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136310937","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}
Objective: Children with neurodevelopmental disorders, such as Attention-Deficit Hyperactivity Disorder (ADHD), are considered a particularly vulnerable group due to the distress caused by the COVID-19 pandemic and associated social isolation measures. This study aimed to examine the alterations in symptoms of children with ADHD during the COVID-19 outbreak.
Methods: Sociodemographic data and ADHD symptom scores, measured using the Swanson, Nolan, and Pelham scale (SNAP-IV) parent form, were obtained from patient files from the same educational year prior to the pandemic. In addition to pandemic-related inquiries, parents were requested to complete the SNAP form again to assess their children's current conditions.
Results: Of the total 104 cases, 28.8% were female with a mean age of 10.5 (SD=2.4). There were no significant differences in ADHD symptom scores before and during quarantine. Participants who received regular online education had a significantly lower rate of externalizing problems. Children with parents who developed new onset negative emotional problems exhibited a significantly higher rate of internalizing problems. Participants whose fathers worked from home had a significantly lower rate of internalizing problems compared to children with fathers working in an office or who were unemployed.
Conclusions: The pandemic did not induce changes in the core symptoms of ADHD. It is inferred that educational planning for children, parental well-being, and accommodating parents' employment opportunities are among the most critical factors in maintaining the well-being of children and adolescents with ADHD during the pandemic period.
{"title":"Adapting to a New Normal: Changes in Behavioral Symptoms in Children With ADHD During Online Education","authors":"Gresa ÇARKAXHİU BULUT, Sebla GÖKÇE, Funda GÜMÜŞTAŞ","doi":"10.18521/ktd.1334880","DOIUrl":"https://doi.org/10.18521/ktd.1334880","url":null,"abstract":"Objective: Children with neurodevelopmental disorders, such as Attention-Deficit Hyperactivity Disorder (ADHD), are considered a particularly vulnerable group due to the distress caused by the COVID-19 pandemic and associated social isolation measures. This study aimed to examine the alterations in symptoms of children with ADHD during the COVID-19 outbreak.
 Methods: Sociodemographic data and ADHD symptom scores, measured using the Swanson, Nolan, and Pelham scale (SNAP-IV) parent form, were obtained from patient files from the same educational year prior to the pandemic. In addition to pandemic-related inquiries, parents were requested to complete the SNAP form again to assess their children's current conditions.
 Results: Of the total 104 cases, 28.8% were female with a mean age of 10.5 (SD=2.4). There were no significant differences in ADHD symptom scores before and during quarantine. Participants who received regular online education had a significantly lower rate of externalizing problems. Children with parents who developed new onset negative emotional problems exhibited a significantly higher rate of internalizing problems. Participants whose fathers worked from home had a significantly lower rate of internalizing problems compared to children with fathers working in an office or who were unemployed.
 Conclusions: The pandemic did not induce changes in the core symptoms of ADHD. It is inferred that educational planning for children, parental well-being, and accommodating parents' employment opportunities are among the most critical factors in maintaining the well-being of children and adolescents with ADHD during the pandemic period.","PeriodicalId":17884,"journal":{"name":"Konuralp Tip Dergisi","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135154019","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}
Hilal AKAY ÇİZMECİOGLU, Mevlüt Hakan GÖKTEPE, Ahmet CİZMECİOGLU
Objective: Disease awareness is a pivotal factor in the management of illness. In chronic and progressive conditions, such as diabetes mellitus (DM), this awareness can be as effective as pharmacological interventions. This study aimed to assess how aware diabetic patients are of the complications of their disease.
Method: This cross-sectional survey included patients diagnosed with DM. A total of 14 survey questions, divided into 7 different categories, were directed at the patients. The singular questions evaluated the patients' awareness of the complications, while the associated-secondary questions aimed to inquire about the sources of their awareness.
Result: In this study, a survey was conducted with 300 diabetic patients, yielding a response rate of 90.2%. The mean age was 53 years. The level of awareness of complications was high among all patients (80.5%). The awareness level of ocular-related complications was the highest, while that of neuropathy was the lowest (50%). When patients were categorized by educational status, education increased awareness but decreased adherence to combined drug use. The patients' doctors were identified as the most significant source of support for raising awareness of complications. This support was further enhanced by the educational level.
Conclusion: High levels of awareness of complications related to diabetes, still being primarily provided by doctors, and improvement of patients' educational status, can lead to a decrease in the number of patients with a poor prognosis. Therefore, increasing awareness of diabetes-related complications and improving patients' educational status may positively impact reducing the incidence of poor prognosis among diabetes patients.
{"title":"Etkili Diyabet Özyönetiminin Teşvik Edilmesinde ve Komplikasyon Riskinin Azaltılmasında Farkındalık ve Eğitimin Önemli Rolü","authors":"Hilal AKAY ÇİZMECİOGLU, Mevlüt Hakan GÖKTEPE, Ahmet CİZMECİOGLU","doi":"10.18521/ktd.1295314","DOIUrl":"https://doi.org/10.18521/ktd.1295314","url":null,"abstract":"Objective: Disease awareness is a pivotal factor in the management of illness. In chronic and progressive conditions, such as diabetes mellitus (DM), this awareness can be as effective as pharmacological interventions. This study aimed to assess how aware diabetic patients are of the complications of their disease.
 Method: This cross-sectional survey included patients diagnosed with DM. A total of 14 survey questions, divided into 7 different categories, were directed at the patients. The singular questions evaluated the patients' awareness of the complications, while the associated-secondary questions aimed to inquire about the sources of their awareness. 
 Result: In this study, a survey was conducted with 300 diabetic patients, yielding a response rate of 90.2%. The mean age was 53 years. The level of awareness of complications was high among all patients (80.5%). The awareness level of ocular-related complications was the highest, while that of neuropathy was the lowest (50%). When patients were categorized by educational status, education increased awareness but decreased adherence to combined drug use. The patients' doctors were identified as the most significant source of support for raising awareness of complications. This support was further enhanced by the educational level.
 Conclusion: High levels of awareness of complications related to diabetes, still being primarily provided by doctors, and improvement of patients' educational status, can lead to a decrease in the number of patients with a poor prognosis. Therefore, increasing awareness of diabetes-related complications and improving patients' educational status may positively impact reducing the incidence of poor prognosis among diabetes patients.","PeriodicalId":17884,"journal":{"name":"Konuralp Tip Dergisi","volume":"239 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135395462","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}
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