C. Ardic, A. Şahin, Ayşe Yazan Arslan, T. Telatar, E. Memis, Cihangir Yıldız, E. Omar, Safa Uzun, Hüseyin Adanur, A. Topak, S. Karakullukçu, Muharrem Kara, Oğuzer Usta
Amac: Calismamizin amaci 2016 yilindan 2019 yilina erken cocukluk cagi obezitesine etkili faktorlerin degisimini gostererek bu konuda gerekli onlemlerin alinmasini saglamaktir. Yontem: Retrospektif kohort tipindeki calismamiza 2013 ve2016 yili dogumlu olan ve Rize ili Aile sagligi merkezlerine kayitli 388 cocugun 3 yas izlem bilgileri dahil edilmistir. Calismaya katilan Aile Hekimleri kendilerine kayitli olan cocuklari Turkiye Cumhuriyeti Saglik Bakanligi’nin bebek ve cocuk izlem protokolune uygun olarak 1, 3, 7, 9, 12, 18, 24, 30 ve 36. aylarinda aile sagligi merkezlerinde izleyerek boy-kilo-bas cevresi ve vucut kitle indekslerini (VKI) kaydetmislerdir. Elde edilen verilerin degerlendirilmesinde tanimlayici istatistiksel yontemler kullanildi. Bulgular: Calismaya 177’si 2013 dogumlu, 211’i 2016 dogumlu toplam 388 cocuk dahil edilmistir. Fazla kilolu ya da obez olma durumu 2013 yili dogumlularda %19.2 iken bu oran 2016 dogumlularda %18.2’ye gerilemistir. Calismaya alinan cocuklarda obezite ya da fazla kilolu olma durumu kizlarda %16 iken erkeklerde %21.2 idi. Yuksek dogum agirliginin(>4000 gr) ve fazla gestasyonel kilo aliminin 3 yas fazla kilolu ya da obez olma durumu icin bir risk oldugunu gozlemledik. (p=0,048) Sonuc: Calismamizin sonucu bize erken cocukluk cagi obezitesi prevalansinin alinan son onlemlerle bir miktar gerilese de hala ciddi seviyede oldugunu gosterdi. Gestasyonel kilo alimi ve yuksek dogum agirliginin erken cocukluk cagi obezitesi icin bir risk oldugunu buldugumuz calismamizdan yola cikarak ileriye yonelik obezite onleme calismalarinda bu risklerin goz onune alinmasi konusunda faydali olacaktir.
{"title":"Changes in Early Childhood Obesity from 2016 to 2019 and Effective Factors","authors":"C. Ardic, A. Şahin, Ayşe Yazan Arslan, T. Telatar, E. Memis, Cihangir Yıldız, E. Omar, Safa Uzun, Hüseyin Adanur, A. Topak, S. Karakullukçu, Muharrem Kara, Oğuzer Usta","doi":"10.18521/ktd.713468","DOIUrl":"https://doi.org/10.18521/ktd.713468","url":null,"abstract":"Amac: Calismamizin amaci 2016 yilindan 2019 yilina erken cocukluk cagi obezitesine etkili faktorlerin degisimini gostererek bu konuda gerekli onlemlerin alinmasini saglamaktir. Yontem: Retrospektif kohort tipindeki calismamiza 2013 ve2016 yili dogumlu olan ve Rize ili Aile sagligi merkezlerine kayitli 388 cocugun 3 yas izlem bilgileri dahil edilmistir. Calismaya katilan Aile Hekimleri kendilerine kayitli olan cocuklari Turkiye Cumhuriyeti Saglik Bakanligi’nin bebek ve cocuk izlem protokolune uygun olarak 1, 3, 7, 9, 12, 18, 24, 30 ve 36. aylarinda aile sagligi merkezlerinde izleyerek boy-kilo-bas cevresi ve vucut kitle indekslerini (VKI) kaydetmislerdir. Elde edilen verilerin degerlendirilmesinde tanimlayici istatistiksel yontemler kullanildi. Bulgular: Calismaya 177’si 2013 dogumlu, 211’i 2016 dogumlu toplam 388 cocuk dahil edilmistir. Fazla kilolu ya da obez olma durumu 2013 yili dogumlularda %19.2 iken bu oran 2016 dogumlularda %18.2’ye gerilemistir. Calismaya alinan cocuklarda obezite ya da fazla kilolu olma durumu kizlarda %16 iken erkeklerde %21.2 idi. Yuksek dogum agirliginin(>4000 gr) ve fazla gestasyonel kilo aliminin 3 yas fazla kilolu ya da obez olma durumu icin bir risk oldugunu gozlemledik. (p=0,048) Sonuc: Calismamizin sonucu bize erken cocukluk cagi obezitesi prevalansinin alinan son onlemlerle bir miktar gerilese de hala ciddi seviyede oldugunu gosterdi. Gestasyonel kilo alimi ve yuksek dogum agirliginin erken cocukluk cagi obezitesi icin bir risk oldugunu buldugumuz calismamizdan yola cikarak ileriye yonelik obezite onleme calismalarinda bu risklerin goz onune alinmasi konusunda faydali olacaktir.","PeriodicalId":17884,"journal":{"name":"Konuralp Tip Dergisi","volume":"12 1","pages":"435-442"},"PeriodicalIF":0.2,"publicationDate":"2020-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48356481","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}
Amac: Saglikli yasamin temelleri genclik doneminde atilir. Dengeli beslenme ve duzenli fiziksel aktivite sagligin onemli iki belirleyicisi olmanin yaninda yaslanmayla ilgili saglik risklerini azaltmada etkili iki temel unsurdur. Universiteler bu farkindaligi artirmak icin ideal ortamlardir. Bu calisma Saglik Bilimleri Fakultesi ogrencilerinin saglikli beslenme ve fiziksel aktiviteyle ilgili tutumlarini etkileyen faktorlerin degerlendirilmesi amaciyla yapilmistir. Metod: Beslenme ve Diyetetik, Fizyoterapi ve Rehabilitasyon bolumlerinde toplam 467 ogrenci bulunmaktaydi. Evrenin tamamina ulasilmasi hedeflendi. Sadece 339 (%73) ogrenci calismaya katildi. Veriler; sosyo-demografik veriler, Modifiye Edilmis North Florida Universitesi Diyet ve Egzersiz Anketi’nin demografik icerikli sorulari ve Beden Algisi Olcegi’ni iceren anket formu ile yuz yuze toplandi. Verilerinin analizinde SPSS 25.0 programi kullanildi. Anlamlilik duzeyi p<0,05 alindi. Bulgular: Calismada kullandigimiz Beden Algisi Olceginin orijinalinde 0.91 olan Cronbach α katsayisi calismada 0.959 olarak hesaplandi. Ayrica orijinal olcekte 135 olarak hesaplanan kestirim noktasi yapilan ROC analizi sonucunda 134.5 olarak bulundu. Ogrencilerin %49,6’si egzersiz yapmadigini belirtirken bunlarin %27,1’i bu durumu zaman kisitliligina %17,1‘i ise irade zayifligina baglamaktaydi. Ogrencilerin %54’u saglikli beslenmedigini dusunmekteydi. Egzersiz yapmama ile cinsiyet arasinda istatistiksel olarak anlamli farklilik saptandi (p<0,05). Beden algisi ortalama degerin altinda olan ogrencilerde egzersiz yapmayanlarin sayisinin (n=52) yapanlardan (n=36) yuksek olmasi istatistiksel olarak anlamli bulundu (p<0,05). Sonuc: Calisma sonuclari dogrultusunda universite ogrencilerine saglikli beslenme ve egzersiz konulu farkindalik programlari sunularak saglikli yasam bicimi davranislari tesvik edilmelidir.
Amac：卫星的基本卫星可以在genclic领域找到。Dengeli beslenme和duzenli的身体活动是sagligin onemli iki beleicisi olmanin yaninda yaslanmayla ilgili saglik risklerini azaltmada etkili iki temel unsordur。大学是人工多样性的理想环境。这种calismus旨在降解影响医学院健康营养和体育活动的因素。方法：在营养和饮食、物理治疗和康复方面，共有467项限制。整个宇宙都以上传为目标。只有339只灰阶被杀死（%73）。Veriler；由Edilmis North Florida University of Diyet and Exercise Research编辑的社会人口统计数据以问卷的形式收集了盐，以冷冻Algisi Olcegi的身体。采用SPSS 25.0软件对数据进行分析。无显著性差异p＜0.05。结果是0.91 Cronbachα，这是我们在Calisma中使用的Algisi Olcegine身体的起源，计算为0.959 calismus。此外，ROC分析结果为134.5，发现了一个折减点，计算为135。49.6%的食人魔表示他们没有锻炼，27.1%的食人魔容易陷入贫困。至少54%的食人魔是健康食品。性别和运动之间存在统计学差异（p＜0.05）。在平均退化（n=52）以下的食人魔中，不运动的食人魔的身体数字在统计学上具有显著性，高于不运动的人（n=36）。结果是，当calisma结果得到纠正时，应该为大学运动员提供医疗保健和锻炼计划，以治疗生病的法律自行车。
{"title":"Evaluation of the Attitudes of the Students of the Faculty of Health Sciences Towards Healthy Nutrition and Physical Activity","authors":"Ö. Önder, Muhsin Öztürk, Seyda Yildiz, A. Caylan","doi":"10.18521/ktd.733639","DOIUrl":"https://doi.org/10.18521/ktd.733639","url":null,"abstract":"Amac: Saglikli yasamin temelleri genclik doneminde atilir. Dengeli beslenme ve duzenli fiziksel aktivite sagligin onemli iki belirleyicisi olmanin yaninda yaslanmayla ilgili saglik risklerini azaltmada etkili iki temel unsurdur. Universiteler bu farkindaligi artirmak icin ideal ortamlardir. Bu calisma Saglik Bilimleri Fakultesi ogrencilerinin saglikli beslenme ve fiziksel aktiviteyle ilgili tutumlarini etkileyen faktorlerin degerlendirilmesi amaciyla yapilmistir. Metod: Beslenme ve Diyetetik, Fizyoterapi ve Rehabilitasyon bolumlerinde toplam 467 ogrenci bulunmaktaydi. Evrenin tamamina ulasilmasi hedeflendi. Sadece 339 (%73) ogrenci calismaya katildi. Veriler; sosyo-demografik veriler, Modifiye Edilmis North Florida Universitesi Diyet ve Egzersiz Anketi’nin demografik icerikli sorulari ve Beden Algisi Olcegi’ni iceren anket formu ile yuz yuze toplandi. Verilerinin analizinde SPSS 25.0 programi kullanildi. Anlamlilik duzeyi p<0,05 alindi. Bulgular: Calismada kullandigimiz Beden Algisi Olceginin orijinalinde 0.91 olan Cronbach α katsayisi calismada 0.959 olarak hesaplandi. Ayrica orijinal olcekte 135 olarak hesaplanan kestirim noktasi yapilan ROC analizi sonucunda 134.5 olarak bulundu. Ogrencilerin %49,6’si egzersiz yapmadigini belirtirken bunlarin %27,1’i bu durumu zaman kisitliligina %17,1‘i ise irade zayifligina baglamaktaydi. Ogrencilerin %54’u saglikli beslenmedigini dusunmekteydi. Egzersiz yapmama ile cinsiyet arasinda istatistiksel olarak anlamli farklilik saptandi (p<0,05). Beden algisi ortalama degerin altinda olan ogrencilerde egzersiz yapmayanlarin sayisinin (n=52) yapanlardan (n=36) yuksek olmasi istatistiksel olarak anlamli bulundu (p<0,05). Sonuc: Calisma sonuclari dogrultusunda universite ogrencilerine saglikli beslenme ve egzersiz konulu farkindalik programlari sunularak saglikli yasam bicimi davranislari tesvik edilmelidir.","PeriodicalId":17884,"journal":{"name":"Konuralp Tip Dergisi","volume":"12 1","pages":"400-405"},"PeriodicalIF":0.2,"publicationDate":"2020-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48733408","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}
Amac: Calismanin amaci hastane isletmelerinde maliyet analizinin kullanim alanlarini tespit ederek hastane yoneticilerine maliyet bilgilerinin nerelerde kullanilabilecegi hakkinda faydali bilgiler sunmaktir. Gerec ve Yontemler: Arastirma verileri Turkiye’de faaliyette bulunan ozel hastane, Saglik Bakanligi hastaneleri, universite hastaneleri ve sehir hastanelerindeki ust duzey yoneticiler icin hazirlanan anket formu kullanilarak elde edilmistir. Calismadan elde edilen veriler SPSS 22.0 paket programi kullanilarak tanimlayici istatistikler (frekans, yuzde vb) hipotez testleri (Independent samples t testi, ANOVA, Korelasyon vb) yoluyla analiz edilmistir. Bulgular: Calisma anketine katilan yoneticilerin maliyet bilgilerini daha cok kar/zararinin tespit edilmesinde (ort. 4,11), bilancoda yer alan varliklarin maliyet bedeli ile muhasebelestirilmesinde (ort. 4,10) ve ilk madde ve malzeme ile makine ve ekipman alimindaki fiyat karsilastirmalarinda (ort. 4,04) kullandiklari gorulmustur. Yoneticilerin maliyet bilgilerini finansal tablo analizi, maliyet analizi ve stratejik karar verme kullanim alani duzeyleri acisindan cinsiyetleri, yaslari, ogrenim durumlari, mesleki yillari, ogrenim kurumlari, unvanlari, egitim alma durumlari, sahip olunan bilgi, beceri, yetenekleri ve departmanlara gore (p>0,05) bir farklilik olmadigi, buna karsin hastane mulkiyet turlerine gore (p<0,05) anlamli oldugu tespit edilmistir. Sonuc: Arastirmanin sonucunda hastane isletmeleri, maliyet bilgilerinin maliyet analizi ve stratejik karar vermeden ziyade finansal tablolarin analiz edilmesi alaninda daha fazla kullandigi gorulmustur. Buna karsin maliyet bilgilerini tam anlamiyla analiz etmedikleri ve gelecege yonelik stratejik kararlarda kullanmadiklari sonucuna varilmistir.
{"title":"Hastane İşletmelerindeki Yöneticilerin Maliyet Analizinin Kullanım Alanları Üzerine Bir Araştırma","authors":"Enver Bozdemi̇r, İlknur Arslan Çilhoroz","doi":"10.18521/ktd.630713","DOIUrl":"https://doi.org/10.18521/ktd.630713","url":null,"abstract":"Amac: Calismanin amaci hastane isletmelerinde maliyet analizinin kullanim alanlarini tespit ederek hastane yoneticilerine maliyet bilgilerinin nerelerde kullanilabilecegi hakkinda faydali bilgiler sunmaktir. Gerec ve Yontemler: Arastirma verileri Turkiye’de faaliyette bulunan ozel hastane, Saglik Bakanligi hastaneleri, universite hastaneleri ve sehir hastanelerindeki ust duzey yoneticiler icin hazirlanan anket formu kullanilarak elde edilmistir. Calismadan elde edilen veriler SPSS 22.0 paket programi kullanilarak tanimlayici istatistikler (frekans, yuzde vb) hipotez testleri (Independent samples t testi, ANOVA, Korelasyon vb) yoluyla analiz edilmistir. Bulgular: Calisma anketine katilan yoneticilerin maliyet bilgilerini daha cok kar/zararinin tespit edilmesinde (ort. 4,11), bilancoda yer alan varliklarin maliyet bedeli ile muhasebelestirilmesinde (ort. 4,10) ve ilk madde ve malzeme ile makine ve ekipman alimindaki fiyat karsilastirmalarinda (ort. 4,04) kullandiklari gorulmustur. Yoneticilerin maliyet bilgilerini finansal tablo analizi, maliyet analizi ve stratejik karar verme kullanim alani duzeyleri acisindan cinsiyetleri, yaslari, ogrenim durumlari, mesleki yillari, ogrenim kurumlari, unvanlari, egitim alma durumlari, sahip olunan bilgi, beceri, yetenekleri ve departmanlara gore (p>0,05) bir farklilik olmadigi, buna karsin hastane mulkiyet turlerine gore (p<0,05) anlamli oldugu tespit edilmistir. Sonuc: Arastirmanin sonucunda hastane isletmeleri, maliyet bilgilerinin maliyet analizi ve stratejik karar vermeden ziyade finansal tablolarin analiz edilmesi alaninda daha fazla kullandigi gorulmustur. Buna karsin maliyet bilgilerini tam anlamiyla analiz etmedikleri ve gelecege yonelik stratejik kararlarda kullanmadiklari sonucuna varilmistir.","PeriodicalId":17884,"journal":{"name":"Konuralp Tip Dergisi","volume":"12 1","pages":"301-312"},"PeriodicalIF":0.2,"publicationDate":"2020-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47664700","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}
{"title":"Determination of Perceived Stress Levels of Caregivers of Inpatients in Oncologic Palliative Care Service and Factors Affecting Stress: A Cross-sectional Study","authors":"Selçuk Akturan, Arzu Ayraler, G. Kumlu","doi":"10.18521/ktd.638711","DOIUrl":"https://doi.org/10.18521/ktd.638711","url":null,"abstract":"","PeriodicalId":17884,"journal":{"name":"Konuralp Tip Dergisi","volume":"1 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2020-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68260456","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}
E. Yavuz, M. E. Yayla, E. Kırımlı, U. Bilge, S. Çelik, Hatice Füsun Demirtaş, İ. Ünlüoğlu, O. Başak
Objective: The study aims to determine the daily workload and to analyze the content of workload, to describe the service profile of FPs working in primary care in Turkey. Methods: The study design is descriptive and cross-sectional. A total of 28 FPs from 17 different cities were enrolled into the study. Two surveys, one inquiring the demographic properties of FPs participated and a second encounter form with 43 items inquiring all aspects of FPs’ workload were filled by the participants. Results: A total of 1,215 visits were reported. The average daily workload of FPs participating was 45.7± 16.8 visits. 92.5% of all patients were family physicians’ own registered patients while 7.5% of them were guests. A total of 1,610 RFEs were reported. We categorized them as prescription requests (451, 28%), clinical complaints (447, 27.8%), preventive medicine services (436, 27%), administrative reasons (161, %10) and other reasons (115, 7.2%). Essential hypertension and diseases of musculoskeletal system were the most common diagnoses in prescription requests. Sore throat and cough were the top two clinical complaints. Conclusions: FPs in Turkey are under severe pressure. Prescription requests account for an important percentage of this workload. Measures should be taken to lessen this burden.
{"title":"Daily Workload And Service Profile Of Family Physicians In Turkey: A Snapshot Of One-Day Work","authors":"E. Yavuz, M. E. Yayla, E. Kırımlı, U. Bilge, S. Çelik, Hatice Füsun Demirtaş, İ. Ünlüoğlu, O. Başak","doi":"10.18521/ktd.659576","DOIUrl":"https://doi.org/10.18521/ktd.659576","url":null,"abstract":"Objective: The study aims to determine the daily workload and to analyze the content of workload, to describe the service profile of FPs working in primary care in Turkey. Methods: The study design is descriptive and cross-sectional. A total of 28 FPs from 17 different cities were enrolled into the study. Two surveys, one inquiring the demographic properties of FPs participated and a second encounter form with 43 items inquiring all aspects of FPs’ workload were filled by the participants. Results: A total of 1,215 visits were reported. The average daily workload of FPs participating was 45.7± 16.8 visits. 92.5% of all patients were family physicians’ own registered patients while 7.5% of them were guests. A total of 1,610 RFEs were reported. We categorized them as prescription requests (451, 28%), clinical complaints (447, 27.8%), preventive medicine services (436, 27%), administrative reasons (161, %10) and other reasons (115, 7.2%). Essential hypertension and diseases of musculoskeletal system were the most common diagnoses in prescription requests. Sore throat and cough were the top two clinical complaints. Conclusions: FPs in Turkey are under severe pressure. Prescription requests account for an important percentage of this workload. Measures should be taken to lessen this burden.","PeriodicalId":17884,"journal":{"name":"Konuralp Tip Dergisi","volume":"12 1","pages":"175-182"},"PeriodicalIF":0.2,"publicationDate":"2020-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44121686","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 : To evaluate the clinical features, surgical treatment results and complications of patients who underwent pars plana vitrectomy for proliferative vitreoretinopathy(PVR) in our clinic. Methods : Forty-eight eyes of 47 patients who underwent pars plana vitrectomy for PVR were included in the study. 29 (61.7%) of the cases were male and 18 (38.2%) were female. Routine ophthalmologic examination was performed to all patients. All operations were performed by the same surgeon. Results : Forty-eight eyes of 47 patients with various levels of PVR underwent pars plana vitrectomy. 29 eyes (60.41%) underwent once pars plana vitrectomy, 18 eyes (37.5%) underwent 2 times pars plana vitrectomy and 1 eye (2.08%) underwent 3 times pars plana vitrectomy. In the postoperative period, the patients were followed up between 2 months and 16 months (mean 6.6 months). At the end of the follow-up period, our anatomic success rate was 81.25% and total retinal attachment was achieved in 39 eyes. Retinal detachment was observed in 4 eyes (8.33%) anterior of scleral buckling, while posterior pole was attached. In 5 eyes (10.41%) retinal attachment could not be achieved and 3 of these eyes (6.25%) developed phthisis. Conclusions : Vitreretinal surgery can provide anatomical and functional success in eyes with rhegmatogenous retinal detachment and PVR. This success rate has increased especially in recent years with the use of gas and silicone oil as intraocular tamponade, intraoperative use of perfluorocarbon fluids, introduction of wide angle vision systems and advances in surgical techniques. PROLIFERATIF VITREORETINOPATILERDE PARS PLANA VITREKTOMI SONUCLARIMIZ OZET Amac : Klinigimizde PVR nedeniyle pars plana vitrektomi uyguladigimiz olgularin klinik ozelliklerini, cerrahi tedavi sonuclarini ve karsilasilan komplikasyonlari degerlendirmek. Gerec ve Yontem : Proliferatif vitreoretinopati sebebiyle pars plana vitrektomi cerrahisi uygulanan 47 olgunun 48 gozu calisma kapsamina alinmistir. Olgularin 29’u (%61.7) erkek, 18’i (%38.2) kadindi. Calismaya aldigimiz olgulara rutin oftalmolojik muayeneler uygulandi. 32 (%68) olguya genel anestezi, 15 (%32) olguya da lokal anestezi altinda pars plana vitrektomi cerrahisi uygulandi. Tum operasyonlar ayni cerrah tarafindan yapildi. Bulgular : Cesitli duzeylerde PVR’i olan 47 olgunun 48 gozune pars plana vitrektomi cerrahisi uygulandi. 29 goze (%60.41) 1 kez pars plana vitrektomi, 18 goze (%37.5) 2 kez pars plana vitrektomi ve 1 goze (%2.08) de 3 kez pars plana vitrektomi cerrahisi uygulandi. Postoperatif donemde olgular 2 ay ile 16 ay arasinda takip edildiler (ortalama 6.6 ay). Takip surelerinin sonunda elde edilen anatomik basari oranimiz %81.25 olup, 39 gozde total retinal yatisma saglanmistir. 4 gozde (%8.33) skleral cokertme onunde retina dekoleyken, arka kutup yatisik olarak izlenmistir. 5 gozde (%10.41) ise retinal yatisma saglanamamis ve bu gozlerden 3 tanesinde (%6.25) ftizis gelismistir. Sonuc : Regmatojen retina de
目的:探讨增生性玻璃体视网膜病变(PVR)行玻璃体平面肌切除术患者的临床特点、手术治疗效果及并发症。方法:对47例行睫状体部玻璃体切除术的患者48只眼进行研究。男性29例(61.7%)，女性18例(38.2%)。所有患者均行常规眼科检查。所有手术均由同一位外科医生进行。结果:47例不同程度PVR患者48眼行玻璃体切割术。1次玻璃体切割29眼(60.41%)，2次玻璃体切割18眼(37.5%)，3次玻璃体切割1眼(2.08%)。术后随访2 ~ 16个月，平均6.6个月。随访结束时，解剖成功率为81.25%，39只眼视网膜完全附着。视网膜脱离4眼(8.33%)在巩膜屈曲前，后极附着。5眼(10.41%)视网膜不能附着，3眼(6.25%)出现溃疡。结论:玻璃体视网膜手术治疗孔源性视网膜脱离和PVR可获得解剖和功能上的成功。特别是近年来，由于使用气体和硅油作为眼内填塞，术中使用全氟碳液体，引入广角视觉系统以及手术技术的进步，这一成功率有所增加。【关键词】PVR; neneidyle; PVR; PVR;[摘要]增殖性玻璃体视网膜病变的研究进展[j]， [j]。Olgularin 29'u (%61.7) erkek, 18'i (%38.2) kadindi。Calismaya将talmolojik muayeneler uygulandi的olgulara rutin数字化。32例(%68)为全身性病变，15例(%32)为局部病变。转动后颈静脉导管，然后转动后颈静脉导管。[中文]:PVR 'i olan 47 olgunun 48 gozune pars plana vitrektomi cerrahisi uygulandi。29眼(%60.41)1眼，18眼(%37.5)2眼，1眼(%2.08)3眼(%2.08)。术后随访2天，术后16天，术后随访6.6天。Takip surelerinin sonunda elde edilen anatomik basari oranimiz % 81.25 olup 39 gozde总视网膜yatisma saglanmistir。4 . gozde(%8.33)骨焦(cokertme)， ununde retina dekoleyken, arka kutup yatisik olarak izlenmistir。5 . gozde(%10.41)增加视网膜视网膜炎(saglanamamis); 3 . gozgold(%6.25)增加视网膜炎(gelismistir)。[中文]:Regmatojen视网膜dekolmani ve PVR ' s, gozlerder，玻璃体视网膜神经，解剖的fonksiyonel basari saglanabilmektedir。在手术过程中，有两种不同的方法:一种是用硅基硅基硅基硅基硅基硅基硅基硅基硅基硅基硅基硅基硅基硅基硅基硅基硅基硅基硅基硅基硅基硅基硅基硅基硅基硅基硅基硅基硅基硅基硅基硅基硅基硅基硅基硅基硅基硅基硅基硅基硅基硅基硅基硅基硅基硅基硅基硅基硅基硅基硅基硅基硅基硅基硅基硅基硅基硅基硅基硅基硅基硅基硅基硅基硅基硅基硅基硅基硅基硅基硅基硅基硅基硅基硅基硅基硅基硅基硅基硅基硅基硅基硅基硅基硅基硅基硅基。Anahtar kelimeler:玻璃体扁平部，玻璃体视网膜增生性，视网膜退化
{"title":"PARS PLANA VITRECTOMY RESULTS IN PROLIFERATIVE VITREORETINOPATHIES","authors":"H. Koc","doi":"10.18521/ktd.628561","DOIUrl":"https://doi.org/10.18521/ktd.628561","url":null,"abstract":"Objective : To evaluate the clinical features, surgical treatment results and complications of patients who underwent pars plana vitrectomy for proliferative vitreoretinopathy(PVR) in our clinic. Methods : Forty-eight eyes of 47 patients who underwent pars plana vitrectomy for PVR were included in the study. 29 (61.7%) of the cases were male and 18 (38.2%) were female. Routine ophthalmologic examination was performed to all patients. All operations were performed by the same surgeon. Results : Forty-eight eyes of 47 patients with various levels of PVR underwent pars plana vitrectomy. 29 eyes (60.41%) underwent once pars plana vitrectomy, 18 eyes (37.5%) underwent 2 times pars plana vitrectomy and 1 eye (2.08%) underwent 3 times pars plana vitrectomy. In the postoperative period, the patients were followed up between 2 months and 16 months (mean 6.6 months). At the end of the follow-up period, our anatomic success rate was 81.25% and total retinal attachment was achieved in 39 eyes. Retinal detachment was observed in 4 eyes (8.33%) anterior of scleral buckling, while posterior pole was attached. In 5 eyes (10.41%) retinal attachment could not be achieved and 3 of these eyes (6.25%) developed phthisis. Conclusions : Vitreretinal surgery can provide anatomical and functional success in eyes with rhegmatogenous retinal detachment and PVR. This success rate has increased especially in recent years with the use of gas and silicone oil as intraocular tamponade, intraoperative use of perfluorocarbon fluids, introduction of wide angle vision systems and advances in surgical techniques. PROLIFERATIF VITREORETINOPATILERDE PARS PLANA VITREKTOMI SONUCLARIMIZ OZET Amac : Klinigimizde PVR nedeniyle pars plana vitrektomi uyguladigimiz olgularin klinik ozelliklerini, cerrahi tedavi sonuclarini ve karsilasilan komplikasyonlari degerlendirmek. Gerec ve Yontem : Proliferatif vitreoretinopati sebebiyle pars plana vitrektomi cerrahisi uygulanan 47 olgunun 48 gozu calisma kapsamina alinmistir. Olgularin 29’u (%61.7) erkek, 18’i (%38.2) kadindi. Calismaya aldigimiz olgulara rutin oftalmolojik muayeneler uygulandi. 32 (%68) olguya genel anestezi, 15 (%32) olguya da lokal anestezi altinda pars plana vitrektomi cerrahisi uygulandi. Tum operasyonlar ayni cerrah tarafindan yapildi. Bulgular : Cesitli duzeylerde PVR’i olan 47 olgunun 48 gozune pars plana vitrektomi cerrahisi uygulandi. 29 goze (%60.41) 1 kez pars plana vitrektomi, 18 goze (%37.5) 2 kez pars plana vitrektomi ve 1 goze (%2.08) de 3 kez pars plana vitrektomi cerrahisi uygulandi. Postoperatif donemde olgular 2 ay ile 16 ay arasinda takip edildiler (ortalama 6.6 ay). Takip surelerinin sonunda elde edilen anatomik basari oranimiz %81.25 olup, 39 gozde total retinal yatisma saglanmistir. 4 gozde (%8.33) skleral cokertme onunde retina dekoleyken, arka kutup yatisik olarak izlenmistir. 5 gozde (%10.41) ise retinal yatisma saglanamamis ve bu gozlerden 3 tanesinde (%6.25) ftizis gelismistir. Sonuc : Regmatojen retina de","PeriodicalId":17884,"journal":{"name":"Konuralp Tip Dergisi","volume":"12 1","pages":"270-275"},"PeriodicalIF":0.2,"publicationDate":"2020-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47110166","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}
Cocukluk cagi ve ergenlik doneminin bas agrilari bir sekilde eriskin bas agrilarina benzese de, eriskin bas agrilari kadar bilinmez. Bu yazida cocuk ve ergenlere ait sekiz nadir bilinen primer bas agrisi pratik ipuclari ile birlikte verilmistir. Olgularin tamami Mersin Universitesi Tip Fakultesi Cocuk ve Adolesan Bas Agrisi Poliklinigi veritabaninin arsivlerinden secilmis ve literatur esliginde tartisilmistir. Bu makale ozellikle cocuk ve ergenlerin nadir primer bas agrilari hakkinda hekimin farkindaligini arttirmayi temel almaktadir.
{"title":"Unusual Primary Headaches of Children and Adolescents: Practical tips for physicians","authors":"Nevra Öksüz, H. Fi̇danci, A. Özge","doi":"10.18521/ktd.452016","DOIUrl":"https://doi.org/10.18521/ktd.452016","url":null,"abstract":"Cocukluk cagi ve ergenlik doneminin bas agrilari bir sekilde eriskin bas agrilarina benzese de, eriskin bas agrilari kadar bilinmez. Bu yazida cocuk ve ergenlere ait sekiz nadir bilinen primer bas agrisi pratik ipuclari ile birlikte verilmistir. Olgularin tamami Mersin Universitesi Tip Fakultesi Cocuk ve Adolesan Bas Agrisi Poliklinigi veritabaninin arsivlerinden secilmis ve literatur esliginde tartisilmistir. Bu makale ozellikle cocuk ve ergenlerin nadir primer bas agrilari hakkinda hekimin farkindaligini arttirmayi temel almaktadir.","PeriodicalId":17884,"journal":{"name":"Konuralp Tip Dergisi","volume":"12 1","pages":"338-343"},"PeriodicalIF":0.2,"publicationDate":"2020-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44043663","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: Malignant lymphoma is one of the most common cancer type around the world. In this study, the distribution and demographic characteristics of the histologic subgroups of mature lymphoid neoplasms in Northeast Turkey were investigated. Methods: The study consists of 1136 patients diagnosed as mature lymphoid neoplasm between 2008 and 2014. The demographic data of the patients were analysed and histological subgrouping was performed according to the World Health Organization classification. Results: Mature B-cell neoplasms accounted for 79.2% (n=900) of all lymphoid neoplasms, Hodgkin lymphoma (HL) for 10.9% (n=124), mature T/natural killer-cell neoplasms for 9% (n=102), and histiocytic and dendritic cell neoplasms for 0.9% (n=10). In our study, the most common subtypes of lymphoid neoplasms were as follows: diffuse large B-cell lymphoma (n=261; 23%), plasma cell myeloma (n=252; 22.2%), chronic lymphocytic leukemia/small lymphocytic lymphoma (n=230; 20.2%), mycosis fungoides (MF) (n=66; 5.8%) and nodular sclerosing type classical HL (n=63; 5.5%). Only 2.9% of the cases of non-Hodgkin lymphoma (NHL) were follicular lymphoma. All patients with HL were diagnosed by a lymph node biopsy. However, 48.1% of the patients with NHL arose from extranodal sites. Conclusion: This is the first study investigating the distribution of lymphoid neoplasms in Northeast Anatolia region with the review of the literature. The present study showed that the epidemiologic features similar to those reported in Western and Asian countries, whereas some subtypes showed distinct features. The high frequency of MF and the low frequency of follicular lymphoma are interesting findings of this study.
{"title":"Distribution of lymphoid neoplasms in Northeast Turkey: A retrospective analysis of 1136 cases according to the World Health Organization classification","authors":"Z. Yılmaz, Ü. Çobanoğlu","doi":"10.18521/ktd.568680","DOIUrl":"https://doi.org/10.18521/ktd.568680","url":null,"abstract":"Objective: Malignant lymphoma is one of the most common cancer type around the world. In this study, the distribution and demographic characteristics of the histologic subgroups of mature lymphoid neoplasms in Northeast Turkey were investigated. Methods: The study consists of 1136 patients diagnosed as mature lymphoid neoplasm between 2008 and 2014. The demographic data of the patients were analysed and histological subgrouping was performed according to the World Health Organization classification. Results: Mature B-cell neoplasms accounted for 79.2% (n=900) of all lymphoid neoplasms, Hodgkin lymphoma (HL) for 10.9% (n=124), mature T/natural killer-cell neoplasms for 9% (n=102), and histiocytic and dendritic cell neoplasms for 0.9% (n=10). In our study, the most common subtypes of lymphoid neoplasms were as follows: diffuse large B-cell lymphoma (n=261; 23%), plasma cell myeloma (n=252; 22.2%), chronic lymphocytic leukemia/small lymphocytic lymphoma (n=230; 20.2%), mycosis fungoides (MF) (n=66; 5.8%) and nodular sclerosing type classical HL (n=63; 5.5%). Only 2.9% of the cases of non-Hodgkin lymphoma (NHL) were follicular lymphoma. All patients with HL were diagnosed by a lymph node biopsy. However, 48.1% of the patients with NHL arose from extranodal sites. Conclusion: This is the first study investigating the distribution of lymphoid neoplasms in Northeast Anatolia region with the review of the literature. The present study showed that the epidemiologic features similar to those reported in Western and Asian countries, whereas some subtypes showed distinct features. The high frequency of MF and the low frequency of follicular lymphoma are interesting findings of this study.","PeriodicalId":17884,"journal":{"name":"Konuralp Tip Dergisi","volume":"12 1","pages":"208-215"},"PeriodicalIF":0.2,"publicationDate":"2020-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41728555","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}
Önder Kılıçaslan, N. M. Sav, S. Karaca, K. Kocabay
When compared with SARS-CoV and MERS-CoV, SARS-CoV-2 is a highly contagious infection agent. Although MERS-CoV infection is known to have higher mortality, SARS-CoV-2 has spread to many people all over the world in a very short time. In addition to this, SARS-CoV-2 (like SARS-CoV and MERS) infects less children and results in milder clinic than in adults. Although the reason of it is not known, difference in their immunities or being less likely to be exposed to the source of the infection is thought to be the reason. However, it should not be forgotten that children can contribute to the spread of infection among adults and population, along with being mostly asymptomatic.
{"title":"COVID-19 Disease in Children: Clinical Course, Diagnosis and Treatment Overview and Literature Data Compilation","authors":"Önder Kılıçaslan, N. M. Sav, S. Karaca, K. Kocabay","doi":"10.18521/ktd.722266","DOIUrl":"https://doi.org/10.18521/ktd.722266","url":null,"abstract":"When compared with SARS-CoV and MERS-CoV, SARS-CoV-2 is a highly contagious infection agent. Although MERS-CoV infection is known to have higher mortality, SARS-CoV-2 has spread to many people all over the world in a very short time. In addition to this, SARS-CoV-2 (like SARS-CoV and MERS) infects less children and results in milder clinic than in adults. Although the reason of it is not known, difference in their immunities or being less likely to be exposed to the source of the infection is thought to be the reason. However, it should not be forgotten that children can contribute to the spread of infection among adults and population, along with being mostly asymptomatic.","PeriodicalId":17884,"journal":{"name":"Konuralp Tip Dergisi","volume":"12 1","pages":"316-325"},"PeriodicalIF":0.2,"publicationDate":"2020-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44348383","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}
{"title":"The Effect of Polypharmacy on Procalcitonin Levels in The Intensive Care Admission of Geriatric Patients with Sepsis","authors":"Ismail Demir, İ. Yılmaz","doi":"10.18521/ktd.715702","DOIUrl":"https://doi.org/10.18521/ktd.715702","url":null,"abstract":"Amac: Yogun bakim (YB) hastalarinin onemli kismi sepsisli ve kronik hastaliklari nedeniyle polifarmasi maruziyeti olan yaslilardir. Prokalsitonin (PCT) klinikte sepsis on tanisinda kullanilan, degeri gittikce artan bir biyobelirtectir. Calismamizla sepsis on tanili 65 yas ustu hastalarin yogun bakima kabulunde polifarmasinin PCT duzeylerine olan etkisi incelenmistir. Gerec ve Yontem: Sepsis nedeniyle yogun bakim kabulu yapilan yasli hastalarin demografik ozellikleri, sepsisle iliskili laboratuvar sonuclari, SOFA ve APACHE skorlari, kullandiklari ilaclar kaydedildi. Bulgular: Toplam 227 hastanin oldugu calismada medyan yas 77(70-84)’dir. Hastalarin %41’i genc-yasli, %35.7’si orta-yasli, %23.3’u ileri-yaslidir. %49.8 hastada polifarmasi varken, %50.2’sinde yoktur. Genc-yaslilarin %39.8’i polifarmasi(+), %60.2’si ise polifarmasi(-)’dir. Orta-yaslilarda oranlar sirasiyla %56.8 ve %43.2 iken ileri yaslilarda %58.5 ve %41.5’dir. Yas gruplarina gore polifarmasi gorulme acisindan genc-yaslilarla diger gruplar arasinda anlamli fark vardir (p<0.05). Ortalama 5.7±2.4 farkli ilac kullanan hastalarda sikca kullanilan ilaclar sirasiyla antihipertansifler, proton pompasi inhibitorleri, steroid olmayan antiinflamatuarlardir. Polifarmasi(+) grupta, polifarmasi(-) gruba gore PCT degerlerinde anlamli azalma vardir. YB’a alinacak ciddi enfeksiyonlu ve sepsis riski tasiyan polifarmasili yaslilarda, 5 ng/mL’nin uzerindeki PCT degerleri polifarmasi gozlenmeyenlere gore anlamli dusuktur (p<0.05). 5 ng/mL’nin altindaki lokal enfeksiyonlu ve olasi sepsis riski tasimayan yasli hastalardaysa gruplar arasinda PCT duzeyleri acisindan anlamlilik yoktur. Sonuc: Yogun bakima kabul edilen sepsisli yaslilarda yas ilerledikce polifarmasi gorulme oranlari artmaktadir. Yogun bakima kabul edilen ozellikle ciddi enfeksiyonlu ve sepsis riski tasiyan polifarmasili yaslilarda PCT degerleri polifarmasi gozlenmeyenlere gore anlamli sekilde dusuktur. Polifarmasili yaslilarda sepsisin tani ve takibinde dikkatli olunmali, PCT degerleri mutlaka klinik bulgularla birlikte degerlendirilmelidir.","PeriodicalId":17884,"journal":{"name":"Konuralp Tip Dergisi","volume":"12 1","pages":"216-222"},"PeriodicalIF":0.2,"publicationDate":"2020-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47724962","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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