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Sağlık personellerinin kimyasal, biyolojik, radyasyon ve nükleer tehlikelerden korunma ve acil yardım uygulamaları ile ilgili bilgi düzeyleri ve farkındalıkları
Pub Date : 2023-08-28 DOI: 10.31362/patd.1315923
Arzu Babacan
Purpose: The accidental or intentional release of CBRN (Chemical, Biological, Radiological, Nuclear) substances into the environment causes significant loss of life and property and has adverse effects over a long time. This study was planned to raise awareness about protection from CBRN hazards and emergency aid practices, create CBRN awareness, and determine the knowledge level of healthcare professionals.Materials and methods: After reviewing the literature and regulations, the questionnaire was prepared based on the training module on "Emergency Assistance in Chemical, Biological, Radiation and Nuclear Hazards" for Emergency Health Services published by the Ministry of National Education; of the Republic of Turkey. The questionnaire was asked to participants before and after 10 hours of theoretical CBRN training, and the results were compared. Results: The participants were 58.4% female, 41.6% male, and the average age was 38. Most participants were doctors or nurses, and approximately three-quarters of the participants were emergency service staff. 35.6% of them had been working in the emergency department for 1-5 years. 61.4% had not received CBRN training, and 84.2% thought they needed sufficient knowledge and experience. 77.2% had not experienced any CBRN incident nor performed any intervention for CBRN. When the 22 questions asked about the level of CBRN knowledge were evaluated, it was seen that the correct answer rate was above 50% in seven questions of 22 and was above 50% in all questions in the post-test applied after the training. Their level of knowledge was found to be low before CBRN training and good after training.Conclusion: Theoretical training has a significant positive impact on creating CBRN awareness.
目的:CBRN(化学、生物、放射、核)物质意外或故意释放到环境中会造成重大的生命财产损失,并具有长期的不良影响。本研究旨在提高人们对CBRN危害的保护和应急救援实践的认识,建立CBRN意识,并确定医疗保健专业人员的知识水平。材料和方法:在查阅文献和法规后,根据国家教育部出版的紧急卫生服务"化学、生物、辐射和核危害紧急援助"培训模块编制了问卷;土耳其共和国。在10小时的CBRN理论训练前后,对参与者进行问卷调查,并对结果进行比较。结果:女性58.4%,男性41.6%,平均年龄38岁。大多数参与者是医生或护士,大约四分之三的参与者是急救服务人员。在急诊科工作1-5年的占35.6%。61.4%的人没有接受过CBRN培训,84.2%的人认为需要足够的知识和经验。77.2%的患者没有发生过CBRN事件,也没有采取任何CBRN干预措施。对涉及CBRN知识水平的22个问题进行评估时,22个问题中有7个问题的正确率在50%以上,培训后应用的后测中所有问题的正确率都在50%以上。结果发现,他们在CBRN训练前的知识水平较低,训练后的知识水平较高。结论:理论培训对培养CBRN意识有显著的正向影响。
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引用次数: 0
Çocuklarda Akut Apandisitin Ameliyatsız Tedavisi
Pub Date : 2023-08-28 DOI: 10.31362/patd.1334830
Osman Uzunlu, İncinur GENİŞOL ATAMAN
Abstract Background: Most studies addressing non-operative management for acute appendicitis have focused on adults, and there are limited data available for children. We aimed to evaluate the results of successful non-operative management in children with acute uncomplicated appendicitis with our “additional criteria” and find which factors could be affecting the success rate and which cases could be candidates for non-operative management. Materials and methods: A total of 26 patients who were diagnosed with acute uncomplicated appendicitis and received non-operative management were re-evaluated retrospectively. Defining uncomplicated appendicitis was based on the duration of symptoms (
背景:大多数关于急性阑尾炎非手术治疗的研究都集中在成人身上,儿童的数据有限。我们的目的是用我们的“附加标准”来评估儿童急性无并发症阑尾炎的成功非手术治疗的结果,并找出哪些因素可能影响成功率,哪些病例可以进行非手术治疗。材料与方法:对26例经诊断为急性无并发症阑尾炎并接受非手术治疗的患者进行回顾性分析。定义无并发症阑尾炎的依据是症状的持续时间(
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引用次数: 0
Mikrobiyal keratitli hastaların demografik, laboratuvar ve klinik özelliklerinin analitik olarak incelenmesi
Pub Date : 2023-08-28 DOI: 10.31362/patd.1311349
Fatma Sümer, İlkay Bahçeci̇, Süleyman Karaman, Feyza Uzun
Purpose: In this study, we investigated epidemiological properties, clinical findings, risk factors, direct microscopy and culture results in the patients diagnosed with microbial keratitis. Materials and Methods: We examined the hospital records of patients with microbial keratitis between March 2016 and March 2021, retrospectively. Also, clinical findings, risk factors, microbiological results, empirical treatment and treatment responses were evaluated. Results:42 eyes of 42 patients whose mean age was 57.8 (range 18-70 years) included in the study. In 12 (28.5%) patients, a gram positive and gram negative bacterial finding was found in the stained microscopic examination. In total, microbial growth was detected in culture of 7 patients (16.6%), while growth was not detected in 35 patients (83.4%). No etiological factor was detected in 27 patients (64.4%). The complaints at admission were pain in 24 patients (57.6%), redness in 12 patients (28.8%), and both redness and pain in 6 patients (14.1%).While the visual acuity of 18 cases were preserved after the treatment, 24 cases (88.8%) achieved 1 or more line with the treatment. While the mean visual acuity was 0.69 ± 1.1 (0-3.1) logMAR before treatment, it increased to 0.79 ± 1.1 (0-3.1) logMAR after treatment (p=0.006). Conclusion: The keratitis is a common cause of unilateral blindness. Early diagnosis and treatment of the keratitis is a significant role on the prognosis. The success of the therapy can be provided starting empirical antimicrobial therapy by taking into consideration of the regional risk factors and common pathogens.
目的:探讨细菌性角膜炎患者的流行病学特征、临床表现、危险因素、直接镜检和培养结果。材料与方法:回顾性分析2016年3月至2021年3月间细菌性角膜炎患者的住院记录。同时,对临床表现、危险因素、微生物学结果、经验性治疗和治疗效果进行了评价。结果:纳入42例患者42只眼,平均年龄57.8岁(18-70岁)。在12例(28.5%)患者中,染色镜检发现革兰氏阳性和革兰氏阴性细菌。总共有7例(16.6%)患者在培养物中检测到微生物生长,35例(83.4%)患者未检测到微生物生长。27例(64.4%)患者未检出病因。入院时主诉疼痛24例(57.6%),发红12例(28.8%),同时发红和疼痛6例(14.1%)。治疗后视力保持18例,24例(88.8%)达到1线及以上。治疗前平均视力为0.69±1.1 (0-3.1)logMAR,治疗后平均视力为0.79±1.1 (0-3.1)logMAR,差异有统计学意义(p=0.006)。结论:角膜炎是单侧失明的常见原因。角膜炎的早期诊断和治疗对预后有重要作用。治疗的成功可以提供开始经验性抗菌治疗,考虑到区域危险因素和常见病原体。
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引用次数: 0
Çocuk diş hekimliği kliniğine travmatik diş yaralanmaları nedeniyle başvuran hastaların değerlendirilmesi: retrospektif bir çalışma
Pub Date : 2023-08-24 DOI: 10.31362/patd.1335765
Yıldırım Erdoğan, Arif Bolaca
Purpose: The purpose of this study was to evaluate the prevalence of traumatic dental injuries (TDIs), as well as to evaluate different factors associated with TDIs among children and adolescents referred over three-year period to the Pamukkale University, Faculty of Dentistry, Department of Pediatric Dentistry, Denizli. Materials and methods: Dental trauma records of patients were reviewed regarding demographic data, affected teeth, type and etiology of TDIs, location and season of TDIs, time elapsed following TDIs and initial treatment, and treatment of TDIs. Results: Data associated with 258 patients, 471 traumatized teeth (primary teeth:152, permanent teeth:319) were analyzed. Both the primary and permanent maxillary central incisors were the most common affected teeth by TDIs. Primary teeth showed a higher frequency of periodontal tissue injuries (75.00%) and lower frequency of dental hard tissue injuries (21.05%) compared with permanent teeth (49.84% and 58.62%, respectively). Falls were the main etiological factor of TDIs both in the primary (73.68%) and permanent (58.31%) teeth. Only 27 patients (5.49%) were referred to the clinic within one hour following TDIs. Conclusion: Early management of TDIs is important to improve the prognosis of traumatized teeth and prevent post-traumatic complications. The low rate of early referral indicates the need for educational and preventive programs regarding TDIs among the patients, parents/legal guardians, and teachers.
目的:本研究的目的是评估创伤性牙损伤(TDIs)的患病率,以及评估与TDIs相关的儿童和青少年在三年内转介到Pamukkale大学牙科学院,Denizli儿科牙科学系的不同因素。材料和方法:回顾患者的牙外伤记录,包括人口统计学资料、患牙、tdi的类型和病因、tdi的位置和季节、tdi后的时间和初次治疗以及tdi的治疗情况。结果:对258例患者471颗损伤牙(乳牙152颗,恒牙319颗)的资料进行分析。上颌中切牙和上颌中切牙是最常见的上颌中切牙。乳牙牙周组织损伤发生率(75.00%)高于恒牙(49.84%),牙硬组织损伤发生率(21.05%)低于恒牙(58.62%)。跌倒是乳牙(73.68%)和恒牙(58.31%)发生tdi的主要原因。只有27例(5.49%)患者在tdi后1小时内转诊。结论:早期处理tdi对改善损伤牙的预后和预防创伤后并发症具有重要意义。早期转诊率低表明需要在患者、家长/法定监护人和教师中开展有关tdi的教育和预防计划。
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引用次数: 0
HORMON RESEPTÖR POZİTİF, HER-2 NEGATİF METASTATİK MEME KANSERLİ HASTALARDA CDK4/6 İNHİBİTÖRÜ TEDAVİSİ ÖNCESİ SİSTEMİK İMMÜN İNFLAMASYON İNDEKSLERİNİN VE PROGNOSTİK NUTRİSYONEL İNDEKSİN PROGNOSTİK ÖNEMİ
Pub Date : 2023-08-21 DOI: 10.31362/patd.1268419
Burçin ÇAKAN DEMİREL, Arzu Yaren, A. G. Demi̇ray, Burcu YAPAR TAŞKÖYLÜ, Tolga Doğan, Melek Özdemi̇r, Taliha GÜÇLÜ KANTAR, Canan Karan, Serkan Deği̇rmenci̇oğlu, Gamze GOKOZ DOGU
Abstract Purpose: As systemic inflammatory indices and prognostic nutritional index are associated with poor prognosis in many tumor types, the goal of the present study was to ascertain their effect along with the neutrophil/lymphocyte ratio, platelet/lymphocyte ratio, lymphocyte/monocyte ratio, C-reactive protein/albumin ratio, and systemic inflammatory response index on the progression-free survival (PFS) and overall survival (OS) of hormone receptor-positive HER2-negative (HR+/HER2−) metastatic breast cancer patients before CDK4/6 inhibitor treatment. Materials and Method: The medical records of 79 patients with HR+/HER2− metastatic breast cancer who presented at the Medical Oncology Outpatient Clinic between January 2018 and May 2022 were retrospectively analyzed to gather relevant data measured before CDK4/6 inhibitor treatment in order to establish the effect of key markers on their PFS and OS. Results: The median age of the participating patients, 70 (88.6%) of whom were postmenopausal, was 53 years (range 26−80 years). While 68 patients (86.1%) had a 0 performance score, 10 (12.7%) developed metastases during adjuvant endocrine therapy. Factors affecting PFS were age
摘要目的:由于在许多肿瘤类型中,全身炎症指数和预后营养指数与预后不良相关,本研究的目的是确定它们与中性粒细胞/淋巴细胞比率、血小板/淋巴细胞比率、淋巴细胞/单核细胞比率、c反应蛋白/白蛋白比率、和全身炎症反应指数对激素受体阳性HER2阴性(HR+/HER2−)转移性乳腺癌患者在CDK4/6抑制剂治疗前的无进展生存期(PFS)和总生存期(OS)的影响。材料与方法:回顾性分析2018年1月至2022年5月在肿瘤医学门诊就诊的79例HR+/HER2−转移性乳腺癌患者的病历,收集CDK4/6抑制剂治疗前测量的相关数据,以确定关键标志物对其PFS和OS的影响。结果:参与研究的患者中位年龄为53岁(范围26 ~ 80岁),绝经后患者70例(88.6%)。68例患者(86.1%)表现为0分,10例患者(12.7%)在辅助内分泌治疗期间发生转移。影响PFS的因素有年龄
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引用次数: 0
Acil serviste KOAH atağı başvuruları ile hava kirliliği ve sıcaklık arasındaki ilişki
Pub Date : 2023-08-21 DOI: 10.31362/patd.1320033
Hülya YILMAZ BAŞER, Hale Nur Can
Purpose: We aimed to investigate the relationship between air pollution, temperature and COPD attacks in two different centers. Materials and methods: Two centers, Bandırma and Van, were included in the study. In addition, temperature grouping was also done. Air pollution and temperature values were obtained from official sites. COPD data were scanned retrospectively from hospital information management systems. Results: In the first 3 months (Group 1) included in the study, the PM10 value, the number of COPD treatment in the emergency department (ED) and the number of COPD hospitalizations in the ED were also found to be high in Van (p=0.05, p=0.05 and p=0.034, respectively). In the last 3 months (Group 2) period included in the study, it was observed that the mean temperature was lower in Van, and the rate of hospitalizations and hospitalizations due to COPD were higher in Van (p=0.05, p=0.05, and p=0.05, respectively). In the correlation analysis, a strong positive correlation was found between PM10 value and COPD treatment and hospitalization for COPD in Group 1 (r;0.986, p
目的:我们旨在调查两个不同中心的空气污染、温度与COPD发作之间的关系。材料和方法:研究纳入了Bandırma和Van两个中心。此外,还进行了温度分组。空气污染和温度值均来自官方网站。从医院信息管理系统中回顾性扫描COPD数据。结果:在纳入研究的前3个月(第1组),Van地区的PM10值、急诊科COPD治疗次数和急诊科COPD住院次数均较高(p=0.05、p=0.05和p=0.034)。在研究的最后3个月(第2组)期间,观察到Van的平均气温较低,住院率和因COPD住院率较高(p=0.05, p=0.05, p=0.05)。在相关分析中,1组患者PM10值与COPD治疗及住院治疗呈强正相关(r;0.986, p
{"title":"Acil serviste KOAH atağı başvuruları ile hava kirliliği ve sıcaklık arasındaki ilişki","authors":"Hülya YILMAZ BAŞER, Hale Nur Can","doi":"10.31362/patd.1320033","DOIUrl":"https://doi.org/10.31362/patd.1320033","url":null,"abstract":"Purpose: We aimed to investigate the relationship between air pollution, temperature and COPD attacks in two different centers. \u0000Materials and methods: Two centers, Bandırma and Van, were included in the study. In addition, temperature grouping was also done. Air pollution and temperature values were obtained from official sites. COPD data were scanned retrospectively from hospital information management systems. \u0000Results: In the first 3 months (Group 1) included in the study, the PM10 value, the number of COPD treatment in the emergency department (ED) and the number of COPD hospitalizations in the ED were also found to be high in Van (p=0.05, p=0.05 and p=0.034, respectively). In the last 3 months (Group 2) period included in the study, it was observed that the mean temperature was lower in Van, and the rate of hospitalizations and hospitalizations due to COPD were higher in Van (p=0.05, p=0.05, and p=0.05, respectively). In the correlation analysis, a strong positive correlation was found between PM10 value and COPD treatment and hospitalization for COPD in Group 1 (r;0.986, p","PeriodicalId":19789,"journal":{"name":"Pamukkale Medical Journal","volume":"70 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82675269","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}
引用次数: 0
MGUS'ta azalmış GADD45A gen ifadesi seviyesi
Pub Date : 2023-08-08 DOI: 10.31362/patd.1291199
Ilknur Suer, Aynur DAĞLAR ADAY, Gözde Öztan
Purpose: Monoclonal gammopathy of undetermined significance (MGUS) is a plasma cell dyscrasia. It is known that MGUS has an increased risk of progression to multiple myeloma (MM), and also prepares the ground for diseases such as Waldenstrom macroglobulinemia (WM), non-Hodgkin lymphoma, and chronic lymphocytic leukemia (CLL). Our study aimed to evaluate whether some important p53 pathway genes differ in terms of expression in MGUS and healthy individuals. Materials and methods: For the study, bone marrow was collected from 8 healthy individuals and 8 individuals diagnosed with MGUS, and RNA samples were isolated. Expression levels of various genes involved in the p53 pathway were compared using the RT2-profiler PCR array. β-actin housekeeping gene expression level was used for normalization. The Pearson Correlation analysis and Receiver Operating Characteristic (ROC) analysis were conducted. Results: Among the genes whose expression levels were examined in this study, it was determined that the expression level of only the GADD45A gene decreased significantly in MGUS compared to the control group (p=0.027). Pearson correlation data showed that GADD45A gene expression was highly correlated with 12 of the other genes (APAF1, CDK4, PCNA, BAX, CDKN2A, CASP9, CHECK2, MDM2, RB1, P53, BCL2, CHEK1) examined in the p53 pathway (r>0.7). In addition, according to the ROC analysis, GADD45A is detected to have a strong discrimination power between MGUS and healthy individuals (AUC=0.797 and p=0.015). Conclusion: The decreased expression of the GADD45A gene in the MGUS group compared to the control group may be useful as a new biomarker to detect the risk of progression from MGUS to MM.
目的:未确定意义单克隆γ病(MGUS)是一种浆细胞病变。众所周知,MGUS会增加进展为多发性骨髓瘤(MM)的风险,也为Waldenstrom巨球蛋白血症(WM)、非霍奇金淋巴瘤和慢性淋巴细胞白血病(CLL)等疾病的发生奠定了基础。我们的研究旨在评估一些重要的p53通路基因在MGUS和健康个体中的表达是否存在差异。材料与方法:本研究采集8例健康个体和8例MGUS患者的骨髓,并分离RNA样本。使用RT2-profiler PCR阵列比较了p53通路中涉及的各种基因的表达水平。β-肌动蛋白管家基因表达水平归一化。进行Pearson相关分析和受试者工作特征(Receiver Operating Characteristic, ROC)分析。结果:在本研究检测表达水平的基因中,确定MGUS中只有GADD45A基因的表达水平较对照组显著降低(p=0.027)。Pearson相关数据显示,GADD45A基因表达与P53通路中检测的其他12个基因(APAF1、CDK4、PCNA、BAX、CDKN2A、CASP9、CHECK2、MDM2、RB1、P53、BCL2、CHEK1)高度相关(r>0.7)。此外,根据ROC分析,检测到GADD45A在MGUS和健康个体之间具有较强的区分能力(AUC=0.797, p=0.015)。结论:与对照组相比,MGUS组GADD45A基因的表达降低,可能作为一种新的生物标志物,用于检测MGUS向MM进展的风险。
{"title":"MGUS'ta azalmış GADD45A gen ifadesi seviyesi","authors":"Ilknur Suer, Aynur DAĞLAR ADAY, Gözde Öztan","doi":"10.31362/patd.1291199","DOIUrl":"https://doi.org/10.31362/patd.1291199","url":null,"abstract":"Purpose: Monoclonal gammopathy of undetermined significance (MGUS) is a plasma cell dyscrasia. It is known that MGUS has an increased risk of progression to multiple myeloma (MM), and also prepares the ground for diseases such as Waldenstrom macroglobulinemia (WM), non-Hodgkin lymphoma, and chronic lymphocytic leukemia (CLL). Our study aimed to evaluate whether some important p53 pathway genes differ in terms of expression in MGUS and healthy individuals. Materials and methods: For the study, bone marrow was collected from 8 healthy individuals and 8 individuals diagnosed with MGUS, and RNA samples were isolated. Expression levels of various genes involved in the p53 pathway were compared using the RT2-profiler PCR array. β-actin housekeeping gene expression level was used for normalization. The Pearson Correlation analysis and Receiver Operating Characteristic (ROC) analysis were conducted. Results: Among the genes whose expression levels were examined in this study, it was determined that the expression level of only the GADD45A gene decreased significantly in MGUS compared to the control group (p=0.027). Pearson correlation data showed that GADD45A gene expression was highly correlated with 12 of the other genes (APAF1, CDK4, PCNA, BAX, CDKN2A, CASP9, CHECK2, MDM2, RB1, P53, BCL2, CHEK1) examined in the p53 pathway (r>0.7). In addition, according to the ROC analysis, GADD45A is detected to have a strong discrimination power between MGUS and healthy individuals (AUC=0.797 and p=0.015). Conclusion: The decreased expression of the GADD45A gene in the MGUS group compared to the control group may be useful as a new biomarker to detect the risk of progression from MGUS to MM.","PeriodicalId":19789,"journal":{"name":"Pamukkale Medical Journal","volume":"54 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81281082","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}
引用次数: 0
COVID-19 pandemisinin ulusal göz hastalıkları toplantılarındaki bildiri katılımı üzerine etkileri
Pub Date : 2023-08-08 DOI: 10.31362/patd.1332438
İ. Toprak, D. Kilic
Purpose: The aim of the current study is to evaluate the effect of COVID-19 pandemic on paper participation in national ophthalmology meetings held by the Turkish Ophthalmology Association (TOA). Materials and methods: The data for the previous national ophthalmology meetings held by the TOA were gathered retrospectively from the TOA website. The COVID-19 pandemic-related online sessions and meetings with a scheduled in-person follow-up were taken into consideration. The number of poster and oral presentations and subject areas of the papers were recorded. Results: The total number of poster and oral presentations in online meetings was 1505, while it was 1294 in face-to-face meetings (a 14.0% difference). Regarding poster presentations, a total of 1001 posters were presented in online meetings, whereas number of poster presentations was 865 in face-to-face meetings. Similarly, in online meetings, the number of oral presentations was 504, while it was 429 in face-to-face meetings. This finding demonstrated both poster and oral presentation participation was higher by 13.5% and 14.8% (respectively) in online meetings than in the face-to-face meetings. Conclusion: It appears that national ophthalmology meetings held online during the COVID-19 pandemic had a favorable impact on the paper submission rate, and online meetings made sure that scientific sharing and collaboration continued and made it accessible to wider populations.
目的:本研究旨在评估2019冠状病毒病大流行对土耳其眼科协会(TOA)召开的全国眼科会议论文参与情况的影响。材料与方法:回顾性收集TOA网站上历届全国眼科会议的资料。考虑到与COVID-19大流行相关的在线会议和安排面对面随访的会议。记录了海报和口头报告的数量以及论文的主题领域。结果:网络会议的海报和口头报告总数为1505份,而面对面会议的海报和口头报告总数为1294份(差异为14.0%)。在海报展示方面,在线会议共展示了1001张海报,而面对面会议的海报展示数量为865张。同样,在在线会议中,口头陈述的次数为504次,而面对面会议为429次。这一发现表明,在网络会议中,海报和口头陈述的参与率分别比面对面会议高13.5%和14.8%。结论:新冠肺炎疫情期间在线召开的全国眼科会议对论文提交率产生了有利影响,在线会议确保了科学共享与协作的持续进行,并使更广泛的人群可以获得。
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引用次数: 0
Tıp Fakültesi Öğrencilerinde Sosyal Medya Bağımlılığının; Dissosiyasyon, Sosyal Anksiyete ve Aleksitimi ile İlişkisi
Pub Date : 2023-07-31 DOI: 10.31362/patd.1321281
Merve AKTAŞ TERZİOĞLU, Tuğçe TOKER UĞURLU
Objective: The aim of this study was to evaluate social media addiction in medical faculty students and the relationships with dissociation and social anxiety experienced in social media use and the level of alexithymia. Methods: 329 students who agreed to participate in the research completed the following scales; Bergen Social Media Addiction Scale (BSMAS), Toronto Alexithymia Scale (TAS-20), Van Online Dissociative Experiences Scale (VODES), Social Anxiety Scale for Social Media Users (SAS-SMU). Results: The 4 sub-scales of the SAS-SMU, the 3 sub-scales of the TAS, and the VODES were analyzed as independent variables and the BSMAS was evaluated as a dependent variable. According to this, social media addiction was affected by the shared content anxiety and self-assessment anxiety sub-scale points of the SAS-SMU, and by the VODES points. Shared content anxiety was determined to predict social media addiction positively and significantly (β=0.264, t (320) = 3.16, p=0.002). Self-assessment anxiety was determined to predict social media addiction positively and significantly (β=0.169, t (320) = 2.23, p=0.026). Online dissociative experiences was determined to predict social media addiction positively and significantly (β=0.217, t (320) = 4.15, p
目的:探讨医学生社交媒体成瘾及其与社交媒体使用中的解离、社交焦虑和述情障碍水平的关系。方法:同意参与研究的329名学生完成以下量表;卑尔根社交媒体成瘾量表(BSMAS)、多伦多述情障碍量表(TAS-20)、Van在线分离体验量表(VODES)、社交媒体用户社交焦虑量表(SAS-SMU)。结果:SAS-SMU的4个分量表、TAS的3个分量表和VODES作为自变量进行分析,BSMAS作为因变量进行评价。由此可见,社交媒体成瘾受到SAS-SMU共享内容焦虑和自评焦虑子量表分以及VODES分的影响。共享内容焦虑对社交媒体成瘾有显著正向预测作用(β=0.264, t (320) = 3.16, p=0.002)。自评焦虑对社交媒体成瘾有显著正向预测作用(β=0.169, t (320) = 2.23, p=0.026)。在线分离体验被确定为正向和显著地预测社交媒体成瘾(β=0.217, t (320) = 4.15, p
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引用次数: 0
Comparison of the effectiveness of various valsalva maneuvers in the management of stable narrow and wide QRS complex tachycardia in the emergency department 各种valsalva手法在急诊科处理稳定窄宽QRS复杂心动过速的效果比较
Pub Date : 2023-07-26 DOI: 10.31362/patd.1312891
Reşad Beyoğlu, Mert Özen
Purpose: Narrow and wide QRS complex tachycardias are among the causes of arrhythmia in patients frequently admitted to the emergency department (ED). The first recommended step in the management of patients with a stable narrow and wide QRS tachycardia is a vagal maneuver. Althougah there are many maneuvers that can provide vagal stimulation, the most effective vagal maneuver is still unknown. This study aims at determining the most effective vagal maneuver by comparing the four most commonly used maneuvers. Materials and methods: One hundred and thirty-two patients were included in this study; they were randomly and equally distributed into four groups. Carotid sinus massage (CSM) was applied to the first group, the REVERT method was applied to the second group (a 10-cc injector was used), a modified REVERT method was applied to the third group (a 60-cc injector was used), and the abeslang (wooden tongue depressor) method was applied to the fourth group. During these four applications, the patients’ vital signs were monitored, and preparations were made for any emergency. Results: Of the 132 patients included in the study, 61 (46.2%) were males, and 71 (53.8%) were females. The average age of the patients was 56.3 years. One hundred and twenty-six had narrow QRS tachycardias, and 6 had stable wide QRS tachycardias. The patients were randomly distributed into 4 groups. In the 1st group, 1 patient (3%) returned to a normal rhythm with the CSM method. In the 2nd group, 3 patients (9.1%) returned to a normal rhythm with the REVERT method. Nine patients (27.3%) in the 3rd group returned to a normal rhythm with the modified REVERT method. 6 patients (18.2%) in the 4th group returned to normal rhythm with the abeslang method. None of the stable wide QRS tachycardias responded to vagal stimulation methods. Conclusion: The modified REVERT and abeslang methods are preferred primarily in patients entering the ED with the complaint of a stable narrow or wide QRS tachycardia in the case that a vagal maneuver is to be applied. On the other hand, a vagal maneuver is not effective in the management of a stable wide QRS tachycardia.
目的:窄宽QRS复合心动过速是急诊科(ED)患者频繁发生心律失常的原因之一。对于稳定窄宽QRS型心动过速患者,推荐的第一步是迷走神经操作。虽然有许多动作可以提供迷走神经刺激,但最有效的迷走神经操作仍然是未知的。本研究旨在通过比较四种最常用的迷走神经手法来确定最有效的迷走神经手法。材料与方法:本研究纳入132例患者;他们被随机平均地分成四组。第一组采用颈动脉窦按摩(CSM),第二组采用REVERT方法(注射器为10cc),第三组采用改良REVERT方法(注射器为60cc),第四组采用abeslang(木制压舌器)方法。在这四次应用中,监测患者的生命体征,并为任何紧急情况做好准备。结果:纳入研究的132例患者中,男性61例(46.2%),女性71例(53.8%)。患者平均年龄56.3岁。窄QRS心动过速126例,稳定宽QRS心动过速6例。患者随机分为4组。在第一组中,1例患者(3%)通过CSM方法恢复正常心律。在第二组中,3例患者(9.1%)使用REVERT方法恢复到正常节律。第三组9例(27.3%)患者经改良的REVERT法恢复正常心律。第四组6例(18.2%)患者经阿贝斯朗治疗后心律恢复正常。没有稳定的宽QRS心动过速对迷走神经刺激方法有反应。结论:改良的REVERT和abeslang方法主要适用于在迷走神经操作的情况下,以稳定的窄或宽QRS心动过速为主因进入ED的患者。另一方面,迷走神经操作在稳定宽QRS心动过速的治疗中并不有效。
{"title":"Comparison of the effectiveness of various valsalva maneuvers in the management of stable narrow and wide QRS complex tachycardia in the emergency department","authors":"Reşad Beyoğlu, Mert Özen","doi":"10.31362/patd.1312891","DOIUrl":"https://doi.org/10.31362/patd.1312891","url":null,"abstract":"Purpose: Narrow and wide QRS complex tachycardias are among the causes of arrhythmia in patients frequently admitted to the emergency department (ED). The first recommended step in the management of patients with a stable narrow and wide QRS tachycardia is a vagal maneuver. Althougah there are many maneuvers that can provide vagal stimulation, the most effective vagal maneuver is still unknown. This study aims at determining the most effective vagal maneuver by comparing the four most commonly used maneuvers. \u0000Materials and methods: One hundred and thirty-two patients were included in this study; they were randomly and equally distributed into four groups. Carotid sinus massage (CSM) was applied to the first group, the REVERT method was applied to the second group (a 10-cc injector was used), a modified REVERT method was applied to the third group (a 60-cc injector was used), and the abeslang (wooden tongue depressor) method was applied to the fourth group. During these four applications, the patients’ vital signs were monitored, and preparations were made for any emergency. \u0000Results: Of the 132 patients included in the study, 61 (46.2%) were males, and 71 (53.8%) were females. The average age of the patients was 56.3 years. One hundred and twenty-six had narrow QRS tachycardias, and 6 had stable wide QRS tachycardias. The patients were randomly distributed into 4 groups. In the 1st group, 1 patient (3%) returned to a normal rhythm with the CSM method. In the 2nd group, 3 patients (9.1%) returned to a normal rhythm with the REVERT method. Nine patients (27.3%) in the 3rd group returned to a normal rhythm with the modified REVERT method. 6 patients (18.2%) in the 4th group returned to normal rhythm with the abeslang method. None of the stable wide QRS tachycardias responded to vagal stimulation methods. \u0000Conclusion: The modified REVERT and abeslang methods are preferred primarily in patients entering the ED with the complaint of a stable narrow or wide QRS tachycardia in the case that a vagal maneuver is to be applied. On the other hand, a vagal maneuver is not effective in the management of a stable wide QRS tachycardia.","PeriodicalId":19789,"journal":{"name":"Pamukkale Medical Journal","volume":"269 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74659901","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}
引用次数: 0
期刊
Pamukkale Medical Journal
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