Objective: The aim of this study was to investigate percentages and gender distribution of the variations of the inferior vena cava (IVC), renal veins, and posterior lumbar tributaries of the left renal vein (LRV). Materials and Methods: For this cross sectional observational study, the computed tomography (CT) images of 1949 patients were evaluated retrospectively. Results: In the present study, percentages of double IVC, left IVC, and IVC interruption with azygos continuation were 0.5%, 0.2%, and 0.1%, respectively; circumaortic left renal vein (CLRV) was 6% and retroaortic left renal vein (RLRV) was 4.2%. Multiple renal vein variations were 24.1% on the right, but none on the left. Posterior lumbar tributaries of the renal veins were 0.15% on the right and 48% on the left. There was no difference between genders in terms of LRV and IVC variations. While the incidence of multiple right renal veins was statistically significantly higher in male patients compared to female patients (p = 0.045), the opposite was true for the posterior lumbar tributaries of the LRV (p = 0.035). Conclusion: The venous system has a wide variety of variations, and the renal venous circulation is supported by number variations on the right in men and collaterals on the left in women.
{"title":"Percentages and Gender Distribution of Anatomic Variations of Inferior Vena Cava, Renal Veins, and Posterior Lumbar Tributaries of the Left Renal Vein Left Renal Vein Drainage Variations","authors":"Serife Leblebisatan","doi":"10.31832/smj.1001076","DOIUrl":"https://doi.org/10.31832/smj.1001076","url":null,"abstract":"Objective: The aim of this study was to investigate percentages and gender distribution of the variations of the inferior vena cava (IVC), renal veins, and posterior lumbar tributaries of the left renal vein (LRV). \u0000Materials and Methods: For this cross sectional observational study, the computed tomography (CT) images of 1949 patients were evaluated retrospectively. \u0000Results: In the present study, percentages of double IVC, left IVC, and IVC interruption with azygos continuation were 0.5%, 0.2%, and 0.1%, respectively; circumaortic left renal vein (CLRV) was 6% and retroaortic left renal vein (RLRV) was 4.2%. Multiple renal vein variations were 24.1% on the right, but none on the left. Posterior lumbar tributaries of the renal veins were 0.15% on the right and 48% on the left. There was no difference between genders in terms of LRV and IVC variations. While the incidence of multiple right renal veins was statistically significantly higher in male patients compared to female patients (p = 0.045), the opposite was true for the posterior lumbar tributaries of the LRV (p = 0.035). \u0000Conclusion: The venous system has a wide variety of variations, and the renal venous circulation is supported by number variations on the right in men and collaterals on the left in women.","PeriodicalId":21405,"journal":{"name":"Sakarya Medical Journal","volume":"30 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91206268","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}
Aim: This study investigated the relationship between Triglyceride Glucose, Neutrophil Lymphocyte Ratio, and gonarthrosis disease to investigate the role of these indicators in developing gonarthrosis. Method: Our study retrospectively investigated 141 patients aged between 50-84 years old who underwent follow-up in our orthopedic clinic between 01.06.2022-01.10.2021. The participants were divided into two control and study groups. Participants diagnosed with gonarthrosis were included in the study group, and healthy controls were included in the control group. Demographic characteristics of the patients and biochemical data were collected from patient files and electronic records. Results: The age of the patients was 54±12.5 (18-75) years. Among the biochemical parameters in our study, in cases with fasting gallstones, plasma glucose is 124.6 ± 24.5 mg/dL, triglyceride 198.3 ± 36.8 mg/dL, insulin 16.5 ± 5.6 uIU/mL, HOMA-IR 4 The level of .8±1.2 was statistically significantly higher in all of them compared to the control group (p=0.001). TGYI shows a significant difference according to the group (p
{"title":"Association Between Triglyceride Glucose Index and Neutrophil Lymphocyte Ratio in Patients with Gonarthrosis","authors":"Z. Ergenç, H. Ergenç, Sami Oflaz","doi":"10.31832/smj.1191878","DOIUrl":"https://doi.org/10.31832/smj.1191878","url":null,"abstract":"Aim: This study investigated the relationship between Triglyceride Glucose, Neutrophil Lymphocyte Ratio, and gonarthrosis disease to investigate the role of these indicators in developing gonarthrosis. \u0000Method: Our study retrospectively investigated 141 patients aged between 50-84 years old who underwent follow-up in our orthopedic clinic between 01.06.2022-01.10.2021. The participants were divided into two control and study groups. Participants diagnosed with gonarthrosis were included in the study group, and healthy controls were included in the control group. Demographic characteristics of the patients and biochemical data were collected from patient files and electronic records. \u0000Results: The age of the patients was 54±12.5 (18-75) years. Among the biochemical parameters in our study, in cases with fasting gallstones, plasma glucose is 124.6 ± 24.5 mg/dL, triglyceride 198.3 ± 36.8 mg/dL, insulin 16.5 ± 5.6 uIU/mL, HOMA-IR 4 The level of .8±1.2 was statistically significantly higher in all of them compared to the control group (p=0.001). TGYI shows a significant difference according to the group (p","PeriodicalId":21405,"journal":{"name":"Sakarya Medical Journal","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86286791","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: Due to the presence or proximity of medical imaging modalities in emergency departments, their use is becoming widespread in pediatric and adult emergency departments. Especially with the COVID-19 pandemic, the use of computed tomography as a rapid and sensitive method for the diagnosis of pneumonia has also increased. This study aimed to analyse the change in the trends of imaging modalities in emergency departments over the last 6 years in our country. Material and Methods: A retrospective descriptive study was conducted in the emergency departments of public and university hospitals in Turkey between January 1, 2016, and December 31, 2021. The numbers and percents of imaging requests (CT,MRI,radiographs,USG) were analyzed. Results: Regarding imaging per admission were considered, Plain radiograph constituted the most requested examinations compared to all applications (31%-36%). Then, the rates were followed by CT (10.84%-23.40%), and the highest CT requests were found in 2020(n=17.192.695). Overall, there was a statistically significant difference between years in terms of imaging types (X2 65.05, p
简介:由于在急诊科的存在或接近医学成像模式，它们的使用在儿科和成人急诊科变得广泛。特别是随着COVID-19大流行，计算机断层扫描作为一种快速、灵敏的肺炎诊断方法的使用也有所增加。本研究旨在分析过去6年来我国急诊科影像模式的变化趋势。材料和方法:回顾性描述性研究于2016年1月1日至2021年12月31日在土耳其公立医院和大学医院的急诊科进行。分析了影像学要求(CT、MRI、x线片、USG)的数量和百分比。结果:考虑到每次入院的影像学检查，x线平片是所有申请中最需要的检查(31%-36%)。其次是CT(10.84% ~ 23.40%)，其中2020年的CT请求率最高(n=17.192.695)。总体而言，不同年份在影像学类型方面存在统计学差异(X2 65.05, p
{"title":"CHANGES IN THE USE OF MEDICAL IMAGING MODALITIES IN THE EMERGENCY DEPARTMENTS FROM 2016 TO 2022","authors":"Attila Beştemir, Göksu Bozdereli Berikol","doi":"10.31832/smj.1246856","DOIUrl":"https://doi.org/10.31832/smj.1246856","url":null,"abstract":"Introduction: Due to the presence or proximity of medical imaging modalities in emergency departments, their use is becoming widespread in pediatric and adult emergency departments. Especially with the COVID-19 pandemic, the use of computed tomography as a rapid and sensitive method for the diagnosis of pneumonia has also increased. This study aimed to analyse the change in the trends of imaging modalities in emergency departments over the last 6 years in our country. \u0000Material and Methods: A retrospective descriptive study was conducted in the emergency departments of public and university hospitals in Turkey between January 1, 2016, and December 31, 2021. The numbers and percents of imaging requests (CT,MRI,radiographs,USG) were analyzed. \u0000Results: Regarding imaging per admission were considered, Plain radiograph constituted the most requested examinations compared to all applications (31%-36%). Then, the rates were followed by CT (10.84%-23.40%), and the highest CT requests were found in 2020(n=17.192.695). Overall, there was a statistically significant difference between years in terms of imaging types (X2 65.05, p","PeriodicalId":21405,"journal":{"name":"Sakarya Medical Journal","volume":"5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83528535","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}
Amaç: Çalışmamızda perkütan kolesistostominin (PK) hastaların klinik ve laboratuvar bulgularına etkisini araştırdık. Gereç ve Yöntem: Çalışmamıza Şubat 2017 ile Kasım 2018 tarihleri arasında PK yapılan 36 hasta dahil edildi.Hastaların işlem öncesi ve sonrası klinik ve laboratuvar bulguları retrospektif olarak tarandı. Bulgular: Hastalarımızda rekürrens görülmemiştir. PK işlemi ile ilişkili mortalite ya da komplikasyon izlenmemiştir. Kateterin takılı kalma süresi 50,2 ± 26,1 gün, hastane yatış süresi 7,5 ± 5,2 gün olarak belirlenmiştir. Total bilirubin değeri ve beyaz küre sayısı yüksek olan hasta sayısında işlem öncesi ve sonrası arasında istatistiksel olarak anlamlı fark saptanmıştır. ALT, ALP, CRP, beyaz küre sayısı, total ve direkt bilirubin parametrelerinin işlem öncesi ve sonrası değerleri arasında da istatistiksel olarak anlamlı fark saptanmıştır. Tokyo kılavuzu evresi ile yoğun bakım ihtiyacı arasında istatistiksel olarak anlamlı fark saptanmış olup yoğun bakımda tedavi gösteren tüm hastalar evre 3’tür.PK sonrasında cerrahiye giden hastaların yaş ortalaması diğer gruba göre daha yüksektir. Sonuç: İşlem sonrasında beyaz küre sayısı ve CRP değerinde anlamlı düşüş ve hastaların çoğunluğunda klinik düzelme görülmesi PK’nin A.K kaynaklı enflamatuar süreçleri olumlu yönde etkilediğini göstermektedir. Çalışmamızda işlem sonrasında ALT ve ALP değerlerinde anlamlı düşüş saptanmış olup, bu bulgu bildiğimiz kadarıyla literatürde ilk kez tanımlanmıştır.
{"title":"Perkütan Kolesistostominin Akut Kolesistit Tedavisindeki Yeri","authors":"Erbil Arik, Asım Esenkaya, F. Altıntoprak","doi":"10.31832/smj.1215454","DOIUrl":"https://doi.org/10.31832/smj.1215454","url":null,"abstract":"Amaç: Çalışmamızda perkütan kolesistostominin (PK) hastaların klinik ve laboratuvar bulgularına etkisini araştırdık. \u0000 \u0000Gereç ve Yöntem: Çalışmamıza Şubat 2017 ile Kasım 2018 tarihleri arasında PK yapılan 36 hasta dahil edildi.Hastaların işlem öncesi ve sonrası klinik ve laboratuvar bulguları retrospektif olarak tarandı. \u0000 \u0000Bulgular: Hastalarımızda rekürrens görülmemiştir. PK işlemi ile ilişkili mortalite ya da komplikasyon izlenmemiştir. Kateterin takılı kalma süresi 50,2 ± 26,1 gün, hastane yatış süresi 7,5 ± 5,2 gün olarak belirlenmiştir. Total bilirubin değeri ve beyaz küre sayısı yüksek olan hasta sayısında işlem öncesi ve sonrası arasında istatistiksel olarak anlamlı fark saptanmıştır. ALT, ALP, CRP, beyaz küre sayısı, total ve direkt bilirubin parametrelerinin işlem öncesi ve sonrası değerleri arasında da istatistiksel olarak anlamlı fark saptanmıştır. Tokyo kılavuzu evresi ile yoğun bakım ihtiyacı arasında istatistiksel olarak anlamlı fark saptanmış olup yoğun bakımda tedavi gösteren tüm hastalar evre 3’tür.PK sonrasında cerrahiye giden hastaların yaş ortalaması diğer gruba göre daha yüksektir. \u0000 \u0000Sonuç: İşlem sonrasında beyaz küre sayısı ve CRP değerinde anlamlı düşüş ve hastaların çoğunluğunda klinik düzelme görülmesi PK’nin A.K kaynaklı enflamatuar süreçleri olumlu yönde etkilediğini göstermektedir. Çalışmamızda işlem sonrasında ALT ve ALP değerlerinde anlamlı düşüş saptanmış olup, bu bulgu bildiğimiz kadarıyla literatürde ilk kez tanımlanmıştır.","PeriodicalId":21405,"journal":{"name":"Sakarya Medical Journal","volume":"44 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79306382","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}
U. Şenel, H. Tanriverdi, O. Demi̇r, Fikret Erdemir
Amaç:Nörojen Mesane tanısı ile Temiz Aralıklı Kateterizayon yapan hastalarda üriner enfeksiyon sık görülmekte tanısında gecikmeler ve zorluklar bulunmaktadır. Çalışmamızda Temiz Aralıklı Kateterizayon yapan hastalarda idrar ısısı ölçümünün, üriner sistem enfeksiyonu tanısına katkısını araştırmaya çalıştık. Materyal ve Method: Nörojen mesane tanısı ile kliniğimizde takip edilen 9 kız 3 erkek hastanın toplam 33 idrar değerlendirmesi çalışmaya dahil edildi. Hastalar poliklinik başvurusunda bilgileri kaydedildikten sonra Temiz Aralıklı Kateterizayon odasında ailesi tarafından Temiz Aralıklı Kateterizayon yapıldı. Noncontact clinical termometre ile hastaya ve idrar numunelerine temas etmeden beden ısıları, idrar kabındaki idrar ısısı ve kateterdeki idrar ısısı Temiz Aralıklı Kateterizayon hemşiresi tarafından kaydedildi. Hasta daha sonra laboratuvar testi olarak idrar kültürü, idrar tetkiki, Hemogram,ve CRP testlerini verdi. Hastanın idrar ısından bilgisi olmadan aynı hekim tarafından hasta değerlendirilerek tedavisi planlandı. Sonuç: Üriner sistem enfeksiyonuna göre hastaların sonuçları incelendiğinde: üriner sistem enfeksiyonu tanısı konulan ve tedavi edilen hastaların beden ısılarında anlamlı bir değişiklik tespit edilememiştir. Üriner enfeksiyon tanısı konulanlan hastaların Temiz Aralıklı Kateterizayon kateterinden gelen ilk idrar ısıları 30.53±1.84oC olarak ölçülürken üriner sistem enfeksiyonu olmayan hastalarda 28.97±1.67oC olarak ölçülmüştür. Temiz Aralıklı Kateterizayon sonrası idrarın toplandığı idrar kabındaki ısı: üriner sistem enfeksiyonu tanısı konulan hastalarda 33.53±2.38oC olarak saptanırken bu değer üriner sistem enfeksiyonu tanısı olmayan hastalarda 31.66±2.59oC olarak saptanmıştır. Bu değerler incelendiğinde hem Temiz Aralıklı Kateterizayon kateterinde hemde idrar kabında ölçülen ısıların üriner sistem enfeksiyonu tanısı konulan hastalarda istatistiksel olarak anlamlı olmak üzere daha düzeyde yüksek olduğu görülmektedir Tartışma: Temiz Aralıklı Kateterizayon yapan hastalarda üriner sistem enfeksiyonu tanısı konulan fakat genel vücut ısısı artmamış hastalarda idrar ısısında istatistiksel olarak anlamlı bir ısı artış olduğunu izledik. Bu artışın sebebinin enfeksiyon bölgesinde oluşan enflamasyona ikincil olabileceğini düşünmekteyiz.
{"title":"TEMİZ ARALIKLI KATETERİZASYON YAPAN HASTALARDA İDRAR ISISI İLE ÜRİNER SİSTEM ENFEKSİYONU TAKİBİ","authors":"U. Şenel, H. Tanriverdi, O. Demi̇r, Fikret Erdemir","doi":"10.31832/smj.1209830","DOIUrl":"https://doi.org/10.31832/smj.1209830","url":null,"abstract":"Amaç:Nörojen Mesane tanısı ile Temiz Aralıklı Kateterizayon yapan hastalarda üriner enfeksiyon sık görülmekte tanısında gecikmeler ve zorluklar bulunmaktadır. Çalışmamızda Temiz Aralıklı Kateterizayon yapan hastalarda idrar ısısı ölçümünün, üriner sistem enfeksiyonu tanısına katkısını araştırmaya çalıştık. \u0000Materyal ve Method: Nörojen mesane tanısı ile kliniğimizde takip edilen 9 kız 3 erkek hastanın toplam 33 idrar değerlendirmesi çalışmaya dahil edildi. Hastalar poliklinik başvurusunda bilgileri kaydedildikten sonra Temiz Aralıklı Kateterizayon odasında ailesi tarafından Temiz Aralıklı Kateterizayon yapıldı. Noncontact clinical termometre ile hastaya ve idrar numunelerine temas etmeden beden ısıları, idrar kabındaki idrar ısısı ve kateterdeki idrar ısısı Temiz Aralıklı Kateterizayon hemşiresi tarafından kaydedildi. Hasta daha sonra laboratuvar testi olarak idrar kültürü, idrar tetkiki, Hemogram,ve CRP testlerini verdi. Hastanın idrar ısından bilgisi olmadan aynı hekim tarafından hasta değerlendirilerek tedavisi planlandı. \u0000Sonuç: Üriner sistem enfeksiyonuna göre hastaların sonuçları incelendiğinde: üriner sistem enfeksiyonu tanısı konulan ve tedavi edilen hastaların beden ısılarında anlamlı bir değişiklik tespit edilememiştir. Üriner enfeksiyon tanısı konulanlan hastaların Temiz Aralıklı Kateterizayon kateterinden gelen ilk idrar ısıları 30.53±1.84oC olarak ölçülürken üriner sistem enfeksiyonu olmayan hastalarda 28.97±1.67oC olarak ölçülmüştür. Temiz Aralıklı Kateterizayon sonrası idrarın toplandığı idrar kabındaki ısı: üriner sistem enfeksiyonu tanısı konulan hastalarda 33.53±2.38oC olarak saptanırken bu değer üriner sistem enfeksiyonu tanısı olmayan hastalarda 31.66±2.59oC olarak saptanmıştır. Bu değerler incelendiğinde hem Temiz Aralıklı Kateterizayon kateterinde hemde idrar kabında ölçülen ısıların üriner sistem enfeksiyonu tanısı konulan hastalarda istatistiksel olarak anlamlı olmak üzere daha düzeyde yüksek olduğu görülmektedir \u0000Tartışma: Temiz Aralıklı Kateterizayon yapan hastalarda üriner sistem enfeksiyonu tanısı konulan fakat genel vücut ısısı artmamış hastalarda idrar ısısında istatistiksel olarak anlamlı bir ısı artış olduğunu izledik. Bu artışın sebebinin enfeksiyon bölgesinde oluşan enflamasyona ikincil olabileceğini düşünmekteyiz.","PeriodicalId":21405,"journal":{"name":"Sakarya Medical Journal","volume":"57 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89161476","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: Morning headaches have been associated with sleep-related breathing disorders and Sleep Bruxism (SB). The present study aims to investigate the relationship between SB, primary headaches and the severity of Obstructive Sleep Apnea Syndrome (OSAS) in patients presenting with morning headaches and a prediagnosis of OSAS. MATERIALS AND METHODS: The study included 480 patients who prediagnosis of OSAS and morning headache complaints, and were diagnosed with primary headache according to the International Classification of Headache Disorders (ICHD). Age, gender, Body Mass Index (BMI), headache type, presence of SB, OSAS stage according to Apnea-Hypopnea Index (AHI), and presence of hypoxia were recorded. Patients were then divided into 2 groups of SB (-) and SB (+), and both groups were compared in terms of headache. RESULTS. In the classification according to headache types, 31.5% of the patients were classified as migraine, 41.9% as tension-type headache (TTH), 2.1% as cluster, and 24.6% as other types of headache. While 76% of the patients had no SB, 24% had SB. The rate TTH was significantly (p
{"title":"The Effect of Bruxism on the Severity of OSAS in Patients with OSAS and Headache","authors":"F. Yavlal, S. Boncuk, Y. Güzey Aras","doi":"10.31832/smj.1223058","DOIUrl":"https://doi.org/10.31832/smj.1223058","url":null,"abstract":"OBJECTIVE: Morning headaches have been associated with sleep-related breathing disorders and Sleep Bruxism (SB). The present study aims to investigate the relationship between SB, primary headaches and the severity of Obstructive Sleep Apnea Syndrome (OSAS) in patients presenting with morning headaches and a prediagnosis of OSAS. \u0000MATERIALS AND METHODS: The study included 480 patients who prediagnosis of OSAS and morning headache complaints, and were diagnosed with primary headache according to the International Classification of Headache Disorders (ICHD). Age, gender, Body Mass Index (BMI), headache type, presence of SB, OSAS stage according to Apnea-Hypopnea Index (AHI), and presence of hypoxia were recorded. Patients were then divided into 2 groups of SB (-) and SB (+), and both groups were compared in terms of headache. \u0000RESULTS. In the classification according to headache types, 31.5% of the patients were classified as migraine, 41.9% as tension-type headache (TTH), 2.1% as cluster, and 24.6% as other types of headache. While 76% of the patients had no SB, 24% had SB. The rate TTH was significantly (p","PeriodicalId":21405,"journal":{"name":"Sakarya Medical Journal","volume":"25 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86886730","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 and aim: Randolph first proposed the concept of food addiction (FA) in 1956, but it has become more emphasized with the spread of obesity in recent years. In this study, we aimed to test the validity and reliability of the Turkish version of the modified Yale food addiction scale version 2.0, which has been developed to evaluate the substance use disorder criteria in DSM V in 2017 in terms of food addiction. Materials and methods: The methodological and descriptive study was performed in seven family medicine units between June 2017 and March 2018. A total of 271 people was included in the study, and the questionnaire was asked to answer a total of 32 questions, including 13 questions about phrasing, socio-demographic characteristics, habits, current diseases, and 19 questions about weight. In statistical analyses, the validity of the scale was tested for language validity, content validity, factor validity, and construct validity. In the reliability analysis, internal consistency and time invariance of the scale against time were evaluated. A p-value of
{"title":"The Validity And Reliability Of The Turkish Version Of The Modified Yale Food Addiction Scale Version 2.0","authors":"Şeyda Tok, H. Ekerbiçer, E. Yazıcı","doi":"10.31832/smj.1221917","DOIUrl":"https://doi.org/10.31832/smj.1221917","url":null,"abstract":"Introduction and aim: Randolph first proposed the concept of food addiction (FA) in 1956, but it has become more emphasized with the spread of obesity in recent years. In this study, we aimed to test the validity and reliability of the Turkish version of the modified Yale food addiction scale version 2.0, which has been developed to evaluate the substance use disorder criteria in DSM V in 2017 in terms of food addiction. \u0000Materials and methods: The methodological and descriptive study was performed in seven family medicine units between June 2017 and March 2018. A total of 271 people was included in the study, and the questionnaire was asked to answer a total of 32 questions, including 13 questions about phrasing, socio-demographic characteristics, habits, current diseases, and 19 questions about weight. In statistical analyses, the validity of the scale was tested for language validity, content validity, factor validity, and construct validity. In the reliability analysis, internal consistency and time invariance of the scale against time were evaluated. A p-value of","PeriodicalId":21405,"journal":{"name":"Sakarya Medical Journal","volume":"13 10 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88880230","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: Cardiovascular risk increases in patients with schizophrenia. In our study, it was aimed to predict the 10-year risk of developing cardiovascular disease using the Framingham risk score in schizophrenia patients living in nursing homes Materials and Methods: In our study, the sociodemographic and clinical characteristics of schizophrenia patients living in nursing homes, such as age, gender, educational status, duration of disease, and treatments used, and Framingham risk scoring which included age, gender total cholesterol, HDL, smoking status, systolic blood pressure, and presence of diabetes mellitus. were used in the calculation of cardiovascular risk. Also, the results of the General Assessment of Functioning and Clinical Global Impression disease severity scale were recorded in order to determine the functionality and severity of the disease. Results: 51 patients with schizophrenia were included, and the Framingham risk score of the patients was calculated as 4.65±4.63. While Framingham risk scores were significantly correlated with disease duration (r=0.284, p=0.044), age (r=0363, p=0.01) and length of stay in nursing home (r=0.538, p
{"title":"Investigation of the Relationship of Sociodemographic and Clinical Characteristics with Cardiovascular Risk Scores in Patients with Schizophrenia Living in Nursing Homes","authors":"Rumeysa Tasdelen, Batuhan Ayık, H. Kaya","doi":"10.31832/smj.1228002","DOIUrl":"https://doi.org/10.31832/smj.1228002","url":null,"abstract":"Objective: Cardiovascular risk increases in patients with schizophrenia. In our study, it was aimed to predict the 10-year risk of developing cardiovascular disease using the Framingham risk score in schizophrenia patients living in nursing homes \u0000Materials and Methods: In our study, the sociodemographic and clinical characteristics of schizophrenia patients living in nursing homes, such as age, gender, educational status, duration of disease, and treatments used, and Framingham risk scoring which included age, gender total cholesterol, HDL, smoking status, systolic blood pressure, and presence of diabetes mellitus. were used in the calculation of cardiovascular risk. Also, the results of the General Assessment of Functioning and Clinical Global Impression disease severity scale were recorded in order to determine the functionality and severity of the disease. \u0000Results: 51 patients with schizophrenia were included, and the Framingham risk score of the patients was calculated as 4.65±4.63. While Framingham risk scores were significantly correlated with disease duration (r=0.284, p=0.044), age (r=0363, p=0.01) and length of stay in nursing home (r=0.538, p","PeriodicalId":21405,"journal":{"name":"Sakarya Medical Journal","volume":"245 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77526747","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}
Background and Aim: Predicting high-risk patients is crucial in acute myocardial infarction (AMI). We aimed to investigate whether the leukoglycemic index (LGI) has a unique ability and to compare it with other inflammatory parameters in predicting in-hospital mortality in AMI. Methods: In this single-center study, we retrospectively analyzed all AMI patients hospitalized and followed by a single operator. Patients were divided into two according to in-hospital outcomes. Other inflammatory parameters (systemic immune-inflammatory index, platelet-lymphocyte ratio, neutrophil-lymphocyte ratio, triglyceride-HDL ratio, and LDL-HDL ratio), C-reactive protein (CRP), and LGI were calculated according to previously described criteria. Univariable and multivariable logistic regression analyses were used to find independent predictors. The receiver operating characteristic (ROC) curve was used to find the cut-off point of LGI and other parameters in predicting mortality. Results: A total of 304 patients with AMI were included in the study. The mean age was 62.18±11.89 and 74 (24.3%) of patients were female. The total death rate was 19 (6.3%). In univariate variable analysis, LGI was found as a significant predictor of mortality (p
{"title":"Leukoglycemic Index may be a Unique Parameter to Predict Mortality in Patients with Acute Myocardial Infarction: Single Operator Experience","authors":"F. Kahraman, H. Durmuş, Oğuz Kılıç","doi":"10.31832/smj.1222605","DOIUrl":"https://doi.org/10.31832/smj.1222605","url":null,"abstract":"Background and Aim: Predicting high-risk patients is crucial in acute myocardial infarction (AMI). We aimed to investigate whether the leukoglycemic index (LGI) has a unique ability and to compare it with other inflammatory parameters in predicting in-hospital mortality in AMI. \u0000Methods: In this single-center study, we retrospectively analyzed all AMI patients hospitalized and followed by a single operator. Patients were divided into two according to in-hospital outcomes. Other inflammatory parameters (systemic immune-inflammatory index, platelet-lymphocyte ratio, neutrophil-lymphocyte ratio, triglyceride-HDL ratio, and LDL-HDL ratio), C-reactive protein (CRP), and LGI were calculated according to previously described criteria. Univariable and multivariable logistic regression analyses were used to find independent predictors. The receiver operating characteristic (ROC) curve was used to find the cut-off point of LGI and other parameters in predicting mortality. \u0000Results: A total of 304 patients with AMI were included in the study. The mean age was 62.18±11.89 and 74 (24.3%) of patients were female. The total death rate was 19 (6.3%). In univariate variable analysis, LGI was found as a significant predictor of mortality (p","PeriodicalId":21405,"journal":{"name":"Sakarya Medical Journal","volume":"19 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80135625","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}
F. Şahin, H. Kocayiğit, Bedirhan Günel, O. Balaban
Objectives The appropriate anesthesia method in patients requiring surgical treatment with confirmed or suspected new coronavirus disease (COVID-19) is unclear. This study aimed to compare regional anesthesia (RA) with general anesthesia (GA) in patients with COVID-19 infection in terms of admission to intensive care unit (ICU), rate of pulmonary complications, and mortality. Materials and Methods We reviewed medical records between March 2020 and December 2021 added patients with COVID-19 that operated under RA or GA in the study. The patients were assigned into two groups: 1. patients operated under RA and 2. patients operated under GA. Primary outcomes were admission rates to the ICU, acute pulmonary, renal, and hepatic complications, and perioperative mortality rates. Results We included 123 patients in the study. Regional anesthesia was significantly higher in the cohort. 97 (78.9 %) patients were operated under RA and 26 (21.1 %) patients under GA. The admission rate to ICU was 8.2 %in the RA group and 11.5 %in the GA group. The difference was not significant (p=0.422). Pulmonary complications were seen in 6 (6.2 %) patients in the RA group and 2 (7.7 %) patients in the GA group without a significant difference (p=0.535). Perioperative mortality rates were comparable between groups (5.2 %in the RA group vs. 7.7 %in the GA group) (p=0.535). Conclusion Pulmonary complications, ICU admission, and perioperative mortality rates were lower in COVID-19 patients operated under regional anesthesia; however, the differences were not significant.
{"title":"Regional Anesthesia Vs General Anesthesia In Patients With Covid-19: The Effect On Critical Care Admission, Mortality Rates And Pulmonary Complications","authors":"F. Şahin, H. Kocayiğit, Bedirhan Günel, O. Balaban","doi":"10.31832/smj.1123832","DOIUrl":"https://doi.org/10.31832/smj.1123832","url":null,"abstract":"Objectives \u0000The appropriate anesthesia method in patients requiring surgical treatment with confirmed or suspected new coronavirus disease (COVID-19) is unclear. This study aimed to compare regional anesthesia (RA) with general anesthesia (GA) in patients with COVID-19 infection in terms of admission to intensive care unit (ICU), rate of pulmonary complications, and mortality. \u0000Materials and Methods \u0000We reviewed medical records between March 2020 and December 2021 added patients with COVID-19 that operated under RA or GA in the study. The patients were assigned into two groups: 1. patients operated under RA and 2. patients operated under GA. Primary outcomes were admission rates to the ICU, acute pulmonary, renal, and hepatic complications, and perioperative mortality rates. \u0000Results \u0000We included 123 patients in the study. Regional anesthesia was significantly higher in the cohort. 97 (78.9 %) patients were operated under RA and 26 (21.1 %) patients under GA. The admission rate to ICU was 8.2 %in the RA group and 11.5 %in the GA group. The difference was not significant (p=0.422). Pulmonary complications were seen in 6 (6.2 %) patients in the RA group and 2 (7.7 %) patients in the GA group without a significant difference (p=0.535). Perioperative mortality rates were comparable between groups (5.2 %in the RA group vs. 7.7 %in the GA group) (p=0.535). \u0000Conclusion \u0000Pulmonary complications, ICU admission, and perioperative mortality rates were lower in COVID-19 patients operated under regional anesthesia; however, the differences were not significant.","PeriodicalId":21405,"journal":{"name":"Sakarya Medical Journal","volume":"195 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83689700","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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