Pub Date : 2023-08-27DOI: 10.53424/balikesirsbd.1274939
H. Aydin, Oğuzhan Korkut, Aslıhan Izol, I. Bucak
Objective: The purpose of the present study was to evaluate the potential association between the phases of the moon and seizure attacks and treatment in patients diagnosed with epilepsy at a pediatric neurology clinic. Materials and Methods: 199 patients presenting to the Balıkesir University Medical Faculty pediatric neurology clinic, Turkey, diagnosed with epilepsy based on ILAE criteria were included in the study. The patients’ demographic characteristics, medications used, and family histories, and the frequency and duration of attacks were investigated retrospectively. Results: The mean age of the patients enrolled in the study (N=199) was 10.07±4.90 years. The patients were most frequently in the 12-18 age range (N=83, 41.7%). The majority of patients were male (N=104, 52.3%). Analysis revealed that seizures were most frequent in the full moon (N=54, 27.1%), followed by the new moon (N=52, 26.1%) and first quarter (N=47, 23.6%), and were least common in the third quarter (N=46, 23.1%). No statistically significant variation was determined in terms of attack frequencies during the different lunar phases between patients receiving monotherapy and polytherapy (p=0.206). Conclusion: The results of the present study suggest that there is no relationship between the lunar cycle and the frequency
{"title":"The relationship between the lunar cycle and epileptic attacks and their treatment","authors":"H. Aydin, Oğuzhan Korkut, Aslıhan Izol, I. Bucak","doi":"10.53424/balikesirsbd.1274939","DOIUrl":"https://doi.org/10.53424/balikesirsbd.1274939","url":null,"abstract":"Objective: The purpose of the present study was to evaluate the potential association between the phases of the moon and seizure attacks and treatment in patients diagnosed with epilepsy at a pediatric neurology clinic. Materials and Methods: 199 patients presenting to the Balıkesir University Medical Faculty pediatric neurology clinic, Turkey, diagnosed with epilepsy based on ILAE criteria were included in the study. The patients’ demographic characteristics, medications used, and family histories, and the frequency and duration of attacks were investigated retrospectively. Results: The mean age of the patients enrolled in the study (N=199) was 10.07±4.90 years. The patients were most frequently in the 12-18 age range (N=83, 41.7%). The majority of patients were male (N=104, 52.3%). Analysis revealed that seizures were most frequent in the full moon (N=54, 27.1%), followed by the new moon (N=52, 26.1%) and first quarter (N=47, 23.6%), and were least common in the third quarter (N=46, 23.1%). No statistically significant variation was determined in terms of attack frequencies during the different lunar phases between patients receiving monotherapy and polytherapy (p=0.206). Conclusion: The results of the present study suggest that there is no relationship between the lunar cycle and the frequency","PeriodicalId":247163,"journal":{"name":"Balıkesır Health Sciences Journal","volume":"148 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121202974","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-08-06DOI: 10.53424/balikesirsbd.1284998
S. Uçkun, F. Demir, Fatih Ugün, Nazan Kocaoğlu, Özlem Sağir, A. Köroğlu
Retrospective Comparison of Percutaneous Forceps Dilatation Tracheostomy and Conventional Surgical Tracheostomy INTRODUCTION AND AIM: We aimed to retrospectively evaluate the early complications of conventional surgical and percutaneous forceps dilatation tracheostomies in ICU patients. MATERIAL and METHODS: Electronic records of ICU patients hospitalized in our unit between 2019 and 2022 were retrospectively scanned. Demographic data, the tracheostomy tecnique and early complications related to the procedure were recorded. RESULTS: A total of 64 patients underwent a tracheostomy in our ICU. 34 (53.2%) patients underwent conventional surgical tracheostomy (CST) and 30 (46.8 %) patients underwent percutaneous forceps dilatation tracheostomy (PFDT). The mean age of the patients was 73.30±14.45 y, and 29 (45.31%) patients were male. The mean length of intubation before the procedure was 19.36±7.76 days, it was significantly longer in the CST group (21.74±9.34 days) compared to the PFDT group (16.67±7.31 days) (p=0.02).Early complications occured in 7 patients (20.58%) in the CST, and in 5 patients (16.66%) in the PFDT group. DISCUSSION AND CONCLUSION: We believe that in carefully selected and prepared patients, the rate of early complications of PFDT is similar to CST when it is applied by experienced physicians. KEYWORDS: intensive care, percutaneous tracheostomy, complications
{"title":"Retrospective Comparison of Percutaneous Forceps Dilatation Tracheostomy and Conventional Surgical Tracheostomy","authors":"S. Uçkun, F. Demir, Fatih Ugün, Nazan Kocaoğlu, Özlem Sağir, A. Köroğlu","doi":"10.53424/balikesirsbd.1284998","DOIUrl":"https://doi.org/10.53424/balikesirsbd.1284998","url":null,"abstract":"Retrospective Comparison of Percutaneous Forceps Dilatation Tracheostomy and Conventional Surgical Tracheostomy \u0000INTRODUCTION AND AIM: We aimed to retrospectively evaluate the early complications of conventional surgical and percutaneous forceps dilatation tracheostomies in ICU patients. MATERIAL and METHODS: Electronic records of ICU patients hospitalized in our unit between 2019 and 2022 were retrospectively scanned. Demographic data, the tracheostomy tecnique and early complications related to the procedure were recorded. RESULTS: A total of 64 patients underwent a tracheostomy in our ICU. 34 (53.2%) patients underwent conventional surgical tracheostomy (CST) and 30 (46.8 %) patients underwent percutaneous forceps dilatation tracheostomy (PFDT). The mean age of the patients was 73.30±14.45 y, and 29 (45.31%) patients were male. The mean length of intubation before the procedure was 19.36±7.76 days, it was significantly longer in the CST group (21.74±9.34 days) compared to the PFDT group (16.67±7.31 days) (p=0.02).Early complications occured in 7 patients (20.58%) in the CST, and in 5 patients (16.66%) in the PFDT group. DISCUSSION AND CONCLUSION: We believe that in carefully selected and prepared patients, the rate of early complications of PFDT is similar to CST when it is applied by experienced physicians. KEYWORDS: intensive care, percutaneous tracheostomy, complications","PeriodicalId":247163,"journal":{"name":"Balıkesır Health Sciences Journal","volume":"106 7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127456553","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-08-01DOI: 10.53424/balikesirsbd.1258421
Pınar Tunç Tuna, Enes Günhan, Halil Ibrahim Tuna, B. Molu, alev yıldırım keskin
Objective: This study was conducted to determine the knowledge levels of DM patients about the disease and insulin use, and their practices to avoid insulin injection pain. Materials and Methods: Data were collected from 399 patients who administered insulin injections in the study. Patient identification form, disease and treatment compliance form, Morisky-8 Treatment Adherence Scale (MMAS-8), and Visual Analog Scale were used for data collection. Results: According to our findings, it was found that 83.7% of the patients included in the study rotated during insulin injection, but only 16.3% rotated during each injection. 46.4% of the patients did not feel pain or were injected into the area where they felt less pain to avoid insulin pain. In addition, it was determined that the pain scores of the patients who made each insulin injection to a different body region were higher. It has been determined that patients with complications related to DM have higher adherence to treatment. Conclusion: As a result, it was determined that the patients had limited knowledge about diabetes, insulin, and treatment, they did not perform rotation to avoid the pain of insulin injection, and they generally injected into the painless area, and their compliance with the treatment was low. Keywords: Diabetes mellitus, pain, adherence to treatment, insulin injection, nursing care
{"title":"Determination of The Methods Used By Patients Using Insulin To Avoid Injection Pain And Their Compliance With Treatment","authors":"Pınar Tunç Tuna, Enes Günhan, Halil Ibrahim Tuna, B. Molu, alev yıldırım keskin","doi":"10.53424/balikesirsbd.1258421","DOIUrl":"https://doi.org/10.53424/balikesirsbd.1258421","url":null,"abstract":"Objective: This study was conducted to determine the knowledge levels of DM patients about the disease and insulin use, and their practices to avoid insulin injection pain. Materials and Methods: Data were collected from 399 patients who administered insulin injections in the study. Patient identification form, disease and treatment compliance form, Morisky-8 Treatment Adherence Scale (MMAS-8), and Visual Analog Scale were used for data collection. Results: According to our findings, it was found that 83.7% of the patients included in the study rotated during insulin injection, but only 16.3% rotated during each injection. 46.4% of the patients did not feel pain or were injected into the area where they felt less pain to avoid insulin pain. In addition, it was determined that the pain scores of the patients who made each insulin injection to a different body region were higher. It has been determined that patients with complications related to DM have higher adherence to treatment. Conclusion: As a result, it was determined that the patients had limited knowledge about diabetes, insulin, and treatment, they did not perform rotation to avoid the pain of insulin injection, and they generally injected into the painless area, and their compliance with the treatment was low. \u0000Keywords: Diabetes mellitus, pain, adherence to treatment, insulin injection, nursing care","PeriodicalId":247163,"journal":{"name":"Balıkesır Health Sciences Journal","volume":"72 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125294797","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-07-29DOI: 10.53424/balikesirsbd.1233393
M. Duray, Nilufer Cetisli Korkmaz, Buse Kilinc, S. Fenkçi
Aim: The aim of this study was to investigate the relationship between plantar pain, balance and foot function in Diabetes Mellitus (DM) patients with obese and non-obese. Material and Methods: Fifty-four patients were diagnosed as DM were included. Participants were seperated as non-obese (n=27) and obese (n=27). The balance abilities (dynamic and static balance) of participants were examined with the Portable Computerized Kinesthetic Ability Trainer (SportKAT-550). Pain, disability and function status of foot were assessed according to Foot Function Index (FFI) and Manchester Foot Pain and Disability Index (MFPDI). Results: FFI-Disability and MFPDI scores of the Non-Obese.Group were significantly better than Obese Group. While there were no significant correlation between BMI and MFPDI, FFI-Activity.Limitation and FFI-Disability scores in both groups (p>0.05), there was medium and positive significant correlation just between BMI and FFI-Pain.in.Non-Obese Group (p
{"title":"Plantar Pain, Balance and Foot Functions in Individuals with Diabetes Mellitus","authors":"M. Duray, Nilufer Cetisli Korkmaz, Buse Kilinc, S. Fenkçi","doi":"10.53424/balikesirsbd.1233393","DOIUrl":"https://doi.org/10.53424/balikesirsbd.1233393","url":null,"abstract":"Aim: The aim of this study was to investigate the relationship between plantar pain, balance and foot function in Diabetes Mellitus (DM) patients with obese and non-obese. Material and Methods: Fifty-four patients were diagnosed as DM were included. Participants were seperated as non-obese (n=27) and obese (n=27). The balance abilities (dynamic and static balance) of participants were examined with the Portable Computerized Kinesthetic Ability Trainer (SportKAT-550). Pain, disability and function status of foot were assessed according to Foot Function Index (FFI) and Manchester Foot Pain and Disability Index (MFPDI). Results: FFI-Disability and MFPDI scores of the Non-Obese.Group were significantly better than Obese Group. While there were no significant correlation between BMI and MFPDI, FFI-Activity.Limitation and FFI-Disability scores in both groups (p>0.05), there was medium and positive significant correlation just between BMI and FFI-Pain.in.Non-Obese Group (p","PeriodicalId":247163,"journal":{"name":"Balıkesır Health Sciences Journal","volume":"2016 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125893621","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-07-25DOI: 10.53424/balikesirsbd.1209515
S. Aslan, Akgun Yesiltepe, Aygül Öztürk
Objective: This study was planned to determine the perceptions of academicians working at universities in Turkey about artificial barriers that prevent women from rising to upper levels of management. Materials and Methods: This descriptive study was carried out by reaching 394 academicians who are actively working in the Academy and who agreed to participate in the study between February 16 and March 15, 2022 via online survey method. Results: While a difference was found between perceived glass ceiling barriers of academicians who participated in the study and their age, gender, marital status, status of having children, educational status and academic title (p0.05). Mean score of Glass Ceiling Barriers Scale for Academicians used in this study was found as 74.30±18.93 and it was found that academicians had moderate level of perceptions about artificial barriers preventing women from rising to upper levels of management. Conclusion: The research clearly reveals the thoughts of both men and women on gender equality and provides guiding data for academics.
{"title":"Determination of glass ceiling barriers in Academicians","authors":"S. Aslan, Akgun Yesiltepe, Aygül Öztürk","doi":"10.53424/balikesirsbd.1209515","DOIUrl":"https://doi.org/10.53424/balikesirsbd.1209515","url":null,"abstract":"Objective: This study was planned to determine the perceptions of academicians working at universities in Turkey about artificial barriers that prevent women from rising to upper levels of management. \u0000Materials and Methods: This descriptive study was carried out by reaching 394 academicians who are actively working in the Academy and who agreed to participate in the study between February 16 and March 15, 2022 via online survey method. \u0000Results: While a difference was found between perceived glass ceiling barriers of academicians who participated in the study and their age, gender, marital status, status of having children, educational status and academic title (p0.05). Mean score of Glass Ceiling Barriers Scale for Academicians used in this study was found as 74.30±18.93 and it was found that academicians had moderate level of perceptions about artificial barriers preventing women from rising to upper levels of management. \u0000Conclusion: The research clearly reveals the thoughts of both men and women on gender equality and provides guiding data for academics.","PeriodicalId":247163,"journal":{"name":"Balıkesır Health Sciences Journal","volume":"33 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125746836","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-07-18DOI: 10.53424/balikesirsbd.1255879
Burak Gümüştaş, Sinem Birant
Objective: Many factors in the mouth affect the clinical lifetime of materials. Acids, enzymes, acidic properties of food and beverages formed in the plaque could change the physicochemical properties of restorative materials. The aim of the study is to examine the effect of acidic beverages on the microhardness of alkasites, and conventional glass ionomers, with changes in surface coating applications. Materials and Methods: Forty specimens in eight mm diameter and two mm thick discs were made with each Cention N and Ionofil U. Half of the specimens were covered with surface sealant. In each of the four subgroups: cola, orange juice, sparkling mineral water and distilled water, 10 discs were stored for 5 minutes, three times a day for a week. Microhardness measurements were made after they were kept in an acidic environment. Results: Acidic beverages significantly reduce the microhardness of restorative materials. The highest microhardness value was observed in the Cention N group with surface sealant. The lowest microhardness value was observed in the Ionofil restorative material group without sealant. Conclusion: The acidic agents tested (cola, orange juice, and sparkling mineral water) have an effect on the reduction of surface microhardness of restorative materials. For clinical decision-making, Cention N is the most suitable material for restorations in patients who are at high risk for erosive conditions.
{"title":"Effects of Acidic Beverages on Surface Microhardness of a New Ion-Releasing Restorative Material with Surface Sealant","authors":"Burak Gümüştaş, Sinem Birant","doi":"10.53424/balikesirsbd.1255879","DOIUrl":"https://doi.org/10.53424/balikesirsbd.1255879","url":null,"abstract":"Objective: Many factors in the mouth affect the clinical lifetime of materials. Acids, enzymes, acidic properties of food and beverages formed in the plaque could change the physicochemical properties of restorative materials. The aim of the study is to examine the effect of acidic beverages on the microhardness of alkasites, and conventional glass ionomers, with changes in surface coating applications. Materials and Methods: Forty specimens in eight mm diameter and two mm thick discs were made with each Cention N and Ionofil U. Half of the specimens were covered with surface sealant. In each of the four subgroups: cola, orange juice, sparkling mineral water and distilled water, 10 discs were stored for 5 minutes, three times a day for a week. Microhardness measurements were made after they were kept in an acidic environment. Results: Acidic beverages significantly reduce the microhardness of restorative materials. The highest microhardness value was observed in the Cention N group with surface sealant. The lowest microhardness value was observed in the Ionofil restorative material group without sealant. Conclusion: The acidic agents tested (cola, orange juice, and sparkling mineral water) have an effect on the reduction of surface microhardness of restorative materials. For clinical decision-making, Cention N is the most suitable material for restorations in patients who are at high risk for erosive conditions.","PeriodicalId":247163,"journal":{"name":"Balıkesır Health Sciences Journal","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121745641","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-07-11DOI: 10.53424/balikesirsbd.1256569
Seda Kaya, Zeynep Uzdi̇l, F. Çakıroğlu
Objective: Orthorexia Nervosa (ON) is defined pathological condition in which righteous eating obsession. It is known that dietitians may be trend to ON in developing healthy eating habits as a result of nutrition education and dietetic practices. This study aimed to determine ON tendency and eating attitude with the Orthorexia Nervosa Inventory (ONI), which includes all diagnostic criteria, in dietitians in the risk group for ON. Materials and Methods: This cross-sectional study was carried out in December 2022 and February 2023 among 206 dietitians in Turkey. Participants completed questionnaire related to individual characteristics, ONI, and Eating Attitude Test-26 (EAT-26). Results: The mean score of ONI in dietitians was 37.5±9.7. The total score of ONI and the median value of all ONI sub-dimensions were statistically significantly higher in dietitians with abnormal eating behavior. There is a positive moderate relationship between the total score of EAT-26 and the total score of ONI (r=0.502, p
目的:神经性正食症(Orthorexia neurovosa, ON)被定义为正性进食强迫症的病理状态。由于营养教育和饮食实践的结果，营养师在养成健康的饮食习惯方面可能倾向于ON。本研究旨在通过包括所有诊断标准的神经性正畸量表(ONI)来确定ON倾向和饮食态度。材料和方法:这项横断面研究于2022年12月和2023年2月在土耳其的206名营养师中进行。参与者完成了有关个人特征、ONI和饮食态度测试-26 (EAT-26)的问卷调查。结果:营养师的ONI平均得分为37.5±9.7分。饮食行为异常的营养师的ONI总分和所有ONI子维度的中位数均有统计学意义较高。EAT-26总分与ONI总分呈正相关(r=0.502, p
{"title":"Detection of Orthorexia Nervosa with the Turkish Version of ONI in Dietitians: A Pilot Study","authors":"Seda Kaya, Zeynep Uzdi̇l, F. Çakıroğlu","doi":"10.53424/balikesirsbd.1256569","DOIUrl":"https://doi.org/10.53424/balikesirsbd.1256569","url":null,"abstract":"Objective: Orthorexia Nervosa (ON) is defined pathological condition in which righteous eating obsession. It is known that dietitians may be trend to ON in developing healthy eating habits as a result of nutrition education and dietetic practices. This study aimed to determine ON tendency and eating attitude with the Orthorexia Nervosa Inventory (ONI), which includes all diagnostic criteria, in dietitians in the risk group for ON. Materials and Methods: This cross-sectional study was carried out in December 2022 and February 2023 among 206 dietitians in Turkey. Participants completed questionnaire related to individual characteristics, ONI, and Eating Attitude Test-26 (EAT-26). Results: The mean score of ONI in dietitians was 37.5±9.7. The total score of ONI and the median value of all ONI sub-dimensions were statistically significantly higher in dietitians with abnormal eating behavior. There is a positive moderate relationship between the total score of EAT-26 and the total score of ONI (r=0.502, p","PeriodicalId":247163,"journal":{"name":"Balıkesır Health Sciences Journal","volume":"43 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128480281","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-07-02DOI: 10.53424/balikesirsbd.1291438
Esra ERKOÇ ATAOĞLU, Murat Uçar
Title: Association between MPV and Cerebral Vascular Ischemic Burden in Mild to Moderate Alzheimers’s Disease Running Title: MPV and Ischemic Burden in AD ABSTRACT Objective: Vascular pathologies and chronic neuroinflammation play an important role in Alzheimer's Disease(AD). Increased platelet activity, which underlies the pathophysiology of atherosclerosis and systemic inflammation, has been reported several times in the setting of AD. However, the relationship between this increase and neuroimaging correlates has not been studied yet. This study aims to evaluate the relationship between mean platelet volume (MPV), as a reliable indicator of platelet activity, and vascular ischemic burden in neuroimaging of AD. Material- Method: Medical records of mild-moderate AD cases diagnosed in our dementia outpatient clinic between 2021-2022 were retrospectively reviewed. Patients were classified as having "mild" or "severe" vascular ischemic burden on MRI. Clinical findings and platelet markers were compared between the groups. Multivariate regression was applied for potential confounders regarding vascular ischemic burden. Results: Out of 59 patients, 36 had 'mild' and 23 had 'severe' ischemic burden. Demographic and clinical features were similar; however, MPV was significantly higher in the group with severe ischemia (p:0.013). Multivariate analysis revealed an independent association between MPV and ischemic burden. An MPV value of ≥8.7 fL had a sensitivity of 69.6% and a specificity of 61% for the presence of severe burden. Discussion: Our results highlight the role of platelet activation in the vascular pathogenesis of AD. During the early evaluation of AD, increased MPV can serve as a marker to determine the high-risk group in terms of cerebral ischemic burden. This might enable close monitoring and timely management of high-risk patients regarding the development of vascular morbidities. Keywords: Alzheimer's Disease, mean platelet volume, MPV, vascular ischemic burden, inflammation
{"title":"Association between MPV and Cerebral Vascular Ischemic Burden in Mild to Moderate Alzheimer’s Disease","authors":"Esra ERKOÇ ATAOĞLU, Murat Uçar","doi":"10.53424/balikesirsbd.1291438","DOIUrl":"https://doi.org/10.53424/balikesirsbd.1291438","url":null,"abstract":"Title: Association between MPV and Cerebral Vascular Ischemic Burden in Mild to Moderate Alzheimers’s Disease \u0000Running Title: MPV and Ischemic Burden in AD \u0000ABSTRACT \u0000Objective: Vascular pathologies and chronic neuroinflammation play an important role in Alzheimer's Disease(AD). Increased platelet activity, which underlies the pathophysiology of atherosclerosis and systemic inflammation, has been reported several times in the setting of AD. However, the relationship between this increase and neuroimaging correlates has not been studied yet. This study aims to evaluate the relationship between mean platelet volume (MPV), as a reliable indicator of platelet activity, and vascular ischemic burden in neuroimaging of AD. Material- Method: Medical records of mild-moderate AD cases diagnosed in our dementia outpatient clinic between 2021-2022 were retrospectively reviewed. Patients were classified as having \"mild\" or \"severe\" vascular ischemic burden on MRI. Clinical findings and platelet markers were compared between the groups. Multivariate regression was applied for potential confounders regarding vascular ischemic burden. Results: Out of 59 patients, 36 had 'mild' and 23 had 'severe' ischemic burden. Demographic and clinical features were similar; however, MPV was significantly higher in the group with severe ischemia (p:0.013). Multivariate analysis revealed an independent association between MPV and ischemic burden. An MPV value of ≥8.7 fL had a sensitivity of 69.6% and a specificity of 61% for the presence of severe burden. \u0000Discussion: Our results highlight the role of platelet activation in the vascular pathogenesis of AD. During the early evaluation of AD, increased MPV can serve as a marker to determine the high-risk group in terms of cerebral ischemic burden. This might enable close monitoring and timely management of high-risk patients regarding the development of vascular morbidities. Keywords: Alzheimer's Disease, mean platelet volume, MPV, vascular ischemic burden, inflammation","PeriodicalId":247163,"journal":{"name":"Balıkesır Health Sciences Journal","volume":"53 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114180707","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-23DOI: 10.53424/balikesirsbd.1263058
İsmet Çelebi, Selma DURMUŞ SARIKAHYA
Objective: This study has been carried out to evaluate the burnout, depression, anxiety and stress levels of healthcare employees temporarily assigned to refugee camps and factors related hereto. Materials and Methods: The population of this descriptive-cross-sectional study consisted of healthcare employees assigned to work temporarily in refugee camps in a certain province. A socio-demographic information form, the DAS-21 scale and the Maslach Burnout Inventory were used in this study as data collection tools. Results: A percentage of 64.5% of the participants was younger than 31 years old, 50.0% was employed as a paramedic, 31.2% had crossed the border and 54.7% was assigned to camps on a voluntary basis. It was determined that the Emotional Exhaustion, Desensitation and Personal Achievement score average of the participants assigned to National Medical Rescue Teams was statistically significant compared to those assigned to 112 ambulance services. The rate of depression was found to be statistically higher in National Medical Rescue Team employees and those who had gone on cross-border missions. Conclusion: On the basis of this study, it was concluded that the rate of depression is higher in those who went on a cross-border mission, that emotional exhaustion was higher in those who had been assigned on a voluntary basis and that emotional exhaustion, depersonalization and anxiety levels were higher in women.
{"title":"Mülteci Kamplarına Görevlendirilen Sağlık Çalışanlarında Savaşın Arka Plan Psikolojik Etkileri","authors":"İsmet Çelebi, Selma DURMUŞ SARIKAHYA","doi":"10.53424/balikesirsbd.1263058","DOIUrl":"https://doi.org/10.53424/balikesirsbd.1263058","url":null,"abstract":"Objective: This study has been carried out to evaluate the burnout, depression, anxiety and stress levels of healthcare employees temporarily assigned to refugee camps and factors related hereto. Materials and Methods: The population of this descriptive-cross-sectional study consisted of healthcare employees assigned to work temporarily in refugee camps in a certain province. A socio-demographic information form, the DAS-21 scale and the Maslach Burnout Inventory were used in this study as data collection tools. Results: A percentage of 64.5% of the participants was younger than 31 years old, 50.0% was employed as a paramedic, 31.2% had crossed the border and 54.7% was assigned to camps on a voluntary basis. It was determined that the Emotional Exhaustion, Desensitation and Personal Achievement score average of the participants assigned to National Medical Rescue Teams was statistically significant compared to those assigned to 112 ambulance services. The rate of depression was found to be statistically higher in National Medical Rescue Team employees and those who had gone on cross-border missions. Conclusion: On the basis of this study, it was concluded that the rate of depression is higher in those who went on a cross-border mission, that emotional exhaustion was higher in those who had been assigned on a voluntary basis and that emotional exhaustion, depersonalization and anxiety levels were higher in women.","PeriodicalId":247163,"journal":{"name":"Balıkesır Health Sciences Journal","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124034968","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-22DOI: 10.53424/balikesirsbd.1246611
Y. Arık, Hatice Topcu
Objective: Early recognition of critical patients is crucial in emergency departments. Many scoring systems are used for it. This study aim determining the prognostic values of these scoring systems for Covid 19 pneumonia patients. Material and Method: This retrospective study was performed between March 2020 -May 2020. 212 patient who have Covid 19 pneumonia were enrolled the study. National Early Warning Score (NEWS), Modified Early Warning Score (MEWS) and quick Sequential Organ Failure Assessment (qSOFA) scores were calculated according to patients’ admission data. Receiver operating characteristic (ROC) analysis was used to determine the diagnostic values of scores and the optimum cut-off values were determined by Youden Index. Results: 23 (10.84%) of 212 patients died and 34 (16%) were admitted to ICU. The AUC values of MEWS, NEWS, and qSOFA for predicting mortality in < 65 years old were 0.852 (95% confidence interval 0.708-0.997), 0.882 (0.741-1.000) and 0.879 (0.768-0.990) and ≥65 years old 0.854(0.720-0.987), 0.931(0.853-1.000), 0.776(0.609-0.944) respectively. For ICU admission AUC values of MEWS, NEWS and qSOFA in
{"title":"Erken Uyarı Skorlarının Covid 19 Pnömonisinde Ölüm Oranlarını Öngörme Yeteneği","authors":"Y. Arık, Hatice Topcu","doi":"10.53424/balikesirsbd.1246611","DOIUrl":"https://doi.org/10.53424/balikesirsbd.1246611","url":null,"abstract":"Objective: Early recognition of critical patients is crucial in emergency departments. Many scoring systems are used for it. This study aim determining the prognostic values of these scoring systems for Covid 19 pneumonia patients. \u0000Material and Method: This retrospective study was performed between March 2020 -May 2020. 212 patient who have Covid 19 pneumonia were enrolled the study. National Early Warning Score (NEWS), Modified Early Warning Score (MEWS) and quick Sequential Organ Failure Assessment (qSOFA) scores were calculated according to patients’ admission data. Receiver operating characteristic (ROC) analysis was used to determine the diagnostic values of scores and the optimum cut-off values were determined by Youden Index. \u0000Results: 23 (10.84%) of 212 patients died and 34 (16%) were admitted to ICU. The AUC values of MEWS, NEWS, and qSOFA for predicting mortality in < 65 years old were 0.852 (95% confidence interval 0.708-0.997), 0.882 (0.741-1.000) and 0.879 (0.768-0.990) and ≥65 years old 0.854(0.720-0.987), 0.931(0.853-1.000), 0.776(0.609-0.944) respectively. For ICU admission AUC values of MEWS, NEWS and qSOFA in","PeriodicalId":247163,"journal":{"name":"Balıkesır Health Sciences Journal","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129342441","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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