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Evaluation of Bedside Ultrasonography Use of Emergency Physicians 急诊医师床边超声检查应用评价
Pub Date : 2021-05-29 DOI: 10.29058/mjwbs.854292
K. Kokulu, E. Sert, H. Mutlu
Aim: Bedside ultrasonography (US) is a frequently used tool to facilitate diagnosis and treatment in emergency departments (EDs). The primary aim of our study was to evaluate the characteristics of emergency physicians’ use of bedside US. Our secondary aim was to analyze factors affecting the regular use of bedside US. Material and Methods: This was a descriptive cross-sectional survey study conducted with physicians working in EDs. The study was carried out using a 15-item questionnaire in 2020, and the results were analyzed with the Statistical Package for the Social Sciences software. Results: The questionnaire was sent to 965 physicians working in the EDs of 48 different hospitals, and the data of 684 (71.5%) that responded to all items in the questionnaire were included in the study. The EDs of the hospitals included in the study had at least one US device, and 82% of them were equipped with three probes. It was observed that 152 (22.2%) of the emergency physicians did not use US at all, and 532 (77.8%) used US regularly, albeit rarely. The most common area of use for US in the ED was focused assessment with sonography in trauma, followed by procedural guidance [432 (63.2%) and 308 (45%), respectively]. Of the physicians who did not use bedside US regularly, 33.3% (n=96) stated that they did not use it due to their lack of training. In addition, the interest of emergency physicians in US education was measured as 7±3 points. It was observed that the conditions associated with frequent use of bedside US were gender, inclusion of US training during residency, and duration of the availability of an US machine in the emergency clinic. Conclusion: This study showed that emergency physicians had a high interest in using bedside US. The greatest obstacle to the use of US was insufficient training. Therefore, emergency physicians should be offered regular US training programs sand those that have not received US training should be encouraged to participate in such programs.
目的:床边超声(US)是急诊科(ed)常用的辅助诊断和治疗的工具。本研究的主要目的是评估急诊医生使用床边US的特点。我们的第二个目的是分析影响床边US常规使用的因素。材料和方法:这是一项描述性横断面调查研究,由在急诊室工作的医生进行。本研究于2020年使用15项问卷进行,并使用Statistical Package for The Social Sciences软件对结果进行分析。结果:共向48家不同医院的965名急诊科医生发放了问卷,684名(71.5%)回答了问卷所有条目的医生的数据被纳入研究。参与研究的医院急诊室至少有一个美国装置,其中82%配备了三个探针。我们观察到152名(22.2%)急诊医生根本不使用US, 532名(77.8%)急诊医生经常使用US,尽管很少使用。超声在急诊科最常见的应用领域是创伤超声集中评估,其次是程序指导[分别为432(63.2%)和308(45%)]。在不经常使用床边US的医生中,33.3% (n=96)表示他们由于缺乏培训而不使用US。此外,急诊医生对美国教育的兴趣测量为7±3分。据观察,与频繁使用床边医疗器械相关的条件是性别、住院医师期间是否接受医疗器械培训以及急诊诊所是否有医疗器械。结论:本研究表明急诊医师对使用床边超声有很高的兴趣。使用US的最大障碍是训练不足。因此,急诊医师应定期接受美国培训,并鼓励未接受过美国培训的急诊医师参加此类培训。
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引用次数: 0
Gebelerde HBsAg, Anti-HCV Seroprevalansı ve Hepatit B Bağışıklığının Değerlendirilmesi: Tanımlayıcı Çalışma
Pub Date : 2021-05-29 DOI: 10.29058/mjwbs.828591
Sedef Zeliha Öner, İrem Kalipci, Asuman Okur
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引用次数: 0
A retrospective comparison of computed tomography and fluoroscopic guided percutaneous nephrostomy for evaluating radiation exposure 计算机断层扫描和透视引导下经皮肾造口术评估放射暴露的回顾性比较
Pub Date : 2021-05-29 DOI: 10.29058/mjwbs.852206
Yaşar Türk, İsmail Devecioğlu
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引用次数: 0
Gender estimation from angular parameters of mandible in Turkish adults 土耳其成人下颌骨角参数的性别估计
Pub Date : 2021-05-29 DOI: 10.29058/mjwbs.873771
Seda Sertel Meyvaci, Duygu Bulut, Ayşe Tuğçe Öztürk, H. Ankarali
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引用次数: 1
Cerrahi Tedavi Uygulanan Glioblastomlu Hastalarda Prognostik Faktörler ve Peritümöral Ödemin Sağ Kalım Üzerine Etkisi
Pub Date : 2021-05-29 DOI: 10.29058/mjwbs.867967
Alican Tahta
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引用次数: 0
Tip 1 Nörofibromatozis Hastasında Meme Kanseri Taraması Esnasında Tesadüfen Saptanan Dev Lateral Torasik Meningosel
Pub Date : 2021-05-29 DOI: 10.29058/mjwbs.829873
H. Öztürk, Banu Alicioğlu, Hüseyin Engin
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引用次数: 0
Mevsimsel Değişimin Duygusal İştah Ve Yeme Tutumu Üzerine İlişkisinin İncelenmesi: Üniversite Öğrencileri Üzerine Bir Çalışma
Pub Date : 2021-05-29 DOI: 10.29058/mjwbs.859888
Nida Zeynep Koçhan, Müge Arslan
Aim: To observe the effect of seasonal variation on emotional appetite, eating attitude in university students was aimed. Material and Methods: In this study 502 license students from Istanbul Aydın University have voluntarily completed a survey of 21 questions, emotional appetite questionnaire(EMAQ), eating attitude test (EAT40) and seasonal pattern assessment questionnaire. Ones whose EAT-40 score is 30+ are prone to “eating behaviour disorder”. If EMAQ average score is 1-4; indicates mood-state reduces appetite, 5 indicates appetite isn’t affected, 6-9 indicates mood-state increases appetite. In seasonal change; Score
目的:观察季节变化对大学生情绪食欲、饮食态度的影响。材料与方法:本研究对伊斯坦布尔Aydın大学502名持证学生自愿完成21个问题的问卷调查,包括情绪食欲问卷(EMAQ)、饮食态度问卷(EAT40)和季节性模式评估问卷。EAT-40得分在30分以上的人容易出现“饮食行为障碍”。如果EMAQ平均分是1-4分;表示情绪降低食欲,5表示食欲不受影响,6-9表示情绪增加食欲。在季节变化中;分数
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引用次数: 4
Ön Çapraz Bağ Rekonstrüksiyonu Sonrası Operasyonun Fonksiyonel Sonuçlarının Sportif Aktivitelerle İlişkisi
Pub Date : 2021-05-29 DOI: 10.29058/mjwbs.855676
Ferdi Sarı, Murat Özşahi̇n, N. Ziroğlu
Amac: Bu calismada, amator olarak spor yapan ve on capraz bag (OCB) rekonstruksiyonu yapilan bireylerde, operasyonun fonksiyonel sonuclari ve sportif aktiviteleriyle olan iliskisinin arastirilmasi amaclandi. Gerec ve Yontem: On capraz rupturu nedeniyle dort katli hamstring otogrefti ile artroskopik rekonstruksiyon uygulanan hastalarin fonksiyonel sonuclarini Lysolm ve Tegner aktivite skorlama sistemi ile retrospektif olarak anali ettik. Kinezyofobi degerlendirilmesi Tampa olcegi kullanarak yapildi. Bulgular: Calismaya dahil olan 61 kisinin tamami erkekti (yas dagilim: 17 - 48 yil, ortalama: 30.6±6.9). Takip suresi en kisa 27 ay iken en uzunu 74 ay olmak uzere ortalama 47,4 ay idi. Ameliyat oncesi ortalama 59,1 (dagilin: 5 - 90) olan Lysholm skoru son kontrolde 95,9’du (dagilin: 69 - 100). Tegner aktivite skorlari ortalamasi travma oncesi 6,4 (dagilin: 3 - 10), ameliyat sonrasi 5,2 (dagilin: 3-10) idi. Tampa kinezyofobi olcegi 41.2 (29-49) bulundu. Sonuc: Cerrahi sonucunda, hastalarin cogunda fonksiyonel sonuclar tatmin edici olarak tespit edilirken, yaklasik yarisinda ise aktivite skorlari istenilen duzeye ulasmisti. Tampa kinezyofobi olcegi yuksek bulunmasi, OCB cerrahisinde ne kadar titiz davranilsa da ameliyat once ve sonrasinda alacagi profesyonel fizyoterapi ve psikolojik danismanligin da onemli derecede etkili olabilecegini gosterdi.
研究目的本研究旨在调查接受十交叉韧带(OCB)重建手术的业余运动员的手术功能效果及其与体育活动的关系。材料与方法我们使用 Lysolm 和 Tegner 活动评分系统对接受关节镜下十字韧带断裂四层腘绳肌自体移植重建术的患者的功能结果进行了回顾性分析。 使用坦帕量表对运动恐惧症进行了评估。研究结果参与研究的 61 名患者均为男性(年龄范围:17 - 48 岁,平均年龄为(30.6±6.9)岁)。平均随访时间为 47.4 个月,最短 27 个月,最长 74 个月。术前的平均 Lysholm 评分为 59.1(范围:5 - 90),最后一次随访时为 95.9(范围:69 - 100)。Tegner 活动评分的平均值在术前为 6.4(范围:3 - 10),术后为 5.2(范围:3 - 10)。坦帕运动恐惧症评分为 41.2(29-49)。结论手术后,大多数患者的功能效果令人满意,约半数患者的活动评分达到了预期水平。坦帕运动恐惧的高水平表明,无论 OCB 手术多么精细,术前和术后的专业物理治疗和心理辅导也能取得显著效果。
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引用次数: 0
Metabolik Sendromlu Olmayan Hastalarda Non-Alkolik Yağlı Karaciğer Hastalığı
Pub Date : 2021-05-29 DOI: 10.29058/mjwbs.811398
Vahide Betül Canitez, İbrahim Güney, Edip Erkuş
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引用次数: 0
Retrospective Analysis of Outcomes with ab interno Gel Implant in the Treatment of Open Angle Glaucoma 凝胶植入治疗开角型青光眼的回顾性分析
Pub Date : 2021-05-29 DOI: 10.29058/mjwbs.798960
F. Dikkaya, M. Kocabora, C. Yılmazlı, S. Karaman Erdur, Arzu Aşici
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引用次数: 0
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Medical Journal of Western Black Sea
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