Pub Date : 2023-01-01DOI: 10.14744/scie.2023.26096
İzzet Ustaalioğlu
{"title":"Use of Shock Index as a Predictor of Mortality in Patients with Pulmonary Embolism","authors":"İzzet Ustaalioğlu","doi":"10.14744/scie.2023.26096","DOIUrl":"https://doi.org/10.14744/scie.2023.26096","url":null,"abstract":"","PeriodicalId":33982,"journal":{"name":"Southern Clinics of Istanbul Eurasia","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67342127","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 : 2023-01-01DOI: 10.14744/scie.2023.68725
M. B. Gürcan
{"title":"Assessment of “online therapy” and “telepsychiatry” topics in the Covid-19 Pandemic based on Google Trends Data","authors":"M. B. Gürcan","doi":"10.14744/scie.2023.68725","DOIUrl":"https://doi.org/10.14744/scie.2023.68725","url":null,"abstract":"","PeriodicalId":33982,"journal":{"name":"Southern Clinics of Istanbul Eurasia","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67342756","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 : 2023-01-01DOI: 10.14744/scie.2023.47568
Yeliz Bilir
Objective: Blood glucose dysregulation is independently associated with mortality and morbidity in critically ill patients. However, it is difficult to keep glycemic control at targeted levels in diabetic and non-diabetic patients in intensive care units (ICU). A point prevalence study was planned to evaluate glycemic control in patients treated in the tertiary ICU. Ethics committee approval was obtained before starting the study. Methods: The demographic data of the patients, their characteristics at the time of admission, intensive care follow-up and treatment, the nutrition method, and the parameters related to glycemic control were recorded. Results: On the study day, a total of 107 patients, 35 of whom were COVID (C-ICU) and 72 were in the non-Covid ICU (NC-ICU), were included in the study. 47.6% of the patients were male and 29.9% had a diagnosis of diabetes mellitus (DM). The mean blood glucose value of the patients was measured as 158 mg/dL and glycemic dysregulation (4.7% hypoglycemia and 25.2% hyperglycemia) was detected in 29.9% of all patients. Blood glucose levels were unregulated in 28.6% (n=10) of the patients in C-ICU and 30.5% (n=22) patients in NC-ICU. The patients with regulated blood glucose were similar between the two groups (p=0.510). A statistically significant correlation was found between the patients’ unregulated blood glucose levels and the presence of DM (p=0.05). Conclusion: The idea that a certain glucose target may not always be optimal for all patients and that individualized glucose control is currently being discussed. We believe that blood glucose algorithms are necessary in ICUs without putting patients into hypoglycemia or hyperglycemia in routine follow-up. ABSTRACT
{"title":"Can we Provide Effective Glycemic Control in Intensive Care Unit? Point Prevalence Study","authors":"Yeliz Bilir","doi":"10.14744/scie.2023.47568","DOIUrl":"https://doi.org/10.14744/scie.2023.47568","url":null,"abstract":"Objective: Blood glucose dysregulation is independently associated with mortality and morbidity in critically ill patients. However, it is difficult to keep glycemic control at targeted levels in diabetic and non-diabetic patients in intensive care units (ICU). A point prevalence study was planned to evaluate glycemic control in patients treated in the tertiary ICU. Ethics committee approval was obtained before starting the study. Methods: The demographic data of the patients, their characteristics at the time of admission, intensive care follow-up and treatment, the nutrition method, and the parameters related to glycemic control were recorded. Results: On the study day, a total of 107 patients, 35 of whom were COVID (C-ICU) and 72 were in the non-Covid ICU (NC-ICU), were included in the study. 47.6% of the patients were male and 29.9% had a diagnosis of diabetes mellitus (DM). The mean blood glucose value of the patients was measured as 158 mg/dL and glycemic dysregulation (4.7% hypoglycemia and 25.2% hyperglycemia) was detected in 29.9% of all patients. Blood glucose levels were unregulated in 28.6% (n=10) of the patients in C-ICU and 30.5% (n=22) patients in NC-ICU. The patients with regulated blood glucose were similar between the two groups (p=0.510). A statistically significant correlation was found between the patients’ unregulated blood glucose levels and the presence of DM (p=0.05). Conclusion: The idea that a certain glucose target may not always be optimal for all patients and that individualized glucose control is currently being discussed. We believe that blood glucose algorithms are necessary in ICUs without putting patients into hypoglycemia or hyperglycemia in routine follow-up. ABSTRACT","PeriodicalId":33982,"journal":{"name":"Southern Clinics of Istanbul Eurasia","volume":"40 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135838276","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 : 2023-01-01DOI: 10.14744/scie.2023.81489
Aslı Tuğçe Delipınar
Objective: Subclinical hypothyroidism is the most frequent thyroid dysfunction in pregnancy with an incidence of 2–5% which can easily be overlooked due to the absence of clinical symptoms. Studies have shown that thyroid hormones could alter the level of free beta-hu-man chorionic gonadotropin ( β -hCG) and pregnancy-associated plasma protein-A (PAPP-A) released from the placenta during early pregnancy. Since these two serum markers are the two of the parameters used in the first-trimester combined screening, we hypothesized that distorted risk calculation results could be obtained from pregnant women with subclinical hypothyroidism. Methods: We conducted a prospective and cohort study at a tertiary university hospital in northwest Turkey between February 2018 and June 2018, involving 250 pregnant women in their first trimester who were seeking care at the obstetrics outpatient clinic. After evaluation of thyroid functions, first-trimester screening was performed in all 250 singleton pregnancies with fetuses at 11+0 to 13+6 gestational weeks. Thyroid-stimulating hormone (TSH) values above 2,5 mIU/L were considered high. The correlation between the results and parameters of the first-trimester combined screening and thyroid hormone values was examined. Results: Among the participants, after analyzing the fT4 values, all 35 pregnant women with high TSH values were diagnosed with subclinical hypothyroidism. We observed a statistically weak negative correlation between TSH and β -HCG, which was expected given the similarities in their alpha subunits. There was no statistically significant correlation between TSH and PAPP-A values, combined risk scores, and age risk scores of first-trimester screening. As a matter of course, combined risk scores of first-trimester screening were found to be statistically lower in younger mothers. Conclusion: Pregnant women with normal thyroid functions and subclinical hypothyroidism were investigated for alterations in first-trimester screening parameters and risk scores. As a result, no statistically significant correlation was found between subclinical hypothyroidism and first-trimester screening.
{"title":"Exploring the Impact of Maternal Subclinical Hypothyroidism on First-trimester Screening Results","authors":"Aslı Tuğçe Delipınar","doi":"10.14744/scie.2023.81489","DOIUrl":"https://doi.org/10.14744/scie.2023.81489","url":null,"abstract":"Objective: Subclinical hypothyroidism is the most frequent thyroid dysfunction in pregnancy with an incidence of 2–5% which can easily be overlooked due to the absence of clinical symptoms. Studies have shown that thyroid hormones could alter the level of free beta-hu-man chorionic gonadotropin ( β -hCG) and pregnancy-associated plasma protein-A (PAPP-A) released from the placenta during early pregnancy. Since these two serum markers are the two of the parameters used in the first-trimester combined screening, we hypothesized that distorted risk calculation results could be obtained from pregnant women with subclinical hypothyroidism. Methods: We conducted a prospective and cohort study at a tertiary university hospital in northwest Turkey between February 2018 and June 2018, involving 250 pregnant women in their first trimester who were seeking care at the obstetrics outpatient clinic. After evaluation of thyroid functions, first-trimester screening was performed in all 250 singleton pregnancies with fetuses at 11+0 to 13+6 gestational weeks. Thyroid-stimulating hormone (TSH) values above 2,5 mIU/L were considered high. The correlation between the results and parameters of the first-trimester combined screening and thyroid hormone values was examined. Results: Among the participants, after analyzing the fT4 values, all 35 pregnant women with high TSH values were diagnosed with subclinical hypothyroidism. We observed a statistically weak negative correlation between TSH and β -HCG, which was expected given the similarities in their alpha subunits. There was no statistically significant correlation between TSH and PAPP-A values, combined risk scores, and age risk scores of first-trimester screening. As a matter of course, combined risk scores of first-trimester screening were found to be statistically lower in younger mothers. Conclusion: Pregnant women with normal thyroid functions and subclinical hypothyroidism were investigated for alterations in first-trimester screening parameters and risk scores. As a result, no statistically significant correlation was found between subclinical hypothyroidism and first-trimester screening.","PeriodicalId":33982,"journal":{"name":"Southern Clinics of Istanbul Eurasia","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135838280","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 : 2022-01-01DOI: 10.14744/scie.2022.38233
G. Yıldız
{"title":"The relationship between mid-trimester cervical length and preterm delivery and maternal characteristics","authors":"G. Yıldız","doi":"10.14744/scie.2022.38233","DOIUrl":"https://doi.org/10.14744/scie.2022.38233","url":null,"abstract":"","PeriodicalId":33982,"journal":{"name":"Southern Clinics of Istanbul Eurasia","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67339031","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 : 2022-01-01DOI: 10.14744/scie.2022.46034
Hande Erman
{"title":"Success rate in achieving guideline targets for lipid parameters for atherosclerotic cardiovascular risk prevention in patients with type 2 diabetes mellitus: A retrospective analysis","authors":"Hande Erman","doi":"10.14744/scie.2022.46034","DOIUrl":"https://doi.org/10.14744/scie.2022.46034","url":null,"abstract":"","PeriodicalId":33982,"journal":{"name":"Southern Clinics of Istanbul Eurasia","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67339160","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 : 2022-01-01DOI: 10.14744/scie.2022.69926
O. Kilic
{"title":"The role of emotion regulation and fear of compassion on depression and anxiety in patients with colorectal cancer","authors":"O. Kilic","doi":"10.14744/scie.2022.69926","DOIUrl":"https://doi.org/10.14744/scie.2022.69926","url":null,"abstract":"","PeriodicalId":33982,"journal":{"name":"Southern Clinics of Istanbul Eurasia","volume":"8 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67341033","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 : 2022-01-01DOI: 10.14744/scie.2022.03789
Z. Koç
Objective: In our study, we aimed to compare the reliability of the Harmless Acute Pancre-atitis Score (HAPS) score with the widespread, commonly used and reliable scoring system of the Ranson score in terms of prognosis prediction for non-biliary acute pancreatitis (AP) cases. Methods: The study included 73 patients with diagnosis of non-biliary AP with mean age 48 years, admitted for clinical follow-up from January 2016 to June 2021. The Ranson and HAPS scores and clinical progression were compared. For clinical progression, duration of admission, final outcome, and presence of local or systemic complications were assessed. Results: When HAPS and Ranson scores are compared, there was no statistically significant difference identified in the prognosis predictions for patients (p>0.05). Conclusion: The Ranson scoring system, a scoring system with high reliability, is completed in 48 h, while the HAPS score is calculated with three criteria assessed on the patient’s initial clinical admission. The HAPS score, with convenient use, was identified to be as reliable as the Ranson score for prognosis prediction of both mild and severe cases and may be safely used for prognosis of non-biliary AP cases in situations, where the Ranson score cannot be used. ABSTRACT
{"title":"Comparison of Ranson Criteria and HAPS Score for Prognosis of Patients with Clinical Monitoring due to Non-Biliary Acute Pancreatitis","authors":"Z. Koç","doi":"10.14744/scie.2022.03789","DOIUrl":"https://doi.org/10.14744/scie.2022.03789","url":null,"abstract":"Objective: In our study, we aimed to compare the reliability of the Harmless Acute Pancre-atitis Score (HAPS) score with the widespread, commonly used and reliable scoring system of the Ranson score in terms of prognosis prediction for non-biliary acute pancreatitis (AP) cases. Methods: The study included 73 patients with diagnosis of non-biliary AP with mean age 48 years, admitted for clinical follow-up from January 2016 to June 2021. The Ranson and HAPS scores and clinical progression were compared. For clinical progression, duration of admission, final outcome, and presence of local or systemic complications were assessed. Results: When HAPS and Ranson scores are compared, there was no statistically significant difference identified in the prognosis predictions for patients (p>0.05). Conclusion: The Ranson scoring system, a scoring system with high reliability, is completed in 48 h, while the HAPS score is calculated with three criteria assessed on the patient’s initial clinical admission. The HAPS score, with convenient use, was identified to be as reliable as the Ranson score for prognosis prediction of both mild and severe cases and may be safely used for prognosis of non-biliary AP cases in situations, where the Ranson score cannot be used. ABSTRACT","PeriodicalId":33982,"journal":{"name":"Southern Clinics of Istanbul Eurasia","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67337488","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 : 2022-01-01DOI: 10.14744/scie.2022.57983
Arda Kazim Demirkan
{"title":"The Role of Donors’ Psychological Status and Given Structured Information in Increasing Convalescent Plasma Procurement","authors":"Arda Kazim Demirkan","doi":"10.14744/scie.2022.57983","DOIUrl":"https://doi.org/10.14744/scie.2022.57983","url":null,"abstract":"","PeriodicalId":33982,"journal":{"name":"Southern Clinics of Istanbul Eurasia","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67340551","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 : 2022-01-01DOI: 10.14744/scie.2022.67209
M. S. Özkent
{"title":"Incidence of COVID-19 Pneumonia on Abdominal Computed Tomography Images of Patients Applied to The Urology Outpatient Clinic","authors":"M. S. Özkent","doi":"10.14744/scie.2022.67209","DOIUrl":"https://doi.org/10.14744/scie.2022.67209","url":null,"abstract":"","PeriodicalId":33982,"journal":{"name":"Southern Clinics of Istanbul Eurasia","volume":"3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67341110","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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