Aim: This study planned to evaluate the publication status in scientific journals of medical specialty theses on hematology published by internal medicine departments of all medical faculties in our country. Materials and Methods: One hundred and eighty-six internal medicine speciality theses on hematology available in the Council of Higher Education National Thesis Center web database (https://tez.yok.gov.tr/UlusalTezMerkezi/), which were entered in the system via the internal medicine departments of all medical faculties in our country and published between 2015 and 2017 were included in this study. These theses were examined regarding the year they were conducted, the gender of the author, the academic title of the thesis advisor, the publication status and the other characteristics of the thesis authors. Results: Fifty seven (30.6%) out of 186 internal medicine speciality theses on hematology that are included in our study were published in the scientific journals. Eighteen (31.6%) of these were published in a journal with Science Citation Index (SCI) / Science Citation Index-Expanded (SCI-E), 21 (36.8%) in the other international indexes, 14 (24.6%) in Ulakbim TR index, 4 (7.0%) was published in the national peer-reviewed journals. Of the theses, 141 (75.8%) were retrospective studies and 45 (24.2%) were prospective studies. Thirty seven (26.2%) of retrospective studies and 20 (44.4%) of prospective studies were published. The publication rate of prospective studies was found to be higher than retrospective studies (p=0.021). Conclusion: In conclusion, it was revealed that the publication rate of the internal medicine speciality theses on hematology as articles that were written at the end of the internal medicine speciality training is higher than that of other clinical branches.
{"title":"Publication Status of Speciality Theses on Hematology by Internal Diseases Departments","authors":"Muhammed Ciftcioglu","doi":"10.17517/ksutfd.1137216","DOIUrl":"https://doi.org/10.17517/ksutfd.1137216","url":null,"abstract":"Aim: This study planned to evaluate the publication status in scientific journals of medical specialty theses on hematology published by internal medicine departments of all medical faculties in our country. \u0000Materials and Methods: One hundred and eighty-six internal medicine speciality theses on hematology available in the Council of Higher Education National Thesis Center web database (https://tez.yok.gov.tr/UlusalTezMerkezi/), which were entered in the system via the internal medicine departments of all medical faculties in our country and published between 2015 and 2017 were included in this study. These theses were examined regarding the year they were conducted, the gender of the author, the academic title of the thesis advisor, the publication status and the other characteristics of the thesis authors. \u0000Results: Fifty seven (30.6%) out of 186 internal medicine speciality theses on hematology that are included in our study were published in the scientific journals. Eighteen (31.6%) of these were published in a journal with Science Citation Index (SCI) / Science Citation Index-Expanded (SCI-E), 21 (36.8%) in the other international indexes, 14 (24.6%) in Ulakbim TR index, 4 (7.0%) was published in the national peer-reviewed journals. Of the theses, 141 (75.8%) were retrospective studies and 45 (24.2%) were prospective studies. Thirty seven (26.2%) of retrospective studies and 20 (44.4%) of prospective studies were published. The publication rate of prospective studies was found to be higher than retrospective studies (p=0.021). \u0000Conclusion: In conclusion, it was revealed that the publication rate of the internal medicine speciality theses on hematology as articles that were written at the end of the internal medicine speciality training is higher than that of other clinical branches.","PeriodicalId":34113,"journal":{"name":"Kahramanmaras Sutcu Imam Universitesi Tip Fakultesi dergisi","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67444062","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: The aim of this study is evaluting the results of disc restoration hidrogel implanted (GelstixTM) lomber disc hernia patients. Material-Method: Patients suffered from chronic back pain diagnosed lumber disc hernia who were admitted to Firat University Algology Clinic and treated with disc restoration hidrogel between January 2013 – January 2014 were evaluated. Cases were evaluated for demografic characteristics, magnetic resistance imaging findings, preoperative and postoperative VAS, complications, side effects and patients satisfaction after prosedure. Results: Of the operated 62 patients were 25 male (40,3%) and 37 female (59,7%). Mean age of all patients was 49,18±14,18 years, mean age of female patients was 50,81±13,37 years and mean age of male patients was 46,76±15,27 years. Mean duration of pain in female and male patients was 37,81±37,92 months and 25,36±33,58 months, respectively. Preoperative and postoperatif VAS scores of female and male patients were 8,24±1,09 and 7,88±1,01 and 3,56±2,11 and 3,76±2,17, respectively. Of the 62 patients suffered from 16 right leg pain (25,8%), 20 left leg pain (32,3%), 26 bilateral lower limb pain (41,9%). Of 62 patients 31 had no additional disorders (50%), 12 had cardiac disorders (19,4%), 3 had (4,8%) respiratory disorders, 7 had endocrine disorders (11,3%), 4 had both endocrine and cardiac disorders (6,5%), 2 had both cardiac and respiratory disorders (3,2%), 1 had both endocrine and respiratory disorders (1,6%), and 2 had both endocrine, cardiac and respiratory disorders (3,2%). Of the 62 patients 25 had bulging (40,3%), 5 had protrusion (8,1%), 4 had narrowed neural foramen (6,5%), 18 had bulging +narrowed neural foramen (29%), 3 had narrowed neural foramen + protrusion (4,8%) and 7 had bulging + protrusion (11,3%). Thirteen patients hadn’t had previous therapy (20,97%), transforaminal steroid injection was applied to 29 patients (46,77%) and medical threapy (such as NSAID, miyorelactants) was applied to 20 (32,26%). Levels of complaints were 2 at L2-L3 (3,2%), 17 at L3-L4 (27,4%), 28 at L4-L5 (45,2%) and 15 at L5-S1 (24,2%). Without L2-L3 level other operated levels had significant difference between preropeative VAS scores and postoperative VAS scores. The number of unsatissfied patients was 9 (14,5%), moderated satisfied patients number 16(25,8%),good satisfied patients number was 16 (25,8%), and perfectly satisfied patients number was 21 (33,9%). Conclusion: Disc restoration hidrogel is a safe minimal invasive technique with satisfactory results, low complication rates and low side effect risk especially in young and middle aged patients.
简介:本研究的目的是评估椎间盘修复植入凝胶(GelstixTM)的腰椎间盘突出患者的结果。材料-方法:对2013年1月- 2014年1月在Firat University Algology Clinic接受椎间盘修复hidrogel治疗的诊断为腰椎间盘突出的慢性背痛患者进行评估。评估病例的人口学特征、磁共振成像结果、术前和术后VAS、并发症、副作用和术后患者满意度。结果:62例手术患者中，男性25例(40.3%)，女性37例(59.7%)。患者平均年龄分别为49、18±14、18岁，女性患者平均年龄分别为50、81±13、37岁，男性患者平均年龄分别为46、76±15、27岁。女性和男性患者的平均疼痛时间分别为37、81±37、92个月和25、36±33、58个月。男女患者术前、术后VAS评分分别为8分、24±1分、09分和7分、88分±1分、01分和3分、56分±2分、11分和3分、76分±2分、17分。62例患者中右腿疼痛16例(25.8%)，左腿疼痛20例(32.3%)，双侧下肢疼痛26例(41.9%)。62例患者中，31例无其他疾病(50%)，12例有心脏疾病(19.4%)，3例有呼吸疾病(4.8%)，7例有内分泌疾病(11.3%)，4例同时有内分泌和心脏疾病(6.5%)，2例同时有心脏和呼吸疾病(3.2%)，1例同时有内分泌和呼吸疾病(1.6%)，2例同时有内分泌、心脏和呼吸疾病(3.2%)。62例患者中，膨出25例(40.3%)，突出5例(8.1%)，神经孔狭窄4例(6.5%)，膨出+神经孔狭窄18例(29%)，神经孔狭窄+突出3例(4.8%)，膨出+突出7例(11.3%)。既往未接受治疗的患者13例(20.97%)，经椎间孔类固醇注射患者29例(46.77%)，药物治疗(如非甾体抗炎药、心肌相关药物)患者20例(32.26%)。L2-L3有2例(3.2%)，L3-L4有17例(27.4%)，L4-L5有28例(45.2%)，L5-S1有15例(24.2%)。除L2-L3水平外，其他手术水平术前VAS评分与术后VAS评分差异有统计学意义。不满意者9例(14.5%)，中等满意者16例(25.8%)，较满意者16例(25.8%)，完全满意者21例(33.9%)。结论:椎间盘修复术是一种安全的微创技术，效果满意，并发症发生率低，副作用低，尤其适用于中青年患者。
{"title":"Lomber Disk Hernisinde Disk Restorasyon Hidrojel İmplant (Gelstixtm) Kullandığımız Hastalarda Sonuçlar: Retrospektif Kohort Çalışması","authors":"Ayşe AZAK BOZAN, Sibel Özcan, Mikail Kilinç, Meryem IŞIK SEÇ, Selami Ateş Önal","doi":"10.17517/ksutfd.1175483","DOIUrl":"https://doi.org/10.17517/ksutfd.1175483","url":null,"abstract":"Introduction: The aim of this study is evaluting the results of disc restoration hidrogel implanted (GelstixTM) lomber disc hernia patients. \u0000Material-Method: Patients suffered from chronic back pain diagnosed lumber disc hernia who were admitted to Firat University Algology Clinic and treated with disc restoration hidrogel between January 2013 – January 2014 were evaluated. Cases were evaluated for demografic characteristics, magnetic resistance imaging findings, preoperative and postoperative VAS, complications, side effects and patients satisfaction after prosedure. \u0000Results: Of the operated 62 patients were 25 male (40,3%) and 37 female (59,7%). Mean age of all patients was 49,18±14,18 years, mean age of female patients was 50,81±13,37 years and mean age of male patients was 46,76±15,27 years. Mean duration of pain in female and male patients was 37,81±37,92 months and 25,36±33,58 months, respectively. Preoperative and postoperatif VAS scores of female and male patients were 8,24±1,09 and 7,88±1,01 and 3,56±2,11 and 3,76±2,17, respectively. Of the 62 patients suffered from 16 right leg pain (25,8%), 20 left leg pain (32,3%), 26 bilateral lower limb pain (41,9%). Of 62 patients 31 had no additional disorders (50%), 12 had cardiac disorders (19,4%), 3 had (4,8%) respiratory disorders, 7 had endocrine disorders (11,3%), 4 had both endocrine and cardiac disorders (6,5%), 2 had both cardiac and respiratory disorders (3,2%), 1 had both endocrine and respiratory disorders (1,6%), and 2 had both endocrine, cardiac and respiratory disorders (3,2%). Of the 62 patients 25 had bulging (40,3%), 5 had protrusion (8,1%), 4 had narrowed neural foramen (6,5%), 18 had bulging +narrowed neural foramen (29%), 3 had narrowed neural foramen + protrusion (4,8%) and 7 had bulging + protrusion (11,3%). Thirteen patients hadn’t had previous therapy (20,97%), transforaminal steroid injection was applied to 29 patients (46,77%) and medical threapy (such as NSAID, miyorelactants) was applied to 20 (32,26%). Levels of complaints were 2 at L2-L3 (3,2%), 17 at L3-L4 (27,4%), 28 at L4-L5 (45,2%) and 15 at L5-S1 (24,2%). Without L2-L3 level other operated levels had significant difference between preropeative VAS scores and postoperative VAS scores. The number of unsatissfied patients was 9 (14,5%), moderated satisfied patients number 16(25,8%),good satisfied patients number was 16 (25,8%), and perfectly satisfied patients number was 21 (33,9%). \u0000Conclusion: Disc restoration hidrogel is a safe minimal invasive technique with satisfactory results, low complication rates and low side effect risk especially in young and middle aged patients.","PeriodicalId":34113,"journal":{"name":"Kahramanmaras Sutcu Imam Universitesi Tip Fakultesi dergisi","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67444795","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}
Nurten Seringeç Akkeçeci, Nazlıcan İğci̇, M. Boşnak, A. Karadeniz, S. Yaman
Objective: This study was planned to determine whether the chronic use of Maraş powder, a form of smokeless tobacco, has any effect on reaction time. Materials and Methods: A total of 90 healthy men, who did not have any disease, 30 people who have been using Maraş powder for at least 3 years, 30 people who have been smoking for at least 3 years, and 30 people who did not use any tobacco product, were included in the study. People using Maraş powder or cigarette were told not to use them at least 12 hours before the experiments. The auditory reaction times of people who use Maraş powder, smoke, and do not use any tobacco product were compared. Reaction time measurements were made using the PowerLab 8/35 LabChart Pro data recording system. The results of the study were analyzed using One-Way-ANOVA, and Kruskal Wallis Analysis of Variance test. Results: There was no difference between the groups in terms of demographic characteristics such as age, height, weight, and body mass index (BMI) (p>0.05). The reaction time was 0.31±0.08 (0.21-0.53) in people who use maras powder, 0.25±0.07 (0.17-0.40) in people who smoke, and 20±0.02 (0.16-0.23) in people who don't use any tobacco product. The reaction time of people using Maraş powder was found to be significantly higher than people who smoke and people who do not use any tobacco product (p=0.002, p
目的:本研究旨在确定长期使用maraku粉末(一种无烟烟草)是否对反应时间有任何影响。材料与方法:本研究共纳入90名无任何疾病的健康男性，30名使用maraku粉3年以上的人，30名吸烟3年以上的人，30名不使用任何烟草制品的人。使用maraku粉末或香烟的人被告知至少在实验前12小时不要使用它们。比较了使用maraku粉末、吸烟和不使用任何烟草制品的人的听觉反应时间。反应时间测量采用PowerLab 8/35 LabChart Pro数据记录系统。研究结果采用单因素方差分析和Kruskal Wallis方差分析检验。结果:两组间年龄、身高、体重、体质指数(BMI)等人口统计学特征差异无统计学意义(p < 0.05)。使用烟粉者的反应时间为0.31±0.08(0.21-0.53)，吸烟者为0.25±0.07(0.17-0.40)，不使用烟草制品者为20±0.02(0.16-0.23)。使用maraku粉末的人的反应时间明显高于吸烟和不使用任何烟草制品的人(p=0.002, p
{"title":"The Effect of Maraş Powder on Reaction Time","authors":"Nurten Seringeç Akkeçeci, Nazlıcan İğci̇, M. Boşnak, A. Karadeniz, S. Yaman","doi":"10.17517/ksutfd.1091028","DOIUrl":"https://doi.org/10.17517/ksutfd.1091028","url":null,"abstract":"Objective: This study was planned to determine whether the chronic use of Maraş powder, a form of smokeless tobacco, has any effect on reaction time. \u0000Materials and Methods: A total of 90 healthy men, who did not have any disease, 30 people who have been using Maraş powder for at least 3 years, 30 people who have been smoking for at least 3 years, and 30 people who did not use any tobacco product, were included in the study. People using Maraş powder or cigarette were told not to use them at least 12 hours before the experiments. The auditory reaction times of people who use Maraş powder, smoke, and do not use any tobacco product were compared. Reaction time measurements were made using the PowerLab 8/35 LabChart Pro data recording system. The results of the study were analyzed using One-Way-ANOVA, and Kruskal Wallis Analysis of Variance test. \u0000Results: There was no difference between the groups in terms of demographic characteristics such as age, height, weight, and body mass index (BMI) (p>0.05). The reaction time was 0.31±0.08 (0.21-0.53) in people who use maras powder, 0.25±0.07 (0.17-0.40) in people who smoke, and 20±0.02 (0.16-0.23) in people who don't use any tobacco product. The reaction time of people using Maraş powder was found to be significantly higher than people who smoke and people who do not use any tobacco product (p=0.002, p","PeriodicalId":34113,"journal":{"name":"Kahramanmaras Sutcu Imam Universitesi Tip Fakultesi dergisi","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67443717","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: In this study, we describe the management and outcome of children with intussusception and analyze the sonographic findings that can be used to differentiate transient, self-limited small bowel intussusception from the cases with an indication for surgery. Material and Methods: We retrospectively reviewed the medical records of pediatric patients with the diagnosis of invagination who had been followed up in the pediatric surgery service between 2012-2017. Results: The median age was 39.5±35.9 (range 2-171) months. Among these patients, 57 (64%) had been followed up without surgery, and the remaining patients (n= 32, 36%) had undergone surgery. The median age of patients who had not undergone surgery was significantly greater than that of the patients who had undergone surgery (52.2±38.4 vs. 16.75±12.6; p
{"title":"İnvajinasyonda Tedavi Yaklaşımı: Takip mi Cerrahi mı?","authors":"Ömer Katı, Şükrü Güngör, Yaşar Kandur, A. Güler","doi":"10.17517/ksutfd.1151371","DOIUrl":"https://doi.org/10.17517/ksutfd.1151371","url":null,"abstract":"Objective: In this study, we describe the management and outcome of children with intussusception and analyze the sonographic findings that can be used to differentiate transient, self-limited small bowel intussusception from the cases with an indication for surgery. \u0000Material and Methods: We retrospectively reviewed the medical records of pediatric patients with the diagnosis of invagination who had been followed up in the pediatric surgery service between 2012-2017. \u0000Results: The median age was 39.5±35.9 (range 2-171) months. Among these patients, 57 (64%) had been followed up without surgery, and the remaining patients (n= 32, 36%) had undergone surgery. The median age of patients who had not undergone surgery was significantly greater than that of the patients who had undergone surgery (52.2±38.4 vs. 16.75±12.6; p","PeriodicalId":34113,"journal":{"name":"Kahramanmaras Sutcu Imam Universitesi Tip Fakultesi dergisi","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67444253","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}
Jale Akgöl, Elif DİZEN KAZAN, Sinan Kazan, Onur Tunca
ABSTRACT INTRODUCTION: This study aimed to evaluate treatment adherence and rational drug use in hemodialysis patients and investigate predictive factors on dialysis adequacy. MATERIAL AND METHOD: This is a cross-sectional descriptive study. The data were obtained by examining face-to-face questionnaires and patient files. The Hospitalized Patient Questionnaire and the End Stage Kidney Disease Compliance Questionnaire (ESRD-AQ) were administered to the patients. Kt/V was used for dialysis proficiency. By examining the obtained data, the variables that can be associated with the Kt/V value were investigated. RESULTS: A total of 145 patients were included in the study, 69% of the participants were over 51 years of age and 54.5% were male. Median Kt/v level was 1,38 (Q1=1,25; Q3=1,54). As for the medications, those with Kt∕V≥1.2 were found to be using more antihypertensive agents, folic acid, vitamin B12, and vitamin C but less levocarnitine concerning the group with Kt/V
{"title":"HEMODİALİZ HASTALARINDA TEDAVİ UYUMU VE AKILLI İLAÇ KULLANIMININ DEĞERLENDİRİLMESİ VE DİYALİZ YETERLİLİĞİNİ ÖNGÖRÜCÜ FAKTÖRLER","authors":"Jale Akgöl, Elif DİZEN KAZAN, Sinan Kazan, Onur Tunca","doi":"10.17517/ksutfd.1176552","DOIUrl":"https://doi.org/10.17517/ksutfd.1176552","url":null,"abstract":"ABSTRACT \u0000INTRODUCTION: This study aimed to evaluate treatment adherence and rational drug use in hemodialysis patients and investigate predictive factors on dialysis adequacy. \u0000MATERIAL AND METHOD: This is a cross-sectional descriptive study. The data were obtained by examining face-to-face questionnaires and patient files. The Hospitalized Patient Questionnaire and the End Stage Kidney Disease Compliance Questionnaire (ESRD-AQ) were administered to the patients. Kt/V was used for dialysis proficiency. By examining the obtained data, the variables that can be associated with the Kt/V value were investigated. \u0000RESULTS: A total of 145 patients were included in the study, 69% of the participants were over 51 years of age and 54.5% were male. Median Kt/v level was 1,38 (Q1=1,25; Q3=1,54). As for the medications, those with Kt∕V≥1.2 were found to be using more antihypertensive agents, folic acid, vitamin B12, and vitamin C but less levocarnitine concerning the group with Kt/V","PeriodicalId":34113,"journal":{"name":"Kahramanmaras Sutcu Imam Universitesi Tip Fakultesi dergisi","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67444658","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: In this study, it was aimed to determine the causative microorganisms isolated in peritonitis attacks in peritoneal dialysis (PD) patients in our hospital and methicilline resistance rate in Staphlococci. Material and methods: 194 patients in the peritoneal dialysis unit of XXXXl Training and Research Hospital, Nephrology Clinic, between January 2009 and 2020, were evaluated retrospectively in terms of peritonitis development, causative microorganisms and methicillin resistance in Stapylococci, which is the most common causative agent. Results: Peritonitis attack developed in 149 out of a total of 194 patients. The causative agent has been isolated in 91 (61%) of the patients who developed peritonitis. When we look at the order of frequency among all microorganisms isolated, methicillin-susceptible Staphylococci (MHS) 59 (44.02%), methicillin-resistant Staphylococci (MRS) 28 (20.89%), Escherichia coli 12 (8.95%), Streptococcus spp 12 (8.95%), Enterobacter spp 7 (5.22%), Pseudomonas spp 4 (2.98%), diphtheroid bacilli 4 (2.98%), Klebsiella spp 2 (1.49%), Acinetobacter spp 1 (0.07%), a total of 129 bacteria, including five fungi were detected. Methicillin resistance rate was 32.18% among Staphylococci, which was found to be the most common causative agent. Conclusion: There is a need for studies with large patient groups to show the agents of peritonitis and the change in the resistance profile these microorganisms. Key words: Peritoneal Dialysis, Peritonitis, Methicillin Resistance
{"title":"Periton Diyalizi İle ilişkili Peritonitlerin İrdelenmesi","authors":"Şennur Köse, Fatma Gümüşer, Nagehan Didem Sarı","doi":"10.17517/ksutfd.1137818","DOIUrl":"https://doi.org/10.17517/ksutfd.1137818","url":null,"abstract":"Objective: In this study, it was aimed to determine the causative microorganisms isolated in peritonitis attacks in peritoneal dialysis (PD) patients in our hospital and methicilline resistance rate in Staphlococci. \u0000Material and methods: 194 patients in the peritoneal dialysis unit of XXXXl Training and Research Hospital, Nephrology Clinic, between January 2009 and 2020, were evaluated retrospectively in terms of peritonitis development, causative microorganisms and methicillin resistance in Stapylococci, which is the most common causative agent. \u0000Results: Peritonitis attack developed in 149 out of a total of 194 patients. The causative agent has been isolated in 91 (61%) of the patients who developed peritonitis. When we look at the order of frequency among all microorganisms isolated, methicillin-susceptible Staphylococci (MHS) 59 (44.02%), methicillin-resistant Staphylococci (MRS) 28 (20.89%), Escherichia coli 12 (8.95%), Streptococcus spp 12 (8.95%), Enterobacter spp 7 (5.22%), Pseudomonas spp 4 (2.98%), diphtheroid bacilli 4 (2.98%), Klebsiella spp 2 (1.49%), Acinetobacter spp 1 (0.07%), a total of 129 bacteria, including five fungi were detected. Methicillin resistance rate was 32.18% among Staphylococci, which was found to be the most common causative agent. \u0000Conclusion: There is a need for studies with large patient groups to show the agents of peritonitis and the change in the resistance profile these microorganisms. \u0000Key words: Peritoneal Dialysis, Peritonitis, Methicillin Resistance","PeriodicalId":34113,"journal":{"name":"Kahramanmaras Sutcu Imam Universitesi Tip Fakultesi dergisi","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67444076","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: Bu çalışmanın amacı, kateter ilişkili üriner sistem enfeksiyonlarında (Kİ-ÜSİ) mortalite ile epidemiyolojik faktörler, komorbid durumlar, antibiyotik direnci, ampirik antimikrobiyal tedavi ve laboratuvar parametreleri arasındaki ilişkiyi değerlendirmektir. Gereç ve yöntemler: Yoğun bakıma 1 Ocak 2015 ile 1 Ocak 2020 arasında kabul edilen 18 yaş ve üzeri hastalarda retrospektif bir kohort çalışması tasarlanmıştır. Birincil sonlanım noktası hastanın kabulünün ilk 28 günü içinde ölüm, ikincil son nokta ise 28 günden sonra sağkalımdı. p< 0.05 değeri anlamlı kabul edildi. Bulgular: Çalışmaya medyan yaşı 78, 198'i (%52,8) kadın olan toplam 375 hasta alındı. En sık saptanan mikroorganizmalar Escherichia coli (%50.9) ve Enterococcus faecalis (%16.8) idi. Gram negatif bakterilerin 3. kuşak sefalosporinlere, siprofloksasine ve meropenem'e direnci sırasıyla %41,3, %40 ve %8,6 saptandı. Gram pozitif bakterilerin %0,3'ünde vankomisin direnci tespit edildi. Mortalite oranı %58,1 idi. Artmış mortalite riski ile ilişkili faktörler ≥ 65 yaş, malignite varlığı, mekanik ventilasyon, APACHE II skoru ≥ 20 ve septik şok tanısıydı. Daha düşük ölüm riski ile ilişkili tek faktör kültürde E. coli'nin saptanmasıydı. Sonuç: Epidemiyolojik faktörlerin, eşlik eden hastalıkların, klinik skorlama sistemlerinin ve mikrobiyolojik sonuçların mortalite üzerine etkisi olduğu belirlendi. Bu çalışmanın sonuçları, kılavuzlarda yer alan enfeksiyon kontrol önlemleri ve tedavi önerileri ile birlikte değerlendirildiğinde, Kİ-ÜSİ'ye bağlı mortalitenin azaltılabileceğini düşünmekteyiz.
本研究的目的是评估导管相关生产系统感染的流行病学因素、燃烧条件、抗生素耐药性、双菌抗菌治疗和实验室参数之间的关系。要求和方法：在夏季，即2015年1月1日至2020年1月一日期间，对患者进行了回顾性队列研究。Birincil sonlanım noktasıhastanın kabulünün ilk 28 günúiçindeölüm，ikincil son nokta ise 28 gönden sonra sağkalımdı。p＜0.05被有意义地接受。研究结果是：媒体中的78名和198名（52.8）女性接受了375名患者的治疗。大肠杆菌（%50.9）和粪肠球菌（16.8）。革兰氏阴性菌3。分别为41.3%、40%和8.6%。革兰氏阳性菌直接检出率为0.3%。死亡率为58.1%。死亡率增加的相关因素包括≥65岁、恶性肿瘤、机械通气、APACHE II评分≥20和感染性休克。与较低死亡风险相关的唯一因素是大肠杆菌被引入培养。Sonuç：流行病学家faktörlerin，eşlik eden hastalıkların，klinik skorrama sistemlerinin ve mikrobiyolojik Sonuçların mortaliteüzerine etkisi olduğu belilendi。当这项工作的结果与传染病控制的变化和治疗建议相结合进行评估时，我们认为与艾滋病毒相关的死亡率可以降低。
{"title":"Katater İlişkili Üriner Sistem Enfeksiyonlarında Mortalite ile İlişkili Faktörlerin Değerlendirilmesi, 5 Yıllık Retrosepektif Çalışma","authors":"İlker Ödemi̇ş, Ayfer Imre","doi":"10.17517/ksutfd.1146548","DOIUrl":"https://doi.org/10.17517/ksutfd.1146548","url":null,"abstract":"Amaç: Bu çalışmanın amacı, kateter ilişkili üriner sistem enfeksiyonlarında (Kİ-ÜSİ) mortalite ile epidemiyolojik faktörler, komorbid durumlar, antibiyotik direnci, ampirik antimikrobiyal tedavi ve laboratuvar parametreleri arasındaki ilişkiyi değerlendirmektir. \u0000Gereç ve yöntemler: Yoğun bakıma 1 Ocak 2015 ile 1 Ocak 2020 arasında kabul edilen 18 yaş ve üzeri hastalarda retrospektif bir kohort çalışması tasarlanmıştır. Birincil sonlanım noktası hastanın kabulünün ilk 28 günü içinde ölüm, ikincil son nokta ise 28 günden sonra sağkalımdı. p< 0.05 değeri anlamlı kabul edildi. \u0000Bulgular: Çalışmaya medyan yaşı 78, 198'i (%52,8) kadın olan toplam 375 hasta alındı. En sık saptanan mikroorganizmalar Escherichia coli (%50.9) ve Enterococcus faecalis (%16.8) idi. Gram negatif bakterilerin 3. kuşak sefalosporinlere, siprofloksasine ve meropenem'e direnci sırasıyla %41,3, %40 ve %8,6 saptandı. Gram pozitif bakterilerin %0,3'ünde vankomisin direnci tespit edildi. \u0000Mortalite oranı %58,1 idi. Artmış mortalite riski ile ilişkili faktörler ≥ 65 yaş, malignite varlığı, mekanik ventilasyon, APACHE II skoru ≥ 20 ve septik şok tanısıydı. Daha düşük ölüm riski ile ilişkili tek faktör kültürde E. coli'nin saptanmasıydı. \u0000Sonuç: Epidemiyolojik faktörlerin, eşlik eden hastalıkların, klinik skorlama sistemlerinin ve mikrobiyolojik sonuçların mortalite üzerine etkisi olduğu belirlendi. Bu çalışmanın sonuçları, kılavuzlarda yer alan enfeksiyon kontrol önlemleri ve tedavi önerileri ile birlikte değerlendirildiğinde, Kİ-ÜSİ'ye bağlı mortalitenin azaltılabileceğini düşünmekteyiz.","PeriodicalId":34113,"journal":{"name":"Kahramanmaras Sutcu Imam Universitesi Tip Fakultesi dergisi","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48608662","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: Low back pain in pediatric patients can be severe in terms of its consequences and should be investigated. In this study, the etiology of pediatric low back pain was examined, and it was evaluated whether there was a relationship between age and gender. Material and Methods: In this study, 228 patients under 18 who applied to Şanlıurfa Training and Research Hospital Physical Medicine and Rehabilitation and Brain and Nerve Surgery polyclinics complained of low back pain and underwent spinal Magnetic Resonance Imaging (MRI) in 2021 were analyzed retrospectively. Results: The ages of 228 patients included in our study ranged from 4 to 18 years, with a mean age of 12.8±2.5. 54.8% of the cases were male (n=125), 45.2% (n=103) were female. While MRI findings were not observed in 92 cases, MRI findings were found in 136 cases. Disc pathology was detected in 44.7% (n=102) of the cases, and structural pathology was found in 14.9% (n=36). The most common disc pathology was bulging, constituting 32.9% (n=75) of the cases. There was no significant difference between the genders of the cases according to the incidence of disc pathology (p=0.434). When age and incidence of disc pathology were evaluated, the age of the group with disc pathology was significantly higher than the group without disc pathology (p
{"title":"Investigation of Spinal Magnetic Resonance Imaging Results of Pediatric Patients Presenting with Low Back Pain","authors":"B. Erdoğan, Bilgehan Kolutek Ay","doi":"10.17517/ksutfd.1156487","DOIUrl":"https://doi.org/10.17517/ksutfd.1156487","url":null,"abstract":"Objective: Low back pain in pediatric patients can be severe in terms of its consequences and should be investigated. In this study, the etiology of pediatric low back pain was examined, and it was evaluated whether there was a relationship between age and gender. \u0000Material and Methods: In this study, 228 patients under 18 who applied to Şanlıurfa Training and Research Hospital Physical Medicine and Rehabilitation and Brain and Nerve Surgery polyclinics complained of low back pain and underwent spinal Magnetic Resonance Imaging (MRI) in 2021 were analyzed retrospectively. \u0000Results: The ages of 228 patients included in our study ranged from 4 to 18 years, with a mean age of 12.8±2.5. 54.8% of the cases were male (n=125), 45.2% (n=103) were female. While MRI findings were not observed in 92 cases, MRI findings were found in 136 cases. Disc pathology was detected in 44.7% (n=102) of the cases, and structural pathology was found in 14.9% (n=36). The most common disc pathology was bulging, constituting 32.9% (n=75) of the cases. There was no significant difference between the genders of the cases according to the incidence of disc pathology (p=0.434). When age and incidence of disc pathology were evaluated, the age of the group with disc pathology was significantly higher than the group without disc pathology (p","PeriodicalId":34113,"journal":{"name":"Kahramanmaras Sutcu Imam Universitesi Tip Fakultesi dergisi","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67443858","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}
Şeyma Yurtseven, Sevban Arslan, Sevgi DENİZ DOĞAN, Derya Gezer, Pınar Kaya, M. S. Bulut Özsezer
Amaç: Bu araştırma yoğun bakım ünitelerinde ölümü yaklaşan hastalara bakmanın stresli deneyimini yaşayan hemşirelerin, ölüm ile ilgili görüşlerinin neler olduğunu, bu hastalara bakmanın ölüm algılarını nasıl etkilediğini, benzetmeler ve çizimler aracılığıyla nitel olarak incelenmesini amaçlamaktadır. Gereç ve Yöntem: Araştırmaya toplam 40 yoğun bakım hemşiresi dahil edilmiştir. Araştırma verileri nitel veri toplama yöntemlerinden görüşme yöntemi kullanılarak toplanmış ve görüşmelerden elde edilen verilerin analizinde içerik analizi yöntemi kullanılmıştır. Bulgular: Araştırmada hastaların ölümü karşısında yoğun bakım hemşirelerinin algıları; bedensel, duygusal, ruhsal, bilişsel ve davranışsal; ölümü yaklaşan hastaya verilen bakımın amacı, fiziksel, psikolojik ve manevi; hemşirelerin kendi ölümlerini algılamaları ise kabullenme, kaçış ve korku temaları altında sunulmuştur. Sonuç: Çalışmada hemşirelerin ölüm ve ölümü yaklaşan birey ile karşılaştıklarında ölüm karşısında üzüntü ve korku hissettikleri, bakım esnasında ise en çok yetersizlik ve çaresizlik yaşadıkları saptanmıştır. Tüm bu bulgular sonucunda ölüm ile sık karşılaşan yoğun bakım hemşirelerinin kendi duygularını fark ederek uygun bireysel baş etme mekanizmaları geliştirebilmesi ve ölüme ilişkin olumlu tutum sergilenmesi için hizmet içi eğitimler planlanması önerilebilir.
Amaç：Bu araştırma yoğun bakımünitelerineölümüyaklaşan hastalara bakmanın stresli deneymini yaşayan hemşirelerin，ölúm ile ilgili görüşlerinin neler olduğunu，Bu hastalara bakmanımesini Amaçlamaktadır。设备和方法：共纳入40名主动监测护士。研究数据已被用于分析从对收集的数据的分析中获得的数据，以及使用从符合条件的数据收集方法的转换方法从对话获得的数据。研究结果是：研究中重症监护患者对死亡的看法；身体、情感、精神、认知和行为；为濒临死亡的患者提供护理、身体、心理和操作的目的；hemşirelerin kendiölümlerini algılamalarıise kabullenme，kaçışve korku-temalarıaltında-sunulmuştur。因此，当他们在工作中遇到濒临死亡的人时，他们会感到沮丧和害怕死亡，而且他们最不合适和不合适。由于所有这些发现，经常面临死亡的护士有可能发展自己的自我控制机制，并计划内部培训，以促进与死亡相关的积极行为。
{"title":"Perception of Death in Intensive Care Nurses","authors":"Şeyma Yurtseven, Sevban Arslan, Sevgi DENİZ DOĞAN, Derya Gezer, Pınar Kaya, M. S. Bulut Özsezer","doi":"10.17517/ksutfd.1093065","DOIUrl":"https://doi.org/10.17517/ksutfd.1093065","url":null,"abstract":"Amaç: Bu araştırma yoğun bakım ünitelerinde ölümü yaklaşan hastalara bakmanın stresli deneyimini yaşayan hemşirelerin, ölüm ile ilgili görüşlerinin neler olduğunu, bu hastalara bakmanın ölüm algılarını nasıl etkilediğini, benzetmeler ve çizimler aracılığıyla nitel olarak incelenmesini amaçlamaktadır. \u0000Gereç ve Yöntem: Araştırmaya toplam 40 yoğun bakım hemşiresi dahil edilmiştir. Araştırma verileri nitel veri toplama yöntemlerinden görüşme yöntemi kullanılarak toplanmış ve görüşmelerden elde edilen verilerin analizinde içerik analizi yöntemi kullanılmıştır. \u0000Bulgular: Araştırmada hastaların ölümü karşısında yoğun bakım hemşirelerinin algıları; bedensel, duygusal, ruhsal, bilişsel ve davranışsal; ölümü yaklaşan hastaya verilen bakımın amacı, fiziksel, psikolojik ve manevi; hemşirelerin kendi ölümlerini algılamaları ise kabullenme, kaçış ve korku temaları altında sunulmuştur. \u0000Sonuç: Çalışmada hemşirelerin ölüm ve ölümü yaklaşan birey ile karşılaştıklarında ölüm karşısında üzüntü ve korku hissettikleri, bakım esnasında ise en çok yetersizlik ve çaresizlik yaşadıkları saptanmıştır. Tüm bu bulgular sonucunda ölüm ile sık karşılaşan yoğun bakım hemşirelerinin kendi duygularını fark ederek uygun bireysel baş etme mekanizmaları geliştirebilmesi ve ölüme ilişkin olumlu tutum sergilenmesi için hizmet içi eğitimler planlanması önerilebilir.","PeriodicalId":34113,"journal":{"name":"Kahramanmaras Sutcu Imam Universitesi Tip Fakultesi dergisi","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67443470","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}
Tayibe Bal, Hasibullah Yaqoobi̇, Yusuf Önlen, Mehmet Çabalak, S. Dogan
Bu çalışma ile COVID-19 enfeksiyonu olan ve olmayan olgular arasında Hepatit A virüsüne karşı kazanılmış immün yanıt düzeyi açısından fark bulunup bulunmadığının irdelenmesi amaçlanmaktadır. Bu retrospektif, kesitsel, tek merkez çalışmasına kliniğimizde 1 Haziran 2020-1 Eylül 2020 tarihleri arasında COVID-19 hastalığı (PCR pozitifliği ile doğrulanmış) nedeniyle takip edilmiş 50 olgu dahil edildi. Benzer demografik özelliklere sahip olan, salgın öncesindeki son iki yılda (1 Kasım 2017–1 Kasım 2019) kliniğimize başvuruları sırasında Anti HAV IgG düzeyleri belirlenmiş olgular arasından rastlantısal olarak seçilen toplam 150 olgu ise kontrol grubu olarak alındı. Bu iki grup arasında Anti-HAV IgG seropozitiflik oranları ile serum antikor titreleri karşılaştırıldı. Çalışmaya dahil edilen toplam 200 olgunun ortanca yaşı 48.5 (IQR=43.0-59.0) yıl olup, 108’i (%54) erkek, 92’si (%46) kadındı. Olguların 142’si (%71) 60 yaş ve üzerinde idi, ancak hasta grupları içerisindeki 60 yaş ve üzeri olguların oranı benzerdi (p=0.105). COVID-19 olgularındaki Anti-HAV IgG seropozitifliği oranları kontrol grubundaki olgularla benzer olmakla birlikte (p=0.062), COVID-19 olgularındaki anti HAV IgG titrelerinin, kontrol olgularındakine göre anlamlı oranda daha düşük olduğu görüldü (p
在这项研究中，它旨在反映对甲型肝炎的反应水平，甲型肝炎感染了新冠肺炎，没有发生任何事件。该回顾性研究包括50名受试者，他们在2020年6月1日至2020年9月1日期间患有新冠肺炎疾病（经PCR阳性确诊）。在发病的最后两年，相似的人口统计学特征（2017年11月1日至2019年11月31日），在我们诊所的应用过程中（2017年1月1日–2019年11日1日），从抗甲型肝炎病毒IgG水平中随机选择的150人被视为对照组。已将这两组患者的抗HAV IgG血清渗透率与血清抗凝血振动进行了比较。Çalışmaya dahil edilen toplam 200 olgunun ortanca yaşı48.5（IQR=43.0-59.0）yıl olup，108’i（%54）erkek，92’si（%46）kadındı。60岁时，142人为60岁，但60岁及以上的患者人数（p=0.105）。新冠肺炎的抗-HAV IgG血清阳性率与对照组相似（p=0.062），新冠肺炎的抗HAV IgG滴度，就控制而言，它似乎没有那么有意义（p）
{"title":"COVID-19 Enfeksiyonu Olan ve Olmayan Olguların Hepatit A Virüsüne Karşı Kazanılmış İmmün Yanıt Açısından Karşılaştırılması: Retrospektif Bir Çalışma","authors":"Tayibe Bal, Hasibullah Yaqoobi̇, Yusuf Önlen, Mehmet Çabalak, S. Dogan","doi":"10.17517/ksutfd.1102741","DOIUrl":"https://doi.org/10.17517/ksutfd.1102741","url":null,"abstract":"Bu çalışma ile COVID-19 enfeksiyonu olan ve olmayan olgular arasında Hepatit A virüsüne karşı kazanılmış immün yanıt düzeyi açısından fark bulunup bulunmadığının irdelenmesi amaçlanmaktadır. \u0000Bu retrospektif, kesitsel, tek merkez çalışmasına kliniğimizde 1 Haziran 2020-1 Eylül 2020 tarihleri arasında COVID-19 hastalığı (PCR pozitifliği ile doğrulanmış) nedeniyle takip edilmiş 50 olgu dahil edildi. Benzer demografik özelliklere sahip olan, salgın öncesindeki son iki yılda (1 Kasım 2017–1 Kasım 2019) kliniğimize başvuruları sırasında Anti HAV IgG düzeyleri belirlenmiş olgular arasından rastlantısal olarak seçilen toplam 150 olgu ise kontrol grubu olarak alındı. Bu iki grup arasında Anti-HAV IgG seropozitiflik oranları ile serum antikor titreleri karşılaştırıldı. \u0000Çalışmaya dahil edilen toplam 200 olgunun ortanca yaşı 48.5 (IQR=43.0-59.0) yıl olup, 108’i (%54) erkek, 92’si (%46) kadındı. Olguların 142’si (%71) 60 yaş ve üzerinde idi, ancak hasta grupları içerisindeki 60 yaş ve üzeri olguların oranı benzerdi (p=0.105). COVID-19 olgularındaki Anti-HAV IgG seropozitifliği oranları kontrol grubundaki olgularla benzer olmakla birlikte (p=0.062), COVID-19 olgularındaki anti HAV IgG titrelerinin, kontrol olgularındakine göre anlamlı oranda daha düşük olduğu görüldü (p","PeriodicalId":34113,"journal":{"name":"Kahramanmaras Sutcu Imam Universitesi Tip Fakultesi dergisi","volume":"24 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67444230","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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