Pub Date : 2024-02-21DOI: 10.54005/geneltip.1382848
Fuat Polat, Zeynettin Kaya
Abstract Bakground/Aims: This single-center, cross-sectional study aimed to investigate the prevalence and patterns of cardiovascular symptoms and findings among pediatric patients aged 1-18 years, focusing on age and gender as potential influencing factors. Methods: Pediatric patients aged 1-18 with cardiovascular symptoms were studied, categorized by age (1-6, 7-12, 13-18) and gender (male and female) using electronic medical records, undergoing comprehensive clinical assessments including examinations, ECGs, and echocardiograms. Statistical analyses unveiled prevalence trends. Results: 720 patients were included the study and 53.9% of them were female. The prevalence of symptoms and diseases varied by age. Chest pain was common in 13-18 group; murmurs linked to congenital defects in 1-6 group. Valve and pericardial/myocardial diseases in 7-12 group, tied to rheumatic risks. Gender had minimal impact on patterns. Conclusion: The study underscores tailored management, age-specific considerations, and gender's minor role in pediatric cardiovascular symptoms and diseases.
{"title":"Pediatrik Hastalarda Kardiyovasküler Semptomların Ve Hastalıkların Yaygınlığı Ve Şekli: Yaş Ve Cinsiyete Odaklanan Tek Merkezli Gözlemsel Bir Çalışmadan Elde Edilen Veriler","authors":"Fuat Polat, Zeynettin Kaya","doi":"10.54005/geneltip.1382848","DOIUrl":"https://doi.org/10.54005/geneltip.1382848","url":null,"abstract":"Abstract \u0000Bakground/Aims: This single-center, cross-sectional study aimed to investigate the prevalence and patterns of cardiovascular symptoms and findings among pediatric patients aged 1-18 years, focusing on age and gender as potential influencing factors. \u0000Methods: Pediatric patients aged 1-18 with cardiovascular symptoms were studied, categorized by age (1-6, 7-12, 13-18) and gender (male and female) using electronic medical records, undergoing comprehensive clinical assessments including examinations, ECGs, and echocardiograms. Statistical analyses unveiled prevalence trends. \u0000Results: 720 patients were included the study and 53.9% of them were female. The prevalence of symptoms and diseases varied by age. Chest pain was common in 13-18 group; murmurs linked to congenital defects in 1-6 group. Valve and pericardial/myocardial diseases in 7-12 group, tied to rheumatic risks. Gender had minimal impact on patterns. \u0000Conclusion: The study underscores tailored management, age-specific considerations, and gender's minor role in pediatric cardiovascular symptoms and diseases.","PeriodicalId":504618,"journal":{"name":"Genel Tıp Dergisi","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140442390","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 : 2024-02-17DOI: 10.54005/geneltip.1359912
Hasan Aksoy, M. Aslan Kayıran
Background/Aims: Physicians frequently encounter skin diseases and provide opinions to their patients regarding dermatology. We aimed to assess the perceptions of physicians regarding skin diseases and to compare dermatologists’ and non-dermatologist physicians’ understanding of specific dermatological issues. Methods: Through an online form, participants were asked to respond to sentences indicating whether skin diseases are related to the liver or food with options such as "almost always," "mostly," "half-and-half," "less often," and "almost never." Similarly, they were asked to respond to sentences related to avoiding isotretinoin treatment and performing allergy tests in acute urticaria with options as "strongly disagree," "disagree," "partly agree," "agree," and "strongly agree." Statistical analysis was performed using Statistical Package for the Social Sciences v.27. Results: The sentences “skin diseases are of liver origin” and “skin diseases are caused by foods/drinks” received responses of “almost never” or “less often” at a rate of 91.8% and 80.9%, respectively. The total proportions of participants who selected “strongly agree,” “agree,” or “partly agree” were 53.9% for the statement restricting isotretinoin use and 45.5% for the statement recommending allergy testing in acute urticaria. While 91.8% of dermatologists disagreed with the statement limiting isotretinoin use, 68.3% of non-dermatologist physicians partially or completely agreed. For the statement recommending allergy testing in acute urticaria, 85.8% of dermatologists disagreed, while 55.7% of non-dermatologist physicians partially or completely agreed. Conclusions: The popular belief that skin diseases are caused by the liver or food has no basis among physicians. However, contrary to the literature, non-dermatologist physicians have expressed opinions that isotretinoin should be used as little as possible due to potential harm to the liver and that allergy tests should be performed in cases of acute urticaria. Giving importance to these topics during medical education will contribute to changing physicians' perspectives and ultimately benefit public health.
{"title":"Comparison of Physicians’ Perceptions Regarding Dermatological Diseases","authors":"Hasan Aksoy, M. Aslan Kayıran","doi":"10.54005/geneltip.1359912","DOIUrl":"https://doi.org/10.54005/geneltip.1359912","url":null,"abstract":"Background/Aims: Physicians frequently encounter skin diseases and provide opinions to their patients regarding dermatology. We aimed to assess the perceptions of physicians regarding skin diseases and to compare dermatologists’ and non-dermatologist physicians’ understanding of specific dermatological issues. \u0000Methods: Through an online form, participants were asked to respond to sentences indicating whether skin diseases are related to the liver or food with options such as \"almost always,\" \"mostly,\" \"half-and-half,\" \"less often,\" and \"almost never.\" Similarly, they were asked to respond to sentences related to avoiding isotretinoin treatment and performing allergy tests in acute urticaria with options as \"strongly disagree,\" \"disagree,\" \"partly agree,\" \"agree,\" and \"strongly agree.\" Statistical analysis was performed using Statistical Package for the Social Sciences v.27. \u0000Results: The sentences “skin diseases are of liver origin” and “skin diseases are caused by foods/drinks” received responses of “almost never” or “less often” at a rate of 91.8% and 80.9%, respectively. The total proportions of participants who selected “strongly agree,” “agree,” or “partly agree” were 53.9% for the statement restricting isotretinoin use and 45.5% for the statement recommending allergy testing in acute urticaria. While 91.8% of dermatologists disagreed with the statement limiting isotretinoin use, 68.3% of non-dermatologist physicians partially or completely agreed. For the statement recommending allergy testing in acute urticaria, 85.8% of dermatologists disagreed, while 55.7% of non-dermatologist physicians partially or completely agreed. \u0000Conclusions: The popular belief that skin diseases are caused by the liver or food has no basis among physicians. However, contrary to the literature, non-dermatologist physicians have expressed opinions that isotretinoin should be used as little as possible due to potential harm to the liver and that allergy tests should be performed in cases of acute urticaria. Giving importance to these topics during medical education will contribute to changing physicians' perspectives and ultimately benefit public health.","PeriodicalId":504618,"journal":{"name":"Genel Tıp Dergisi","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140453518","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 : 2024-01-02DOI: 10.54005/geneltip.1400973
Atilla Orhan
Abstract Background: Earthquakes of high magnitude and prolonged duration result in catastrophic events, causing significant human and material losses. Immediate medical interventions become crucial in the aftermath of such disasters to prevent long-term disabilities and fatalities. This study focuses on the challenges faced by a volunteer medical team in Kahramanmaras, Turkey, after two major earthquakes struck on February 6, 2023, affecting millions of people. Methods: A team of 35 experienced medical professionals, led by a cardiothoracic surgeon, was dispatched to the disaster site. The team's schedule, tasks, and logistical details were organized to optimize their response. The study outlines the methods employed by the team to assess and treat extremity traumas, including amputations, during the first-week post-earthquake. Results: The earthquake severely impacted local healthcare facilities, resulting in inadequate patient management, insufficient medical personnel, and logistical difficulties. The volunteer team worked tirelessly, performing surgeries and amputations and providing medical equipment. A total of 16 lower limb amputations and two upper limb amputations were performed due to severe extremity crush injuries. Discussion: The chaotic conditions post-earthquake revealed challenges in managing crush syndrome patients. The study discusses the decision-making process for amputations, fasciotomies, and patient transfers. Despite limited facilities, the team restored the hospital to full functionality within a few days. Conclusion: The study concludes that volunteer healthcare teams are crucial in disaster response. Effective organization, communication, and logistics are essential for optimal performance. Continuous training on disaster scenarios for volunteer teams is recommended. The importance of restoring healthcare facilities to routine operation after immediate crisis response is emphasized, as well as the need for comprehensive scientific data to understand the extent of the disaster's impact.
{"title":"Lessons learned from crisis management and amputation decisions in the aftermath of high-magnitude earthquakes in Kahramanmaras on 6 February 2023","authors":"Atilla Orhan","doi":"10.54005/geneltip.1400973","DOIUrl":"https://doi.org/10.54005/geneltip.1400973","url":null,"abstract":"Abstract \u0000Background: \u0000Earthquakes of high magnitude and prolonged duration result in catastrophic events, causing significant human and material losses. Immediate medical interventions become crucial in the aftermath of such disasters to prevent long-term disabilities and fatalities. This study focuses on the challenges faced by a volunteer medical team in Kahramanmaras, Turkey, after two major earthquakes struck on February 6, 2023, affecting millions of people. \u0000 \u0000Methods: \u0000A team of 35 experienced medical professionals, led by a cardiothoracic surgeon, was dispatched to the disaster site. The team's schedule, tasks, and logistical details were organized to optimize their response. The study outlines the methods employed by the team to assess and treat extremity traumas, including amputations, during the first-week post-earthquake. \u0000 \u0000Results: \u0000The earthquake severely impacted local healthcare facilities, resulting in inadequate patient management, insufficient medical personnel, and logistical difficulties. The volunteer team worked tirelessly, performing surgeries and amputations and providing medical equipment. A total of 16 lower limb amputations and two upper limb amputations were performed due to severe extremity crush injuries. \u0000 \u0000Discussion: \u0000The chaotic conditions post-earthquake revealed challenges in managing crush syndrome patients. The study discusses the decision-making process for amputations, fasciotomies, and patient transfers. Despite limited facilities, the team restored the hospital to full functionality within a few days. \u0000 \u0000Conclusion: \u0000The study concludes that volunteer healthcare teams are crucial in disaster response. Effective organization, communication, and logistics are essential for optimal performance. Continuous training on disaster scenarios for volunteer teams is recommended. The importance of restoring healthcare facilities to routine operation after immediate crisis response is emphasized, as well as the need for comprehensive scientific data to understand the extent of the disaster's impact.","PeriodicalId":504618,"journal":{"name":"Genel Tıp Dergisi","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140515368","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 : 2024-01-02DOI: 10.54005/geneltip.1158959
Duygu Ayhan Başer, Seval Tunç, Umut Ulusu, I. Fidancı, Hilal Aksoy, Mustafa Cankurtaran
Objective: With this study, it was aimed to determine the reasons and results of young adults who apply with psychological problems in a primary care institution of a university and to evaluate the relationship between sociodemographic characteristics. Method: The descriptive and retrospective study was conducted in XXXXX University Faculty of Medicine, Department of Family Medicine and Sıhhiye Health Center. All students between the ages of 18-35, who were registered in the specified date range in our study, and who came to a psychologist interview at least 3 times at regular intervals were evaluated. In our study, the data of the patients were collected by examining the data forms recorded by the psychologist. The personal data of the patient was not used in the data form. Results: In the study, 276 applications were evaluated retrospectively. It was observed that 83.3% of the applicants were women, and the mean age was 20.99±2.176. When evaluated in terms of application reasons; it was determined that 35.5% of them applied due to anxiety, stress, obsessive-compulsive disorder [OCD] problems, 35.9% of them had communication problems and psychosocial problems. For the treatment of 65.2%, it was decided to follow up with a psychologist [who did not require referral to a psychiatrist]. When the relationship between the outcome of the applications and the reasons for the application is evaluated; 54.8% of mood problems were referred to a psychiatrist and were followed up by a psychologist after the medication was started; it was determined that 51.1% of the patients who applied with communication and psychosocial problems were followed up by a psychologist without the need for referral to a psychiatrist. Conclusion: As a result, university students have high levels of anxiety, stress, OCD problems, communication problems, and psychosocial problems; it was found that women, those living in dormitories and those with a diagnosis of psychiatric illness applied more frequently. Students should be encouraged to benefit from the health centers, which are created for them, where primary care preventive health care is at the forefront.
{"title":"Evaluation of Student Applications Made for Psychological Reasons to a University Hospital Health Center","authors":"Duygu Ayhan Başer, Seval Tunç, Umut Ulusu, I. Fidancı, Hilal Aksoy, Mustafa Cankurtaran","doi":"10.54005/geneltip.1158959","DOIUrl":"https://doi.org/10.54005/geneltip.1158959","url":null,"abstract":"Objective: With this study, it was aimed to determine the reasons and results of young adults who apply with psychological problems in a primary care institution of a university and to evaluate the relationship between sociodemographic characteristics. \u0000Method: The descriptive and retrospective study was conducted in XXXXX University Faculty of Medicine, Department of Family Medicine and Sıhhiye Health Center. All students between the ages of 18-35, who were registered in the specified date range in our study, and who came to a psychologist interview at least 3 times at regular intervals were evaluated. In our study, the data of the patients were collected by examining the data forms recorded by the psychologist. The personal data of the patient was not used in the data form. \u0000Results: In the study, 276 applications were evaluated retrospectively. It was observed that 83.3% of the applicants were women, and the mean age was 20.99±2.176. When evaluated in terms of application reasons; it was determined that 35.5% of them applied due to anxiety, stress, obsessive-compulsive disorder [OCD] problems, 35.9% of them had communication problems and psychosocial problems. For the treatment of 65.2%, it was decided to follow up with a psychologist [who did not require referral to a psychiatrist]. When the relationship between the outcome of the applications and the reasons for the application is evaluated; 54.8% of mood problems were referred to a psychiatrist and were followed up by a psychologist after the medication was started; it was determined that 51.1% of the patients who applied with communication and psychosocial problems were followed up by a psychologist without the need for referral to a psychiatrist. \u0000Conclusion: As a result, university students have high levels of anxiety, stress, OCD problems, communication problems, and psychosocial problems; it was found that women, those living in dormitories and those with a diagnosis of psychiatric illness applied more frequently. Students should be encouraged to benefit from the health centers, which are created for them, where primary care preventive health care is at the forefront.","PeriodicalId":504618,"journal":{"name":"Genel Tıp Dergisi","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140515314","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 : 2024-01-02DOI: 10.54005/geneltip.1312885
F. Alpteki̇n, Eylül Sucularli, Semra Yüksel, Oya Güçlü
Aims: Many studies have shown the effects of the COVID-19 pandemic on postpartum depression (PPD) as a stressor. In addition, there have been many changes in the pandemic process, such as vaccination and removal of restrictions. However, few studies have been conducted on the psychological effects of changing conditions. In this study, we aimed to examine the frequency of PPD and the associated sociodemographic–obstetric factors in mothers who gave birth or were in the last pregnancy period in the fourth wave of the pandemic. Methods: This cross-sectional study included 211 women who underwent a postpartum checkup between December 2021 and August 2022. All women had given birth or passed the last part of their pregnancy in the fourth wave of the pandemic. PPD was measured using the Edinburgh Postnatal Depression Scale (EPDS). In addition, the authors assessed sociodemographic and obstetric characteristics with a form. Results: The prevalence of PPD was 22.7% (EPDS cut-off score ≥ 13). EPDS scores were higher in those with inadequate social support, fear of childbirth, or having a past psychiatric illness. Conclusions: In the late pandemic, the negative effect on PPD does not seem to continue. However, PPD remains a significant public health problem in Turkey. In addition, some sociodemographic characteristics associated with PPD continue to pose risks.
{"title":"Postpartum Depression During the Fourth Wave of the Pandemic and Related Factors","authors":"F. Alpteki̇n, Eylül Sucularli, Semra Yüksel, Oya Güçlü","doi":"10.54005/geneltip.1312885","DOIUrl":"https://doi.org/10.54005/geneltip.1312885","url":null,"abstract":"Aims: Many studies have shown the effects of the COVID-19 pandemic on postpartum depression (PPD) as a stressor. In addition, there have been many changes in the pandemic process, such as vaccination and removal of restrictions. However, few studies have been conducted on the psychological effects of changing conditions. In this study, we aimed to examine the frequency of PPD and the associated sociodemographic–obstetric factors in mothers who gave birth or were in the last pregnancy period in the fourth wave of the pandemic. \u0000Methods: This cross-sectional study included 211 women who underwent a postpartum checkup between December 2021 and August 2022. All women had given birth or passed the last part of their pregnancy in the fourth wave of the pandemic. PPD was measured using the Edinburgh Postnatal Depression Scale (EPDS). In addition, the authors assessed sociodemographic and obstetric characteristics with a form. \u0000Results: The prevalence of PPD was 22.7% (EPDS cut-off score ≥ 13). EPDS scores were higher in those with inadequate social support, fear of childbirth, or having a past psychiatric illness. \u0000Conclusions: In the late pandemic, the negative effect on PPD does not seem to continue. However, PPD remains a significant public health problem in Turkey. In addition, some sociodemographic characteristics associated with PPD continue to pose risks.","PeriodicalId":504618,"journal":{"name":"Genel Tıp Dergisi","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140515355","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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