Pub Date : 2023-08-25DOI: 10.4274/jarem.galenos.2023.88700
Z. B. Erdur
{"title":"Relationship Between the Protrusion of the Optic Nerve and Internal Carotid Artery and Sphenoid Sinus Volume","authors":"Z. B. Erdur","doi":"10.4274/jarem.galenos.2023.88700","DOIUrl":"https://doi.org/10.4274/jarem.galenos.2023.88700","url":null,"abstract":"","PeriodicalId":56162,"journal":{"name":"Journal of Academic Research in Medicine-JAREM","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2023-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42432189","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-08-15DOI: 10.4274/jarem.galenos.2023.91885
Ayşe Hilal Başhan Aslantaş, Murat Altuntas
Objective: This study aims to reveal the possible relationship between cyberchondria, a new phenomenon occuring with the frequent use of the Internet for health-related information, and problematic internet use (PIU) and electronic health (eHealth) literacy. Our results are important for raising physicians’ awareness, preventing false referrals and reducing health expenses. Methods: Two hundred seventy one subjects who applied to the Esenler Education Family Health Centre-University of Health Sciences Turkey, İstanbul Bağcılar Training and Research Hospital Family Medicine Clinic on the dates between 01.06 and 30.06.2022 and who met the inclusion criteria were included in the study. Cyberchondria Severity scale-Short Form, Problematic Internet Usage questionnaire-Short Form (PIUQ-SF-6), eHealth Literacy scale, and sociodemographic form were applied. The results were evaluated at a significance level of p<0.05. Results: A statistically significant relationship was found between the Cyberchondria Severity scale and its subcales, the PIUQ-SF-6 and its subscales, and the eHealth literacy scale (p<0.05). The severity of cyberchondria increased as PIU and eHealth literacy scores increased. A statistically significant relationship was found between PIUQ-SF-6 and eHealth literacy (p<0.05). Those with high PIU scores also had high eHealth literacy scores. PIU, cyberchondria severity, and eHealth literacy scores were higher in the 18-30 age group, and cyberchondria severity and eHealth literacy scores were higher among those who had a college degree. Conclusion: The increase in cyberchondria as PIU increases shows that conscious use of the Internet will have positive effects on cyberchondria. Filtering and disseminating correct information in eHealth resources and increasing eHealth literacy will ultimately have a positive impact.
{"title":"Cyberchondria’s Possible Relationship with Problematic Internet Use and eHealth Literacy","authors":"Ayşe Hilal Başhan Aslantaş, Murat Altuntas","doi":"10.4274/jarem.galenos.2023.91885","DOIUrl":"https://doi.org/10.4274/jarem.galenos.2023.91885","url":null,"abstract":"Objective: This study aims to reveal the possible relationship between cyberchondria, a new phenomenon occuring with the frequent use of the Internet for health-related information, and problematic internet use (PIU) and electronic health (eHealth) literacy. Our results are important for raising physicians’ awareness, preventing false referrals and reducing health expenses. Methods: Two hundred seventy one subjects who applied to the Esenler Education Family Health Centre-University of Health Sciences Turkey, İstanbul Bağcılar Training and Research Hospital Family Medicine Clinic on the dates between 01.06 and 30.06.2022 and who met the inclusion criteria were included in the study. Cyberchondria Severity scale-Short Form, Problematic Internet Usage questionnaire-Short Form (PIUQ-SF-6), eHealth Literacy scale, and sociodemographic form were applied. The results were evaluated at a significance level of p<0.05. Results: A statistically significant relationship was found between the Cyberchondria Severity scale and its subcales, the PIUQ-SF-6 and its subscales, and the eHealth literacy scale (p<0.05). The severity of cyberchondria increased as PIU and eHealth literacy scores increased. A statistically significant relationship was found between PIUQ-SF-6 and eHealth literacy (p<0.05). Those with high PIU scores also had high eHealth literacy scores. PIU, cyberchondria severity, and eHealth literacy scores were higher in the 18-30 age group, and cyberchondria severity and eHealth literacy scores were higher among those who had a college degree. Conclusion: The increase in cyberchondria as PIU increases shows that conscious use of the Internet will have positive effects on cyberchondria. Filtering and disseminating correct information in eHealth resources and increasing eHealth literacy will ultimately have a positive impact.","PeriodicalId":56162,"journal":{"name":"Journal of Academic Research in Medicine-JAREM","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2023-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47360415","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-08-15DOI: 10.4274/jarem.galenos.2023.09609
B. Tutar
{"title":"Would Women Who Have Been Informed About Automated Breast Ultrasound Prefer This Method to Manuel Ultrasound?","authors":"B. Tutar","doi":"10.4274/jarem.galenos.2023.09609","DOIUrl":"https://doi.org/10.4274/jarem.galenos.2023.09609","url":null,"abstract":"","PeriodicalId":56162,"journal":{"name":"Journal of Academic Research in Medicine-JAREM","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2023-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43196193","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-08-11DOI: 10.4274/jarem.galenos.2023.78300
Nural Pastacı Özsobacı, Dilek Düzgün Ergün
{"title":"Synthesis of Graphene Oxide and Evaluation of Its Cytotoxic Effect","authors":"Nural Pastacı Özsobacı, Dilek Düzgün Ergün","doi":"10.4274/jarem.galenos.2023.78300","DOIUrl":"https://doi.org/10.4274/jarem.galenos.2023.78300","url":null,"abstract":"","PeriodicalId":56162,"journal":{"name":"Journal of Academic Research in Medicine-JAREM","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2023-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46864133","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-08-11DOI: 10.4274/jarem.galenos.2023.18894
Harun Bayram, B. Sulu, Tülay Diken Allahverdi, Kenan Binnetoğlu, D. Gönüllü
Prediction of Difficulty Level of Laparoscopic Cholecystectomy According to Preoperative Findings
根据术前发现预测腹腔镜胆囊切除术难度
{"title":"Prediction of Difficulty Level of Laparoscopic Cholecistectomy According to Preoperative Findings","authors":"Harun Bayram, B. Sulu, Tülay Diken Allahverdi, Kenan Binnetoğlu, D. Gönüllü","doi":"10.4274/jarem.galenos.2023.18894","DOIUrl":"https://doi.org/10.4274/jarem.galenos.2023.18894","url":null,"abstract":"Prediction of Difficulty Level of Laparoscopic Cholecystectomy According to Preoperative Findings","PeriodicalId":56162,"journal":{"name":"Journal of Academic Research in Medicine-JAREM","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2023-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44268305","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-08-10DOI: 10.4274/jarem.galenos.2023.85047
A. Yeniocak, S. Salman, S. Kumbasar, Can Tercan
Objective: The deep myometrial invasion (MI) is a risk factor for lymph node metastases in endometrial cancer (EC). There is no consensus regarding which diagnostic method should be preferred for evaluating deep MI. Preoperative magnetic resonance imaging (MRI) and intraoperative frozen section (FS) examinations are the most definitive two diagnostic methods for evaluating deep MI. This study was designed to compare the diagnostic accuracy of preoperative MRI and intraoperative FS examinations in predicting deep MI and review their impact on clinical management and cost on health care. Methods: MRI and FS findings of 65 patients with surgically staged EC between 2016 and 2019 were evaluated for deep MI. A definitive diagnosis of paraffin sections was used as the gold standard diagnosis. Results: For detection of deep MI, accuracy, sensitivity, and specificity of MRI were 53.06%, 61.9%, and 65.9% respectively and significantly low consistency was observed between the final pathology results (p=0.034). Significant strong consistency was observed between the FS and the final pathology results for the detection of deep MI. Accuracy, sensitivity, and specificity were 77.18%, 85.7%, and 95.5%, respectively (p=0.000). Laparotomy rate (p=0.026), operation time (p=0.047), total days of hospitalization (p=0.004), rate of intensive care administration (p=0.027), and the total health-care cost were significantly higher in the MRI inconsistent group (p=0.015). Conclusion: For the diagnostic approach and staging algorithm of EC, each clinic should take into account the accuracy of their diagnostic tests and individualize on a patient and clinical basis.
{"title":"Overdiagnosis of Endometrium Cancer: A Retrospective Study","authors":"A. Yeniocak, S. Salman, S. Kumbasar, Can Tercan","doi":"10.4274/jarem.galenos.2023.85047","DOIUrl":"https://doi.org/10.4274/jarem.galenos.2023.85047","url":null,"abstract":"Objective: The deep myometrial invasion (MI) is a risk factor for lymph node metastases in endometrial cancer (EC). There is no consensus regarding which diagnostic method should be preferred for evaluating deep MI. Preoperative magnetic resonance imaging (MRI) and intraoperative frozen section (FS) examinations are the most definitive two diagnostic methods for evaluating deep MI. This study was designed to compare the diagnostic accuracy of preoperative MRI and intraoperative FS examinations in predicting deep MI and review their impact on clinical management and cost on health care. Methods: MRI and FS findings of 65 patients with surgically staged EC between 2016 and 2019 were evaluated for deep MI. A definitive diagnosis of paraffin sections was used as the gold standard diagnosis. Results: For detection of deep MI, accuracy, sensitivity, and specificity of MRI were 53.06%, 61.9%, and 65.9% respectively and significantly low consistency was observed between the final pathology results (p=0.034). Significant strong consistency was observed between the FS and the final pathology results for the detection of deep MI. Accuracy, sensitivity, and specificity were 77.18%, 85.7%, and 95.5%, respectively (p=0.000). Laparotomy rate (p=0.026), operation time (p=0.047), total days of hospitalization (p=0.004), rate of intensive care administration (p=0.027), and the total health-care cost were significantly higher in the MRI inconsistent group (p=0.015). Conclusion: For the diagnostic approach and staging algorithm of EC, each clinic should take into account the accuracy of their diagnostic tests and individualize on a patient and clinical basis.","PeriodicalId":56162,"journal":{"name":"Journal of Academic Research in Medicine-JAREM","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2023-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45959009","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-08-10DOI: 10.4274/jarem.galenos.2023.58561
Ş. Birinci
Objective: Carcinoembryonic antigen (CEA) is a tumor marker associated with various malignancies, including colorectal cancer. This study analyzes the use and outcomes of CEA testing in Türkiye, with a focus on colorectal cancer detection. The objective of this study is to examine the values of CEA in Türkiye, how it is used in cancer diagnosis and treatment, and how it can be optimized. Methods: Data from a five-year period (2017-2021) were analyzed, including a total of 27,394,778 tests from 4,016,178 individuals. The CEA test results were obtained through immunoassay method and extracted from the National Health Database System of the Turkish Ministry of Health. Results: The study found that the number of CEA tests and the number of tests per 100,000 population increased progressively between 2017 and 2019, followed by a decrease in 2020 and 2021. The rate of tests exceeding the reference range was highest in the over-65 age group and in men. The study also found that the number of CEA tests requested was highest in the Marmara region and Central Anatolia region and lowest in the Southeastern Anatolia region. Conclusion: This study provides valuable insights into the application and outcomes of CEA tests in the detection of colorectal cancer across various demographic groups in Türkiye. Despite its limitations, this study reveals gender, age, and clinic-specific disparities in test application and outcomes, and underscores the potential value of CEA as a biomarker in cancer detection. Future research should aim for a more comprehensive data collection that encompasses lifestyle and genetic factors, longitudinal tracking of individuals in order to capture disease progression, and to explore additional biomarkers for colorectal cancer.
{"title":"Ministry of Health Data Reveals Age, Gender, and Clinicspecific Differences in CEA Test Outcomes for Colorectal Cancer Detection","authors":"Ş. Birinci","doi":"10.4274/jarem.galenos.2023.58561","DOIUrl":"https://doi.org/10.4274/jarem.galenos.2023.58561","url":null,"abstract":"Objective: Carcinoembryonic antigen (CEA) is a tumor marker associated with various malignancies, including colorectal cancer. This study analyzes the use and outcomes of CEA testing in Türkiye, with a focus on colorectal cancer detection. The objective of this study is to examine the values of CEA in Türkiye, how it is used in cancer diagnosis and treatment, and how it can be optimized. Methods: Data from a five-year period (2017-2021) were analyzed, including a total of 27,394,778 tests from 4,016,178 individuals. The CEA test results were obtained through immunoassay method and extracted from the National Health Database System of the Turkish Ministry of Health. Results: The study found that the number of CEA tests and the number of tests per 100,000 population increased progressively between 2017 and 2019, followed by a decrease in 2020 and 2021. The rate of tests exceeding the reference range was highest in the over-65 age group and in men. The study also found that the number of CEA tests requested was highest in the Marmara region and Central Anatolia region and lowest in the Southeastern Anatolia region. Conclusion: This study provides valuable insights into the application and outcomes of CEA tests in the detection of colorectal cancer across various demographic groups in Türkiye. Despite its limitations, this study reveals gender, age, and clinic-specific disparities in test application and outcomes, and underscores the potential value of CEA as a biomarker in cancer detection. Future research should aim for a more comprehensive data collection that encompasses lifestyle and genetic factors, longitudinal tracking of individuals in order to capture disease progression, and to explore additional biomarkers for colorectal cancer.","PeriodicalId":56162,"journal":{"name":"Journal of Academic Research in Medicine-JAREM","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2023-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46729548","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-08-10DOI: 10.4274/jarem.galenos.2023.53254
Y. Gülseren, A. K. Sığ, Muradiye Yarar
HCV-RNA
HCV-RNA
{"title":"Optimizing Signal to Cut-off Values (S/Co) of Anti-HCV in Prediction of Viremia: A Retrospective Analysis with HCVRNA","authors":"Y. Gülseren, A. K. Sığ, Muradiye Yarar","doi":"10.4274/jarem.galenos.2023.53254","DOIUrl":"https://doi.org/10.4274/jarem.galenos.2023.53254","url":null,"abstract":"HCV-RNA","PeriodicalId":56162,"journal":{"name":"Journal of Academic Research in Medicine-JAREM","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2023-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47375185","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-08-10DOI: 10.4274/jarem.galenos.2023.69875
E. Özden, A. Aybar
Objective: Calcaneus is the most commonly fractured tarsal bone. This type of fracture may result from high-energy trauma or axial loading. The ideal treatment method for calcaneal fractures remains controversial in terms of surgical approach and the material that will be used for fracture fixation. This study aims to evaluate the outcomes of screw-only fixation in intra-articular calcaneal fractures using the sinus tarsi approach. Methods: Patients who were treated between 2014 and 2021 for calcaneal fractures were retrospectively investigated. Functional outcomes were evaluated using the American Orthopaedic Foot & Ankle Society (AOFAS) hindfoot-ankle score, and Gissane and Böhler angles were measured and compared. Results: The study included 32 patients (23 male, 9 female) who underwent screw fixation through the sinus tarsi approach for intra-articular calcaneal fractures. The mean age of the patients was 45.2 years. The fractures were classified according to the Sanders Classification, with 15 patients having type 2 fractures, 12 with type 3 fractures, and five with type 4 fractures. AOFAS hindfoot-ankle score revealed nine patients achieving excellent results, 14 patients achieving good results, and nine patients achieving fair results. AOFAS scores were lower in patients with Sanders type 4 fractures when compared to type 3 and type 2 fractures (p=0.005 and p<0.001 respectively). Conclusion: This study provides evidence supporting the favorable results of the sinus tarsi approach using screw-only fixation for treating intra-articular calcaneal fractures.
{"title":"Screw-only Fixation of Calcaneal Fractures Using the Sinus Tarsi Approach","authors":"E. Özden, A. Aybar","doi":"10.4274/jarem.galenos.2023.69875","DOIUrl":"https://doi.org/10.4274/jarem.galenos.2023.69875","url":null,"abstract":"Objective: Calcaneus is the most commonly fractured tarsal bone. This type of fracture may result from high-energy trauma or axial loading. The ideal treatment method for calcaneal fractures remains controversial in terms of surgical approach and the material that will be used for fracture fixation. This study aims to evaluate the outcomes of screw-only fixation in intra-articular calcaneal fractures using the sinus tarsi approach. Methods: Patients who were treated between 2014 and 2021 for calcaneal fractures were retrospectively investigated. Functional outcomes were evaluated using the American Orthopaedic Foot & Ankle Society (AOFAS) hindfoot-ankle score, and Gissane and Böhler angles were measured and compared. Results: The study included 32 patients (23 male, 9 female) who underwent screw fixation through the sinus tarsi approach for intra-articular calcaneal fractures. The mean age of the patients was 45.2 years. The fractures were classified according to the Sanders Classification, with 15 patients having type 2 fractures, 12 with type 3 fractures, and five with type 4 fractures. AOFAS hindfoot-ankle score revealed nine patients achieving excellent results, 14 patients achieving good results, and nine patients achieving fair results. AOFAS scores were lower in patients with Sanders type 4 fractures when compared to type 3 and type 2 fractures (p=0.005 and p<0.001 respectively). Conclusion: This study provides evidence supporting the favorable results of the sinus tarsi approach using screw-only fixation for treating intra-articular calcaneal fractures.","PeriodicalId":56162,"journal":{"name":"Journal of Academic Research in Medicine-JAREM","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2023-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47575105","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-08-10DOI: 10.4274/jarem.galenos.2023.98698
B. Karip, Özlem Öztürk Köse, Heval Helin Seykan, Y. Akpınar, P. Keleş
{"title":"The Relationship of Multiple Sclerosis with Brain Lobes and Related Structures: A Volumetric Analysis Study","authors":"B. Karip, Özlem Öztürk Köse, Heval Helin Seykan, Y. Akpınar, P. Keleş","doi":"10.4274/jarem.galenos.2023.98698","DOIUrl":"https://doi.org/10.4274/jarem.galenos.2023.98698","url":null,"abstract":"","PeriodicalId":56162,"journal":{"name":"Journal of Academic Research in Medicine-JAREM","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2023-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42709950","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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