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Validity and Reliability of the “Visual Object and Space Perception Test” in Turkish 土耳其语“视觉对象与空间知觉测验”的效度与信度
Pub Date : 2023-10-29 DOI: 10.30565/medalanya.1147111
Beyza DAĞLI, Özden ERKAN OĞUL, Müberra TANRIVERDİ, Lütfü HANOĞLU, Mustafa ALTAŞ, Gökhan ÖZDEMİR
Aim: Although many tests evaluating visual perceptual impairment have been developed in the clinic, it is seen that the tests within Turkish validity and reliability are insufficient. Visual Object and Space Perception (VOSP) Test, which evaluates visual and spatial perception separately, is distinguished from other visual perceptual tests as a sensitive battery. In our study, it is aimed to analyze Turkish cultural adaptation, validity, and reliability of VOSP Test, which evaluates visual-spatial functions in stroke survivors and healthy individuals. Methods: Twenty-seven stroke patients with right hemisphere lesions and 54 healthy individuals were included in our study. Criterion validity method has been used to examine the validity. Internal consistency, Cronbach alpha and test-retest methods have been used for the reliability of the test. Results: Eighty-one participants [45 (55.6%) female] have been included in our study. The mean age was 46.04±14.74 years. Turkish version of the VOSP test has been found to be sufficient and reliable according to the Cronbach Alpha Coefficient (0.923). Conclusion: In the light of the findings of our study, it has been concluded that the Turkish version of the VOSP Test is a valid and reliable measurement tool and that this test can be benefited by scientific and clinical studies.
目的:虽然临床上已经开发了许多评估视觉知觉障碍的测试,但在土耳其国内的测试效度和信度都不足。视觉对象与空间感知(VOSP)测试作为一种敏感电池,区别于其他视觉感知测试,它将视觉感知和空间感知分开评估。在我们的研究中,目的是分析土耳其文化适应,效度和信度的VOSP测试,评估中风幸存者和健康个体的视觉空间功能。方法:选取脑卒中右半球病变患者27例,正常人54例。采用标准效度法进行效度检验。测试的信度采用了内部一致性、Cronbach alpha和重测方法。结果:共纳入81例受试者,其中女性45例(55.6%)。平均年龄46.04±14.74岁。根据Cronbach Alpha系数(0.923),土耳其版的VOSP检验是充分可靠的。结论:根据我们的研究结果,土耳其版的VOSP测试是一种有效和可靠的测量工具,该测试可以受益于科学和临床研究。
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引用次数: 0
MUHTEMELEN ATLANILAN BİR TANI: RUBEOLA LENFADENİTİ, YENİDEN ALARM VEREN BİR SALGIN 可能的漏诊:风疹病毒淋巴结炎,一种重新唤醒的流行病
Pub Date : 2023-10-29 DOI: 10.30565/medalanya.1272707
Sinem Eser POLAT ÜNAL, Sultan AYDİN KÖKER, Dinç SÜREN
Because Rubeola (measles) infection is not observed in our country after eradication and is especially on the agenda again after migrations, pathologists may find it challenging to histopathologically recognize cases of Rubeola lymphadenitis and establish an accurate diagnosis. Here we describe the histopathological features of a rare Rubeola case. A 15-year-old Syrian migrant male patient was admitted with a complaint of lymph node swelling in the postauricular region for 2 months. Lymph node excision was performed with a preliminary diagnosis of lymphoma. The excised lymph node was subjected to a routine pathological examination in our clinic. Histopathological examination revealed that the basic structure was preserved under the thick fibrous capsule in the lymph node. Warthin-Finkeldey-type giant cells attracted attention in the interfollicular areas. The appearance compatible with lymphoproliferative neoplasia was not detected. The relevant clinic was informed that there were histological signs of Rubeola lymphadenitis upon detection of Rubeola IgM positivity in the examination, the case was evaluated as Rubeola infection. Rubeola was a common deadly infectious disease in the past century before the vaccine was developed. Today, there has been an epidemic again due to vaccine hesitancy, migration, and sociocultural conditions. Because it is exceptionally rare, we hope that the case we present will provide insights to pathologists for recognizing cases of Rubeola lymphadenitis and making precise diagnoses.
由于在消灭麻疹后,在我国没有观察到麻疹感染,特别是在迁移后再次出现麻疹感染,病理学家可能会发现在组织病理学上识别疹疹淋巴结炎病例并建立准确的诊断是具有挑战性的。在此,我们描述一个罕见的风疹病例的组织病理学特征。一名15岁的叙利亚男性移民患者因耳后区淋巴结肿胀2个月而入院。初步诊断为淋巴瘤,行淋巴结切除。本诊所对切除淋巴结进行常规病理检查。组织病理学检查显示,淋巴结内厚纤维囊下保留了基本结构。warthin - finkeldey型巨细胞在滤泡间区引起注意。未见与淋巴增生性肿瘤相符的外观。经检查发现风疹IgM阳性,告知相关诊所有风疹淋巴结炎的组织学征象,评估为风疹感染。在疫苗发明之前的一个世纪里,风疹是一种常见的致命传染病。今天,由于对疫苗的犹豫、移民和社会文化条件,又发生了一场流行病。因为它是非常罕见的,我们希望我们提出的病例将为病理学家提供见解,以识别Rubeola淋巴结炎的病例和做出准确的诊断。
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引用次数: 0
What we learned in the short term from the 2023 Kahramanmaraş Earthquakes in terms of Orthopedic Trauma: A brief literature review. 我们从2023年kahramanmaraki地震在骨科创伤方面的短期经验:简要的文献综述。
Pub Date : 2023-10-27 DOI: 10.30565/medalanya.1376079
Ahmet ASLAN, Çağatay ZENGİN, İsmail BÜYÜKCERAN
In this article, we have attempted to briefly review retrospective research articles related to Orthopedics and Traumatology in the context of the earthquakes centered in Kahramanmaraş to date.
在本文中,我们试图简要回顾迄今为止以kahramanmaraku为中心的地震背景下与骨科和创伤学相关的回顾性研究文章。
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引用次数: 0
comparison of the relationship between inflammatory markers and saphenous vein graft disease in patients with stable angina pectoris 比较稳定型心绞痛患者的炎症指标与隐静脉移植疾病之间的关系
Pub Date : 2023-10-17 DOI: 10.30565/medalanya.1291772
Çağrı Zorlu, S. Ömür, Samet Yilmaz
BACKGROUND: Coronary artery bypass graft surgery is one of the most commonly used strategies to revascularization of occlusive coronary atherosclerotic lesions.Atherosclerosis is known to be a chronic inflammatory process. Many inflammatory cells and mechanisms are active in this process. AIM: Markers such as mean platelet volume-to-lymphocyte ratio (MPVLR) and C-reactive protein-to-albumin (CAR) which may be associated with the severity of inflammation.In this study,it was aimed to determine the relationship between these parameters and Saphenous Vein Graft (SVG) diseases. METHODS: In this retrospective study,314 patients SVG disease with stable angina pectoris were included. Patients were divided into two groups according to the severity of SVG disease.We compared 159 patients who had severe stenosis in SVG and 156 patients who did not,in terms of CAR, NLR, PLR, MPVLR. RESULTS: Patients who ≥50% stenosis in SVG had significantly higher CAR, MPVLR, NLR, and PLR (respectively 9.1 (4.2-16.8) p
背景:冠状动脉旁路移植手术是对闭塞性冠状动脉粥样硬化病变进行血管再通的最常用策略之一。众所周知,动脉粥样硬化是一种慢性炎症过程,许多炎症细胞和机制都活跃在这一过程中。 目的:平均血小板体积与淋巴细胞比值(MPVLR)和 C 反应蛋白与白蛋白比值(CAR)等指标可能与炎症的严重程度有关。 方法:在这项回顾性研究中,共纳入了 314 名患有稳定型心绞痛的 SVG 患者。我们比较了 159 例 SVG 严重狭窄患者和 156 例未严重狭窄患者的 CAR、NLR、PLR 和 MPVLR。 结果:SVG 狭窄程度≥50% 的患者的 CAR、MPVLR、NLR 和 PLR 明显更高(分别为 9.1(4.2-16.8)p)。
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引用次数: 0
Retrospective Evaluation Of Patients Who Were Treated In The Intensive Care Unit Due To Road Traffic Accidents 对因道路交通事故在重症监护室接受治疗的患者进行回顾性评估
Pub Date : 2023-10-16 DOI: 10.30565/medalanya.1293559
Yıldız Yi̇ği̇t, Nuriye Esen Bulut, Arzu Yıldırım Ar
We aimed to investigate the intensive care unit(ICU) treatments and factors associated with mortality in patients admitted to the ICU after road traffic accidents (RTAs). In our study ;patient comorbidities, features of trauma,alcohol use,Revised Trauma Score (RTS), the performed interventions,ICU and hospital stay, the presence and duration of invasive mechanical ventilation(IMV),Acute Physiology and Chronic Health Evaluation(APACHE II),Simplified Acute Physiology Score(SAPS II),Glasgow Coma Scale(GCS),NRS 2002(Nutritional Risk Screening 2002) scores at ICU admission were retrospectively analyzed.We analyzed laboratory values, transfusion requirements,brain death and mortality rates in the ICU. Of the 109 patients treated in the ICU for RTAs, 90 patients survived and 19 patients (17.4%) died.GCS scores were lower and APACHE II scores were higher in the deceased patient group than in the surviving patient group(p
我们的目的是调查重症监护室(ICU)的治疗情况以及与道路交通事故(RTA)后入住重症监护室的患者死亡率相关的因素。 在我们的研究中,对患者的合并症、创伤特征、饮酒、修订创伤评分(RTS)、所采取的干预措施、重症监护室和住院时间、有创机械通气(IMV)的存在和持续时间、急性生理学和慢性健康评估(APACHE II)、简化急性生理学评分(SAPS II)、格拉斯哥昏迷量表(GCS)、营养风险筛查2002(NRS 2002)评分进行了回顾性分析。我们分析了重症监护室的化验值、输血需求、脑死亡率和死亡率。 在重症监护室接受治疗的 109 例 RTA 患者中,90 例存活,19 例(17.4%)死亡。死亡患者组的 GCS 评分低于存活患者组,APACHE II 评分高于存活患者组。
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引用次数: 0
COVID-19’lu Hastalarda Hipofosfateminin Morbidite ve Mortalitesi ile İlişkisi
Pub Date : 2023-07-12 DOI: 10.30565/medalanya.1296968
Faruk Karandere, Deniz Yilmaz, Felemez Arslan, E. Şahi̇n, Sema Koyuncu
Background and Objective In critical cases, electrolyte disturbances such as hypophosphatemia have been shown to be associated with mortality and in our study, we aimed to examine the relationship between hypophosphatemia, a symptom disorder with COVID-19, and death. Material and Methodology This study is a retrospective, cross-sectional investigation that encompasses patients diagnosed with COVID-19 and subsequently admitted for treatment at our hospital. Based on their serum phosphate levels, the patients were bifurcated into two distinct categories: those with serum phosphate levels below 2.5 mg/dl, classified as hypophosphatemic, and those with levels above this benchmark, categorized as non-hypophosphatemic. The comparisons drawn between these two cohorts were facilitated using a range of statistical methodologies, and the resulting findings were subsequently analyzed and interpreted within this framework. Results Compared to the hypophosphatemia group, the diagnoses of DM (p
背景与目的在危重病例中,电解质紊乱如低磷血症已被证明与死亡率相关,在我们的研究中,我们旨在研究低磷血症(COVID-19的症状障碍)与死亡之间的关系。本研究是一项回顾性、横断面调查,纳入了诊断为COVID-19并随后在我院接受治疗的患者。根据他们的血清磷酸盐水平,将患者分为两种不同的类别:血清磷酸盐水平低于2.5 mg/dl的患者被归类为低磷血症,而高于该基准的患者被归类为非低磷血症。使用一系列统计方法促进了这两个队列之间的比较,随后在此框架内对结果进行了分析和解释。结果与低磷血症组比较,糖尿病的诊断率(p
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引用次数: 0
2023 Kahramanmaraş Depremlerinin İlk Günlerindeki Ortopedik Travmaların Değerlendirilmesi
Pub Date : 2023-06-21 DOI: 10.30565/medalanya.1303749
A. Aslan, Orhan Balta, H. Coşkun
In this editorial article, we endeavor to describe our experiences concerning earthquake victims with orthopedic injuries in a secondary hospital in one of the epicenters in the immediate post-quake period.
在这篇社论中,我们试图描述震后在一个震中的二级医院治疗骨科受伤的地震受害者的经验。
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引用次数: 1
Comparison of two methods in the peripheral nerve block application used in foot surgery (USG-guided and anatomical landmark-guided) cross-sectional studies 两种方法在周围神经阻滞在足部手术中的应用(usg引导和解剖地标引导)横断面研究的比较
Pub Date : 2023-05-09 DOI: 10.30565/medalanya.1199764
Mesut Uluöz, Ümmühan EREN HERDEM
ackground Regional anesthesia applications have become popular in lower extremity surgeries. Ankle peripheral nerve block is applied by two methods. These; It is a peripheral block that is performed using USG-assisted and anatomical landmarks that do not require the use of USG. In our study, we aimed to compare these two methods applied in foot surgeries retrospectively Methods Peripheral block patients performed with the USG-guided (group 1) were 20, anatomical landmarks- guided (group 2) were 20. In both groups, 40 cc of anesthetic mixture was used (bupivacaine + lidocaine). The recorded information of the patients were as follows: Block application time (BAT), surgery readiness time (SRT), duration of surgery (DoS), duration of block anesthesia (DBA) and intraoperative-postoperative VAS score. The results of the VAS applied to the patients postoperatively were obtained. Patients were contacted by phone and asked if they were satisfied with the anesthesia. Results The BAT and DBA values of the patients in Group 1 were high. SRT and VAS 6 values of the patients in group 2 were high. No significant difference was found between the groups in other parameters. No additional dose of anesthetic was needed in group 1 during the intraoperative period. In group 2, local additional dose was administered to 3 patients. Conclusions Peripheral block preparation USG-guided takes a long time. However, it is more comfortable during surgery. USG-guided peripheral nerve block is more advantageous when the possibility of prolonging the duration of surgery for any reason and early postoperative pain control are considered.
背景区域麻醉在下肢手术中的应用越来越广泛。踝关节周围神经阻滞有两种方法。这些;这是一种使用USG辅助和不需要使用USG的解剖标志进行的外周阻滞。方法超声引导下行外周阻滞(1组)20例,解剖标志引导(2组)20例。两组均采用布比卡因+利多卡因混合麻醉40 cc。记录患者的信息如下:阻滞应用时间(BAT)、手术准备时间(SRT)、手术持续时间(DoS)、阻滞麻醉持续时间(DBA)和术中-术后VAS评分。观察患者术后VAS评分情况。通过电话联系患者,询问他们对麻醉是否满意。结果1组患者的BAT、DBA值较高。2组患者的SRT和VAS 6值较高。其他参数组间无显著差异。1组患者术中不需要额外的麻醉剂量。第二组3例患者局部加药。结论超声引导下外周阻滞制备时间较长。然而,在手术中更舒适。当考虑到任何原因延长手术时间和术后早期疼痛控制的可能性时,usg引导的周围神经阻滞更有利。
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引用次数: 0
The Validation and Verification of the Nottingham Clavicle Score in the Turkish Population 土耳其人群中诺丁汉锁骨评分的验证与验证
Pub Date : 2023-05-07 DOI: 10.30565/medalanya.1287800
Anıl Gülcü, Günbay Di̇rli̇k
ABSTRACT Objective: The purpose of this study was to evaluate the Turkish validation and verification of the Nottingham Clavicle Score (NCS). Study Design: A validation study. Place and Duration of the Study: Alanya Training and Research Hospital, from April 2017 to December 2021. Methods: Sixty-eight patients who underwent surgery due to clavicle fracture or acromioclavicular separation were included in the study (12 females, 56 males; average age: 37.1±13.3 years). The Turkish version of the NCS (NCS-Tr) was designed, which described the stages recommended by Beaton. Each patient completed the NCS-Tr twice at 7-10 day intervals to evaluate the test-retest reliability based on the interrater correlation coefficient, and Cronbach’s alpha was evaluated for internal consistency. Additionally, the Oxford Shoulder Score (OSS), Disabilities of the Arm, Shoulder, and Hand (DASH), Constant Score, and SF-36 Health Survey tests were completed by each participant to assess the correlation with the NCS-Tr. Results: The main score of the NCS-Tr was detected as 79.71 ± 20.37. The other mean scores of CS, OSS, and DASH were found as 84.14 ± 21.47, 38.34 ± 12.43, and 17.84 ± 22.47 respectively. The translation and adaptation of the NCS-Tr for a Turkish context required no major cultural adaptation. Internal consistency was high (Cronbach’s alpha, 0.933). Test-retest reproducibility was excellent (q = 0.941, p
摘要目的:本研究的目的是评估诺丁汉锁骨评分(NCS)的土耳其验证性。研究设计:验证性研究。研究地点和时间:阿拉尼亚培训与研究医院,2017年4月至2021年12月。方法:68例因锁骨骨折或肩锁分离而行手术的患者纳入研究,其中女性12例,男性56例;平均年龄:37.1±13.3岁)。设计了土耳其版本的NCS (NCS- tr),其中描述了Beaton推荐的阶段。每位患者每隔7-10天完成两次NCS-Tr测试,根据相关系数评估重测信度,并评估Cronbach 's alpha内部一致性。此外,每位参与者还完成了牛津肩部评分(OSS)、手臂、肩膀和手的残疾(DASH)、恒定评分和SF-36健康调查测试,以评估与NCS-Tr的相关性。结果:NCS-Tr主评分为79.71±20.37。CS、OSS、DASH的平均得分分别为84.14±21.47、38.34±12.43、17.84±22.47。NCS-Tr在土耳其语境下的翻译和改编不需要重大的文化适应。内部一致性高(Cronbach’s alpha, 0.933)。复测重现性极好(q = 0.941, p
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引用次数: 0
Attitudes of healthcare professionals working in different fields towards organ transplantation in the hospital sample and the factors affecting these attitudes. 医院样本中不同领域医护人员对器官移植的态度及其影响因素。
Pub Date : 2023-04-30 DOI: 10.30565/medalanya.1284615
Mine Hanoğlu, M. Tokaç
Background: There is serious distrust and hesitation in Turkish society against the concept of brain death and related cadaveric organ donation. In this study, we investigated the attitudes of health workers about organ transplantation from cadavers. We also evaluated the effects of race, religiosity and political conservatism parameters on the attitudes of the research group. Methods: A total of 491 participants between the ages of 18-70 who are hospital employees in different fields were included in this study. An Organ Donation Attitude Scale (ODAS) was applied to the participants, which specifically evaluates organ donation from cadavers, and the relationships between the emerging trend and the demographic characteristics of the participants, their education, the task they took in the hospital, ethnic and sectarian origins, religiosity and political conservatism characteristics were evaluated. Results: ODAS scores of our sample group did not show a significant relationship in terms of age, gender, ethnic origin and sect. On the other hand, there was a significant difference in the attitude toward organ transplantation in terms of education levels, the position that they work in the hospital, and the geographical region where the person came from. There was a negative relationship between cadaveric organ transplantation and religiousness and a positive relationship with liberal political views. Conclusion: The attitude towards organ transplantation from cadavers in our country is complex in a way that cannot be explained only by education. A conceptual study of cultural, religious and other different social aspects is necessary for our country.
背景:土耳其社会对脑死亡和相关尸体器官捐赠的概念存在严重的不信任和犹豫。在本研究中,我们调查了卫生工作者对尸体器官移植的态度。我们还评估了种族、宗教信仰和政治保守主义参数对研究小组态度的影响。方法:选取491名年龄在18-70岁之间的医院工作人员作为研究对象。采用器官捐献态度量表(ODAS)对参与者的尸体器官捐献情况进行评估,并对参与者的人口特征、受教育程度、在医院承担的任务、民族和宗派出身、宗教信仰和政治保守性特征与器官捐献新趋势之间的关系进行评估。结果:本组患者的ODAS评分在年龄、性别、民族、教派等方面均无显著相关,但在文化程度、医院职务、所在地域等方面对器官移植的态度存在显著差异。尸体器官移植与宗教信仰呈负相关,与自由政治观点呈正相关。结论:我国对尸体器官移植的态度是复杂的,不能仅仅用教育来解释。对我国文化、宗教和其他不同社会方面进行概念性研究是必要的。
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引用次数: 0
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Acta Medica Alanya
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