Pub Date : 2023-04-23DOI: 10.30565/medalanya.1119439
İ. Vasi̇, H. Üsküdar Teke, T. Temel
Aim Despite recent great progress, higher rates of variceal rebleeding still occur in cirrhotic patients. In order to increase the survival of these patients, it is necessary to optimize the treatment and follow-up of rebleeding and to correct the risk factors that may increase early rebleeding. In this respect, we evaluated the patients' most relevant demographic and routine laboratory features related to variceal early rebleeding. Methods Patients applied to the hospital with variceal bleeding were evaluated for relationship between rebleeding status and erythrocyte suspension needs and laboratory findings as, hemoglobin and platelet level, prothrombine time, creatinine, bilirubin, albumin level and Child-Pugh stage. Results The rebleeding was ascertained in 20 (21%) of our patients during the six week follow-up period after control of the variceal bleeding. In our study, we took into consideration the most relevant routine laboratory and radiological criteria that are closely related to pathogenesis and development of varices and rebleeding in liver cirrhosis. We found that higher Child-Pugh grade, hypo-albuminemia and presence of ascites were significant predictors for variceal rebleeding and other parameters that lower hemoglobin levels were significant predictors. Conclusion The high variceal rebleeding rate could exaggerate the morbidity and mortality burden on cirrhotic patients, so meticulous follow-up is mandatory for those patients to mitigate this complication and increase survival. In summary, after univariate and multivariate analysis of all our potential predictors for variceal rebleeding, we found that the only independent significant predictors were the Child Pugh Grade(p=0,016) and lower hemoglobin levels(p=0,02).
{"title":"PREDICTORS OF EARLY VARICEAL REBLEEDING IN LIVER CIRRHOSIS","authors":"İ. Vasi̇, H. Üsküdar Teke, T. Temel","doi":"10.30565/medalanya.1119439","DOIUrl":"https://doi.org/10.30565/medalanya.1119439","url":null,"abstract":"Aim \u0000Despite recent great progress, higher rates of variceal rebleeding still occur in cirrhotic patients. In order to increase the survival of these patients, it is necessary to optimize the treatment and follow-up of rebleeding and to correct the risk factors that may increase early rebleeding. In this respect, we evaluated the patients' most relevant demographic and routine laboratory features related to variceal early rebleeding. \u0000Methods \u0000Patients applied to the hospital with variceal bleeding were evaluated for relationship between rebleeding status and erythrocyte suspension needs and laboratory findings as, hemoglobin and platelet level, prothrombine time, creatinine, bilirubin, albumin level and Child-Pugh stage. \u0000Results \u0000The rebleeding was ascertained in 20 (21%) of our patients during the six week follow-up period after control of the variceal bleeding. In our study, we took into consideration the most relevant routine laboratory and radiological criteria that are closely related to pathogenesis and development of varices and rebleeding in liver cirrhosis. We found that higher Child-Pugh grade, hypo-albuminemia and presence of ascites were significant predictors for variceal rebleeding and other parameters that lower hemoglobin levels were significant predictors. \u0000 \u0000Conclusion \u0000The high variceal rebleeding rate could exaggerate the morbidity and mortality burden on cirrhotic patients, so meticulous follow-up is mandatory for those patients to mitigate this complication and increase survival. \u0000In summary, after univariate and multivariate analysis of all our potential predictors for variceal rebleeding, we found that the only independent significant predictors were the Child Pugh Grade(p=0,016) and lower hemoglobin levels(p=0,02).","PeriodicalId":7003,"journal":{"name":"Acta Medica Alanya","volume":"17 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87691666","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 : 2023-04-23DOI: 10.30565/medalanya.1269949
Y. Ipek
Aim: To investigate factors associated with response to treatment in non-Hodgkin lymphoma (NHL) patients receiving chemo(radio)therapy, and secondarily, to identify parameters influencing mortality. Methods: This was a retrospective single center study carried out between January 2013 and December 2022. A total of 245 patients newly diagnosed with NHL who were treated in our department were included. Clinicodemographic features, NHL characteristics, treatments and follow-up data were retrieved from the hospital database and charts. Patients were grouped as responders (RT) and non-responders (NRT) to treatment, as well as deceased (DP) and survivors (SP). Factors associated with response to treatment and mortality were determined by univariate and multivariable analysis. Results: Age was similar in the RT (56.2 ± 14.5) and NRT (59.5 ± 13.7) groups; however, male sex was significantly more frequent in the RT group (58.1% vs. 35.71%; p = 0.042). Multiple logistic regression revealed that female sex, low performance status, frailty, high lymphocyte level, extranodal involvement, mantle cell lymphoma, thrombocytopenia during treatment, and cardiac complications during treatment were independently associated with no response to treatment. With respect to groups based on mortality, the DP group was significantly younger compared to the SP group (50.8 ± 11.7 vs. 57.1 ± 14.6; p = 0.048), while sex distribution was similar (males comprised 54.7% of the DP and 63.6% of SP group). Multiple regression showed that extranodal involvement, thrombosis during treatment, and secondary malignancy were independently associated with mortality. Conclusion: Considering these characteristics when making treatment decisions and throughout the follow-up period may improve survival and reduce mortality in NHL.
{"title":"Factors associated with unresponsiveness to treatment in patients with non-Hodgkin lymphoma: 10 years of experience from a single center","authors":"Y. Ipek","doi":"10.30565/medalanya.1269949","DOIUrl":"https://doi.org/10.30565/medalanya.1269949","url":null,"abstract":"Aim: To investigate factors associated with response to treatment in non-Hodgkin lymphoma (NHL) patients receiving chemo(radio)therapy, and secondarily, to identify parameters influencing mortality. \u0000Methods: This was a retrospective single center study carried out between January 2013 and December 2022. A total of 245 patients newly diagnosed with NHL who were treated in our department were included. Clinicodemographic features, NHL characteristics, treatments and follow-up data were retrieved from the hospital database and charts. Patients were grouped as responders (RT) and non-responders (NRT) to treatment, as well as deceased (DP) and survivors (SP). Factors associated with response to treatment and mortality were determined by univariate and multivariable analysis. \u0000Results: Age was similar in the RT (56.2 ± 14.5) and NRT (59.5 ± 13.7) groups; however, male sex was significantly more frequent in the RT group (58.1% vs. 35.71%; p = 0.042). Multiple logistic regression revealed that female sex, low performance status, frailty, high lymphocyte level, extranodal involvement, mantle cell lymphoma, thrombocytopenia during treatment, and cardiac complications during treatment were independently associated with no response to treatment. With respect to groups based on mortality, the DP group was significantly younger compared to the SP group (50.8 ± 11.7 vs. 57.1 ± 14.6; p = 0.048), while sex distribution was similar (males comprised 54.7% of the DP and 63.6% of SP group). Multiple regression showed that extranodal involvement, thrombosis during treatment, and secondary malignancy were independently associated with mortality. \u0000Conclusion: Considering these characteristics when making treatment decisions and throughout the follow-up period may improve survival and reduce mortality in NHL.","PeriodicalId":7003,"journal":{"name":"Acta Medica Alanya","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90582269","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}
Aim: Blooming is one of the color doppler artefacts which has unique importance for the tiny or slow-flow blood vessels of the fetus and is different and varies depending on the technique. The purpose of our study is to compare doppler techniques related to the flowering artefact so that the imaging method closest to the actual size of small vessels can be selected. Method: Twin-view mode was used for measurements in 100 patients, referred to our department for obstetric ultrasonography. The diameter of the intrahepatic umbilical vein was measured from the inner to the inner side of the vessels in both B mode side and each colorized lateral side of the vessels with all of the Doppler modes. Results: Diameters of the vessels measured by advanced dynamic flow were less than the ones measured by conventional color doppler and power doppler. Conclusion: Lowering the doppler gain will decrease the blooming artefact. However, this can cause flow information to be lost. Inversely, raising the gain will result overestimating the vessel diameter or over colorizing the tissue or mass with regard to vascularity. Vascular colorize is crucial for correct placement of PD sampling gate, which could be particularly useful in the small vessels of the fetus. ADF provides more accurate measurements of the diameters of the vessels due to less blooming. Because of that, we consider that ADF is a superior Doppler technique compared with CCD and PWD, for identifying a vessel and guiding the PD sample volume.
{"title":"Gebelikte venöz akımda blooming artefaktının değerlendirilmesi için üç farklı renkli doppler tekniğinin karşılaştırılması","authors":"Cemil Gürses, Serra Ozturk, Özhan Özgür, Muzaffer Si̇ndel","doi":"10.30565/medalanya.1131746","DOIUrl":"https://doi.org/10.30565/medalanya.1131746","url":null,"abstract":"Aim: Blooming is one of the color doppler artefacts which has unique importance for the tiny or slow-flow blood vessels of the fetus and is different and varies depending on the technique. The purpose of our study is to compare doppler techniques related to the flowering artefact so that the imaging method closest to the actual size of small vessels can be selected. \u0000Method: Twin-view mode was used for measurements in 100 patients, referred to our department for obstetric ultrasonography. The diameter of the intrahepatic umbilical vein was measured from the inner to the inner side of the vessels in both B mode side and each colorized lateral side of the vessels with all of the Doppler modes. \u0000Results: Diameters of the vessels measured by advanced dynamic flow were less than the ones measured by conventional color doppler and power doppler. \u0000Conclusion: Lowering the doppler gain will decrease the blooming artefact. However, this can cause flow information to be lost. Inversely, raising the gain will result overestimating the vessel diameter or over colorizing the tissue or mass with regard to vascularity. Vascular colorize is crucial for correct placement of PD sampling gate, which could be particularly useful in the small vessels of the fetus. ADF provides more accurate measurements of the diameters of the vessels due to less blooming. Because of that, we consider that ADF is a superior Doppler technique compared with CCD and PWD, for identifying a vessel and guiding the PD sample volume.","PeriodicalId":7003,"journal":{"name":"Acta Medica Alanya","volume":"63 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85011576","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 : 2023-04-02DOI: 10.30565/medalanya.1148828
H. İnci, F. Inci
Objective: In this study, we aimed to evaluate the relationship between anxiety, depression, and pain catastrophizing in individuals with and without migraine. Method: Data of the study was collected using the socio-demographic data form, Beck Depression Scale (BDI), Beck Anxiety Scale (BAI), Pain Catastrophizing Scale (PCS), Migraine Disability Assessment Scale (MIDAS), and Visual Analogue Scale (VAS). Result: Of the 183 patients, 80 were migraine patients and 103 were the control group. The BDI, BAI, and PCS scores were found to be higher in the migraine patients compared to the control group. The migraine patients were found to have "moderate" depression, "mild" anxiety, and "moderate" disability. There was a positive correlation between BDI, BAI, PCS, MIDAS, and VAS scores in the migraine patients. According to the total BDI and BAI scores of the migraine patients, the PCS total score and the PCS subscales "helplessness", " magnification", and "rumination" scores were higher in the patients with depression or anxiety. Conclusions: It was found that the migraine patients had "moderate" depression and "mild" anxiety, and their pain catastrophizing level increased with increasing depression and anxiety severity.
{"title":"Depression, Anxiety, and Pain Catastrophizing in Migraine Patients","authors":"H. İnci, F. Inci","doi":"10.30565/medalanya.1148828","DOIUrl":"https://doi.org/10.30565/medalanya.1148828","url":null,"abstract":"Objective: In this study, we aimed to evaluate the relationship between anxiety, depression, and pain catastrophizing in individuals with and without migraine. \u0000Method: Data of the study was collected using the socio-demographic data form, Beck Depression Scale (BDI), Beck Anxiety Scale (BAI), Pain Catastrophizing Scale (PCS), Migraine Disability Assessment Scale (MIDAS), and Visual Analogue Scale (VAS). \u0000Result: Of the 183 patients, 80 were migraine patients and 103 were the control group. The BDI, BAI, and PCS scores were found to be higher in the migraine patients compared to the control group. The migraine patients were found to have \"moderate\" depression, \"mild\" anxiety, and \"moderate\" disability. There was a positive correlation between BDI, BAI, PCS, MIDAS, and VAS scores in the migraine patients. According to the total BDI and BAI scores of the migraine patients, the PCS total score and the PCS subscales \"helplessness\", \" magnification\", and \"rumination\" scores were higher in the patients with depression or anxiety. \u0000Conclusions: It was found that the migraine patients had \"moderate\" depression and \"mild\" anxiety, and their pain catastrophizing level increased with increasing depression and anxiety severity.","PeriodicalId":7003,"journal":{"name":"Acta Medica Alanya","volume":"201 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91465531","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: To evaluate the effect of subthalamic nucleus deep brain stimulation (STN-DBS) on non-motor symptoms (NMS), sleep quality, and excessive daytime sleepiness in patients with Parkinson’s Disease (PD). Material-Method: Sixteen PD patients, who had undergone bilateral STN-DBS surgery were enrolled. The patients were assessed at the baseline and 12 months after surgery using the Unified Parkinson's Disease Rating Scale (UPDRS), Parkinson's Disease Questionnaire (PDQ-39), Beck Depression Inventory-II (BDI), Hospital Anxiety and Depression Scale (HADS), Pittsburgh Sleep Quality Index (PSQI), Epworth Sleepiness Scale (ESS), and Non-Motor Symptom Questionnaire (NMS-Quest). Results: The mean age of the patients at the time of surgery was 53.5±3.6 years. There were significant improvements in the levodopa-equivalent daily dose, UPDRS-part-II, UPDRS-part-III, and UPDRS-part-IV at 12 months post-DBS surgery. The NMS-Quest total score at baseline was correlated with the disease duration of the patients (p=0.005 R:0.66). The PSQI score at baseline was significantly associated with a high total UPDRS and HADS score (p=0.03, p=0.004 respectively). There were no significant differences in terms of NMS-Quest total and subdomains thereof and PSQI total score and subdomains thereof, UPDRS-part I, BDI-II and HADS scores between baseline and 12 months post-DBS surgery (p>0.05 for all of them). Conclusion: STN-DBS surgery did not change subjective sleep quality, excessive daytime sleepiness, and NMS although it improved motor symptoms, motor fluctuations, and the health-related quality of life
目的:探讨丘脑底核深部脑刺激(STN-DBS)对帕金森病(PD)患者非运动症状(NMS)、睡眠质量和日间过度嗜睡的影响。材料-方法:入选16例行双侧STN-DBS手术的PD患者。采用统一帕金森病评定量表(UPDRS)、帕金森病问卷(PDQ-39)、贝克抑郁量表- ii (BDI)、医院焦虑抑郁量表(HADS)、匹兹堡睡眠质量指数(PSQI)、Epworth嗜睡量表(ESS)和非运动症状问卷(NMS-Quest)对患者进行基线和术后12个月的评估。结果:患者手术时平均年龄为53.5±3.6岁。dbs手术后12个月左旋多巴当量日剂量、UPDRS-part-II、UPDRS-part-III和UPDRS-part-IV均有显著改善。基线时NMS-Quest总分与患者病程相关(p=0.005 R:0.66)。基线时PSQI评分与较高的UPDRS和HADS总分显著相关(p=0.03, p=0.004)。两组患者NMS-Quest总分及其子域、PSQI总分及其子域、UPDRS-part I、BDI-II、HADS评分与dbs术后12个月比较，差异均无统计学意义(p>0.05)。结论:STN-DBS手术虽然改善了运动症状、运动波动和健康相关的生活质量，但并没有改变主观睡眠质量、白天过度嗜睡和NMS
{"title":"Parkinson Hastalarında Subtalamik Çekirdek Derin Beyin Stimülasyonu Tedavisinin Motor Dışı Belirtilere ve Uyku Kalitesine Etkisi","authors":"Nazan ŞİMŞEK ERDEM, Gokce Yagmur GUNES GENCER, Sehür Sibel Özkaynak, Tanju Uçar","doi":"10.30565/medalanya.1221314","DOIUrl":"https://doi.org/10.30565/medalanya.1221314","url":null,"abstract":"Objective: To evaluate the effect of subthalamic nucleus deep brain stimulation (STN-DBS) on non-motor symptoms (NMS), sleep quality, and excessive daytime sleepiness in patients with Parkinson’s Disease (PD). \u0000Material-Method: Sixteen PD patients, who had undergone bilateral STN-DBS surgery were enrolled. The patients were assessed at the baseline and 12 months after surgery using the Unified Parkinson's Disease Rating Scale (UPDRS), Parkinson's Disease Questionnaire (PDQ-39), Beck Depression Inventory-II (BDI), Hospital Anxiety and Depression Scale (HADS), Pittsburgh Sleep Quality Index (PSQI), Epworth Sleepiness Scale (ESS), and Non-Motor Symptom Questionnaire (NMS-Quest). \u0000Results: The mean age of the patients at the time of surgery was 53.5±3.6 years. There were significant improvements in the levodopa-equivalent daily dose, UPDRS-part-II, UPDRS-part-III, and UPDRS-part-IV at 12 months post-DBS surgery. The NMS-Quest total score at baseline was correlated with the disease duration of the patients (p=0.005 R:0.66). The PSQI score at baseline was significantly associated with a high total UPDRS and HADS score (p=0.03, p=0.004 respectively). There were no significant differences in terms of NMS-Quest total and subdomains thereof and PSQI total score and subdomains thereof, UPDRS-part I, BDI-II and HADS scores between baseline and 12 months post-DBS surgery (p>0.05 for all of them). \u0000Conclusion: STN-DBS surgery did not change subjective sleep quality, excessive daytime sleepiness, and NMS although it improved motor symptoms, motor fluctuations, and the health-related quality of life","PeriodicalId":7003,"journal":{"name":"Acta Medica Alanya","volume":"14 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91133242","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 : 2023-04-02DOI: 10.30565/medalanya.1120024
Ali Buhur, Ömer Ünal, Dilek Erdem
Objective: Comparison of the efficacy and complications of transobturator tape and transvaginal tape methods in the treatment of stress urinary incontinence. Method: Clinical records of 106 patients with stress urinary incontinence in Istanbul Kanuni Sultan Suleyman Training and Research Hospital between January 2015 and December 2016 were retrospectively analyzed. The patients were divided into two groups. Trans obturator tape (TOT) was classified as Group 1 and transvaginal tape (TVT) was classified as group 2. The urogenital distress inventory-6 and the incontinence impact questionnaire-7 were used to determine the severity of preoperative and postoperative incontinence and to compare the quality of life objectively in all patients. Ethics committee approval was obtained from the ethics committee of Kanuni Training and Research Hospital. Statistical analysis of data (SPSS Inc, Chicago, Illinois) was performed using version 24. Results: There was a significant difference between the two groups in terms of mean age, menopausal status, complications, and duration of surgery (p
目的:比较经闭锁带与经阴道带治疗压力性尿失禁的疗效及并发症。方法:回顾性分析2015年1月至2016年12月伊斯坦布尔Kanuni Sultan Suleyman培训研究医院收治的106例压力性尿失禁患者的临床资料。患者被分为两组。经闭孔带(TOT)为第1组，经阴道带(TVT)为第2组。泌尿生殖窘迫量表-6和尿失禁影响问卷-7用于确定术前和术后尿失禁的严重程度，并客观比较所有患者的生活质量。经卡努尼培训与研究医院伦理委员会批准。数据的统计分析(SPSS Inc, Chicago, Illinois)使用version 24进行。结果:两组患者在平均年龄、绝经期、并发症、手术时间等方面差异有统计学意义(p
{"title":"Stres Üriner İnkontinans Tedavisinde Transobturator Tape Ve Transvaginal Tape Yöntemlerinin Etkinliği Ve Komplikasyonlarının Değerlendirilmesi","authors":"Ali Buhur, Ömer Ünal, Dilek Erdem","doi":"10.30565/medalanya.1120024","DOIUrl":"https://doi.org/10.30565/medalanya.1120024","url":null,"abstract":"Objective: Comparison of the efficacy and complications of transobturator tape and transvaginal tape methods in the treatment of stress urinary incontinence. \u0000Method: Clinical records of 106 patients with stress urinary incontinence in Istanbul Kanuni Sultan Suleyman Training and Research Hospital between January 2015 and December 2016 were retrospectively analyzed. The patients were divided into two groups. Trans obturator tape (TOT) was classified as Group 1 and transvaginal tape (TVT) was classified as group 2. The urogenital distress inventory-6 and the incontinence impact questionnaire-7 were used to determine the severity of preoperative and postoperative incontinence and to compare the quality of life objectively in all patients. Ethics committee approval was obtained from the ethics committee of Kanuni Training and Research Hospital. Statistical analysis of data (SPSS Inc, Chicago, Illinois) was performed using version 24. \u0000Results: There was a significant difference between the two groups in terms of mean age, menopausal status, complications, and duration of surgery (p","PeriodicalId":7003,"journal":{"name":"Acta Medica Alanya","volume":"24 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83225798","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 : 2023-04-02DOI: 10.30565/medalanya.1193714
Sevda Adar, Nuran Eyvaz, Faruk Emre Yulcu, Hasan Toktaş, Ü. Dündar, Mehmet Nuri Konya
Objective: The purpose of this study was to examine the sustainability of the treatment of children with cerebral palsy (CP) during the pandemic, the physical and psychosocial impact of the pandemic on children, and the fear of COVID-19 among parents. Materials and Methods: The authors' questionnaire and the COVID-19 fear scale were completed by 350 parents who were reachable and willing to participate in the study. Results: Of the 210 children who received an education, 46 (21.9%) could not participate in online education. 123 (63.4%) of 194 children who received cognitive education and 108 (78.8%) of 137 children who received physiotherapy could not continue. According to family reports, 26.3% of children had worse physical development, 21.1% had worse sleep quality, 11.7% had worse linguistic skills, and 39.1% of children had higher levels of anxiety than before the pandemic. The mean COVID-19 fear scale score of the parents who stated that their child's physical development was worse compared to before the pandemic (18.23±5.63) was higher than that of the parents who stated that there was no change in their child's physical development (16.91±5.26) (p=0.031). The mean COVID-19 fear scale score of the parents who stated that their child's anxiety was higher than before the pandemic (18.02±5.49) was higher than the parents who stated that there was no change in their child's anxiety (16.81±5.28) (p=0.04). Conclusion: During the pandemic period, rehabilitation of children with CP was interrupted and children were affected physically and psychosocially. Family-centered approaches and telerehabilitation opportunities should be studied for future periods.
{"title":"COVID-19 PANDEMİSİNİN SEREBRAL PALSİ’Lİ ÇOCUKLAR ÜZERİNE ETKİSİNİN İNCELENMESİ","authors":"Sevda Adar, Nuran Eyvaz, Faruk Emre Yulcu, Hasan Toktaş, Ü. Dündar, Mehmet Nuri Konya","doi":"10.30565/medalanya.1193714","DOIUrl":"https://doi.org/10.30565/medalanya.1193714","url":null,"abstract":"Objective: The purpose of this study was to examine the sustainability of the treatment of children with cerebral palsy (CP) during the pandemic, the physical and psychosocial impact of the pandemic on children, and the fear of COVID-19 among parents. \u0000Materials and Methods: The authors' questionnaire and the COVID-19 fear scale were completed by 350 parents who were reachable and willing to participate in the study. \u0000Results: Of the 210 children who received an education, 46 (21.9%) could not participate in online education. 123 (63.4%) of 194 children who received cognitive education and 108 (78.8%) of 137 children who received physiotherapy could not continue. According to family reports, 26.3% of children had worse physical development, 21.1% had worse sleep quality, 11.7% had worse linguistic skills, and 39.1% of children had higher levels of anxiety than before the pandemic. \u0000The mean COVID-19 fear scale score of the parents who stated that their child's physical development was worse compared to before the pandemic (18.23±5.63) was higher than that of the parents who stated that there was no change in their child's physical development (16.91±5.26) (p=0.031). The mean COVID-19 fear scale score of the parents who stated that their child's anxiety was higher than before the pandemic (18.02±5.49) was higher than the parents who stated that there was no change in their child's anxiety (16.81±5.28) (p=0.04). \u0000Conclusion: During the pandemic period, rehabilitation of children with CP was interrupted and children were affected physically and psychosocially. Family-centered approaches and telerehabilitation opportunities should be studied for future periods.","PeriodicalId":7003,"journal":{"name":"Acta Medica Alanya","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86307740","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 : 2023-04-02DOI: 10.30565/medalanya.1198923
Muhammet Zeki Gülteki̇n, Yaşar Mahsut Di̇nçel, Fatih Doğar, Serdar Arslan
Aims: The study aimed to analyze the quality, adequacy and readability of websites created for patients with shoulder complaints associated with biceps tendon disorders. Methods: The terms 'shoulder injury', 'biceps tendinitis' and 'biceps tendon rupture' were searched in the most used search engines in United States (Google, Yahoo, and Bing). One hundred forty seven websites designed to inform patients were included in the study. The quality, popularity, adequacy and reliability were meausured. Results: Flesch reading ease scores of websites with content creation by health professionals were significantly lower than those without; in contrast, Flesch-Kincaid grade level (FKGL) and Koleman-Liau index scores were significantly higher (p
{"title":"Biseps tendon bozukluklarına ilişkin çevrimiçi hasta bilgilendirme materyalleri yeterli, kaliteli ve okunabilir durumda mı?","authors":"Muhammet Zeki Gülteki̇n, Yaşar Mahsut Di̇nçel, Fatih Doğar, Serdar Arslan","doi":"10.30565/medalanya.1198923","DOIUrl":"https://doi.org/10.30565/medalanya.1198923","url":null,"abstract":"Aims: The study aimed to analyze the quality, adequacy and readability of websites created for patients with shoulder complaints associated with biceps tendon disorders. \u0000Methods: The terms 'shoulder injury', 'biceps tendinitis' and 'biceps tendon rupture' were searched in the most used search engines in United States (Google, Yahoo, and Bing). One hundred forty seven websites designed to inform patients were included in the study. The quality, popularity, adequacy and reliability were meausured. \u0000Results: Flesch reading ease scores of websites with content creation by health professionals were significantly lower than those without; in contrast, Flesch-Kincaid grade level (FKGL) and Koleman-Liau index scores were significantly higher (p","PeriodicalId":7003,"journal":{"name":"Acta Medica Alanya","volume":"29 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85942283","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 : 2023-03-31DOI: 10.30565/medalanya.1217069
Veli Çitişli
Aim: Vertebral disc hernias are a common clinical condition. There are reported cases of recovery without surgery. However, no collective study has yet been conducted to reveal spontaneously regressing disc hernias statistically significant. Our aim is to determine the cases of spontaneous regression disc herniation and to reveal statistically significant and to reveal the chance of spontaneous regression without surgery. Methods: For this purpose, a retrospective cohort was made from the files of 2700 patients who came to our clinic for 4.5 years. Surgical indication was decided 341 patients. 323 patients were operated. Physical and drug therapy, rest were recommended to 18 patients. These 18 patients who did not receive surgical treatment, it was determined that the disc hernias had spontaneous regression. Incidence, relative risk (RR), attributable risk (AR), and rate of protection were calculated. Comparison of the means in the SPSS and Chi-square test. Results: The most spontaneously regressed disc herniation was determined as L5S1 level. In those treated surgically, surgical intervention as a positive factor was found to provide complete recovery in 94% of patients. Surgery indication was found that 94.42% of those who had surgery were indicated and those who did not undergo surgery and went to spontaneous regression were 5.57%. Spontaneous regression of disc hernias without surgery was found to be statistically significant (p
{"title":"Spontan Regresyon Gösteren Disk Hernileri","authors":"Veli Çitişli","doi":"10.30565/medalanya.1217069","DOIUrl":"https://doi.org/10.30565/medalanya.1217069","url":null,"abstract":"Aim: Vertebral disc hernias are a common clinical condition. There are reported cases of recovery without surgery. However, no collective study has yet been conducted to reveal spontaneously regressing disc hernias statistically significant. Our aim is to determine the cases of spontaneous regression disc herniation and to reveal statistically significant and to reveal the chance of spontaneous regression without surgery. \u0000Methods: For this purpose, a retrospective cohort was made from the files of 2700 patients who came to our clinic for 4.5 years. Surgical indication was decided 341 patients. 323 patients were operated. Physical and drug therapy, rest were recommended to 18 patients. These 18 patients who did not receive surgical treatment, it was determined that the disc hernias had spontaneous regression. Incidence, relative risk (RR), attributable risk (AR), and rate of protection were calculated. Comparison of the means in the SPSS and Chi-square test. \u0000Results: The most spontaneously regressed disc herniation was determined as L5S1 level. In those treated surgically, surgical intervention as a positive factor was found to provide complete recovery in 94% of patients. Surgery indication was found that 94.42% of those who had surgery were indicated and those who did not undergo surgery and went to spontaneous regression were 5.57%. Spontaneous regression of disc hernias without surgery was found to be statistically significant (p","PeriodicalId":7003,"journal":{"name":"Acta Medica Alanya","volume":"31 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87111453","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 : 2023-03-31DOI: 10.30565/medalanya.1161119
H. Toprak, E. Aydoğan, Y. Tire
Introduction: The ultrasonographic assessment in the operating room tends to increase day by day and ultrasonography is a method used to evaluate the thickness of the diaphragm. Measurement of the thickness of the diaphragm is a parameter that can be used to decide before separation from mechanical ventilation and extraction. In these cases where intubated and extubated at the end of the operation, it is planned to examine the ratio of the aperture muscle thickness to each other in the last inspirum and last exprium before extubation. Determining of the present ratio may be meaningful for the determination of the extubation time. Material and Method: In the study, 60 patients, who were in the physical state of ASA I and II, 3-12 age range, and who were scheduled for elective adenotonsillectomy operation were included. Age, gender, body mass index (BMI), and operation time data of patients were recorded. Before and after the operation, inspiratory and exprituar diaphragm thicknesses were measured by ultrasonography. The ratio of the last inspirium and the diaphragm muscle thicknesses in the last expiration were calculated. Results: There was no significant difference between the pre-operation values and the end of the operation in the diaphragm thickness measurements. The incidence of laryngospasm was 1.5 %. Conclusion: Diaphragm thickness measurements with ultrasound have many benefits but further studies are needed. Key words: diaphragm, ultrasound, pediatrik, anesthesia
{"title":"Comparison Of Diaphragm Thickness Values In Cases Of Adenotonsillectomy Before And After The Operation","authors":"H. Toprak, E. Aydoğan, Y. Tire","doi":"10.30565/medalanya.1161119","DOIUrl":"https://doi.org/10.30565/medalanya.1161119","url":null,"abstract":"Introduction: The ultrasonographic assessment in the operating room tends to increase day by day and ultrasonography is a method used to evaluate the thickness of the diaphragm. Measurement of the thickness of the diaphragm is a parameter that can be used to decide before separation from mechanical ventilation and extraction. In these cases where intubated and extubated at the end of the operation, it is planned to examine the ratio of the aperture muscle thickness to each other in the last inspirum and last exprium before extubation. Determining of the present ratio may be meaningful for the determination of the extubation time. \u0000Material and Method: In the study, 60 patients, who were in the physical state of ASA I and II, 3-12 age range, and who were scheduled for elective adenotonsillectomy operation were included. Age, gender, body mass index (BMI), and operation time data of patients were recorded. Before and after the operation, inspiratory and exprituar diaphragm thicknesses were measured by ultrasonography. The ratio of the last inspirium and the diaphragm muscle thicknesses in the last expiration were calculated. \u0000Results: There was no significant difference between the pre-operation values and the end of the operation in the diaphragm thickness measurements. The incidence of laryngospasm was 1.5 %. \u0000Conclusion: Diaphragm thickness measurements with ultrasound have many benefits but further studies are needed. \u0000 \u0000Key words: diaphragm, ultrasound, pediatrik, anesthesia","PeriodicalId":7003,"journal":{"name":"Acta Medica Alanya","volume":"5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87561894","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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