Genel Tip Dergisi最新文献

{"title":"Covid 19 Pandemi Sürecinin Gençlerin Fiziksel Aktivite Sürelerine Olan Etkisinin Araştırılması","authors":"R. Koca, Zeliha Fazlioğullari","doi":"10.15321/geneltipder.2021.304","DOIUrl":"https://doi.org/10.15321/geneltipder.2021.304","url":null,"abstract":"","PeriodicalId":139503,"journal":{"name":"Genel Tip Dergisi","volume":"118 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126848670","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}

{"title":"Periferik Kanında 100 HbF Bulunan Talasemi İntermedia Olgusu","authors":"Ayşegül UĞUR KURTOĞLU, Havva Uçar, Esin Eren, Vedat Aslan, Erdal Kurtoğlu, Necati Yılmaz","doi":"10.15321/geneltipder.2021.310","DOIUrl":"https://doi.org/10.15321/geneltipder.2021.310","url":null,"abstract":"","PeriodicalId":139503,"journal":{"name":"Genel Tip Dergisi","volume":"43 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131196806","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}

{"title":"Topuk dikeni tedavisinde ekstrakorporeal şok dalga tedavisinin etkinliği","authors":"Nihan Cüzdan, Deniz Evcik, Saime Ay","doi":"10.15321/geneltipder.2021.301","DOIUrl":"https://doi.org/10.15321/geneltipder.2021.301","url":null,"abstract":"Amac: Topuk dikeni klinikte sikca karsilasilan, kronik plantar topuk agrisina neden olan klinik bir tablodur. Hastalara uygulanan kortikosteroid enjeksiyonu, steroid olmayan antiinflamatuvar ilaclar ve cesitli fizik tedavi modaliteleri gibi seceneklerin yaninda, ‘Extracorporeal Shock Wave Therapy’ (ESWT) cerrahi olmayan yontemler arasinda yerini almistir. Bu prospektif kontrollu calismanin amaci klinik ve radyolojik olarak topuk dikeni tanisi alan hastalarda ESWT tedavisinin etkinligini arastirmaktir. Gerec-Yontem: Calismaya klinik ve radyolojik olarak topuk dikeni tanisi konan 49 hasta alindi. Hastalar randomize olarak iki gruba ayrildi. Grup 1 (n=25) dort gun aralikla 3 seans boyunca 8 Hz frekans ile her seans 1000 atim olacak sekilde ESWT tedavisi aldi. Grup 2 (n=24) ise kontrol grubu olarak kabul edildi ve sadece silikon tabanlik kullandi. Agri siddeti gece agrisi, sabah ilk basma sirasindaki agri, hareket ile agri, istirahat agrisi, engebeli zeminde agri ve gun sonunda agri olmak uzere Gorsel Analog Skala (GAS) ile ve ayak aktiviteleri ile ilgili fonksiyonel duzey ise Foot Ankle Outcome Score (FAOS) indeksi ile degerlendirildi. Olcumler hastalar tedaviye alinmadan once ve 4 haftalik izlem sonrasinda yapildi. Bulgular: Tedavi sonrasinda her iki grupta tum parametrelerde istatistiksel olarak anlamli iyilesme saptandi (p 0,05). Sonuc: Calismamizin sonuclari; ESWT uygulamasinin topuk dikeni tedavisinde etkili oldugunu ve diger konservatif yontemler arasinda etkin bir secenek olabilecegini desteklemektedir.","PeriodicalId":139503,"journal":{"name":"Genel Tip Dergisi","volume":"140 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123385963","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}

{"title":"Stenotrophomonas maltophilia İzolatlarının Trimetoprim-sülfometaksazol Direnci","authors":"F. Orak, Merve Çi̇lburunoğlu, Hulusi Guven","doi":"10.15321/geneltipder.2021.308","DOIUrl":"https://doi.org/10.15321/geneltipder.2021.308","url":null,"abstract":"Amac: S.maltophilia dusuk patojenite ozelliklerine ragmen, immun duskun ve yogun bakim unitelerinde uzun sure yatan hastalarda kolonize olabilen, solunum ve gastrointestinal sistemden secilerek siklikla pnomoni ve bakteriyemi gibi enfeksiyonlara neden olabilen bir mikroorganizmadir. Ozellikle kistik fibrozisli hastalarin risk altinda oldugu bilinmektedir. Calismamizin amaci, S. maltophilia izolatlarini ve trimetoprim-sulfometaksazol(TMP-SXT) duyarlilik durumunu inceleyerek lokal epidemiyolojik veri elde etmektir. Gerec ve Yontem: 1 Ocak 2018-31 Mayis 2019 tarihleri arasinda Kahramanmaras Sutcu Imam Universitesi Tip Fakultesi Hastanesi’ne gelen hastalarin kultur orneklerinden izole edilmis 96 S. maltophilia izolati retrospektif olarak incelenmistir. Bulgular: S.maltophilia’nin onemli bir kismi (%50) solunum yolu orneklerinden izole edilmis, TMP-SXT’ye direnc %1,04’si (n=1) olarak bulunmustur. Sonuc: Stenotrophomonas maltophilia ‘nin bircok antibiyotige direncli olmasi tedavide gucluklere neden olmaktadir. TMP-SXT Stenotrophomonas maltophilia enfeksiyonlarinda hala kullanilabilecek en etkili antibiyotiktir. Ozellikle kultur orneklerinden S. maltophilia izole edildiginde etken –kolonizasyon ayirimi yapilmali ve gereksiz antibiyotik kullanimindan kacinilarak direnc gelisimi onlenmelidir.","PeriodicalId":139503,"journal":{"name":"Genel Tip Dergisi","volume":"68 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129409840","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}

{"title":"Hekim Ve Hekim Adaylarının Hekime Yönelik Şiddet Algıları: Bir Ön Çalışma","authors":"Nurbanu Demirbaş, Nazan Karaoğlu","doi":"10.15321/geneltipder.2021.299","DOIUrl":"https://doi.org/10.15321/geneltipder.2021.299","url":null,"abstract":"Objective: The aim of this study was to evaluate how medical students perceive and feel the increasing events of violence against physicians (VAP) in recent years. Method: This study was conducted with students and research assistants who attended a meeting about VAP at a Medical Faculty. A short sociodemographic information form prepared by the researchers, the Attitude Towards Violence Scale (ATVS) and the Beck Hopelessness Scale (BHS) were applied to the parti - cipants. Results: The mean age of 109 participants who were present at the meeting and completed the survey was 22.8±2.9 years (18-31), 33% were third class student and 29.4% were sixth class student. The frequency of witnessing VAP when they worked in the hospital or when they were the relatıves of the patıent was 74.3%. Very few participants stated that they were subjected to violence. While more than half of the research assistants, approximately half of the 6th grade students witnessed the VAP event, this ratio was lower in the first 3 grade students (p=0.001). Of the participants, 43% of the students who witnessed VAP stated that they felt anger towards the perpetrator and that they were afraid of the incident at the same rate, and 40% said they were worried about the incident. Those in the female sex were condemning fear and violence and those in the male sex were worried. Of the participants, 44% of respondents cited the cause of the violence as the lack of education of the public, while nearly half cited a lack of empathy towards doctors and patients. The mean score obtained from the ATVS was 18.63±6.0 points (10-35) and the mean score obtained from BHS was 8.10±2.9 points (3-17). The scores of ATVS and BHS scores were significantly higher in those who witnessed violence (p=0.001). Conclusion: The results of this study show that the medical students and research assistants who witness violence have increased their tendency to violence and made them desperate from the future. The importance of legal measures to prevent violence in health, effective communication methods education for the students and the feeling of safety in the environments they work in have been demonstrated once again for the future of public health and the medical profession.","PeriodicalId":139503,"journal":{"name":"Genel Tip Dergisi","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124205471","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}

{"title":"Gebelerde proteinüri tanısında kullanılan yöntemlerin karşılaştırılması","authors":"Ersin Çintesun, Mete Berti̇zli̇oğlu, Mete Ateş, Abdullah Güler, Çetin Çelik","doi":"10.15321/geneltipder.2021.296","DOIUrl":"https://doi.org/10.15321/geneltipder.2021.296","url":null,"abstract":"Objective: The aim of this study was to compare the total protein content in 24 hours urine with dipstic, protein / creatinine (P / K) ratio in spot urine in our pregnant women who were diagnosed with preeclampsia. Material and Methods: In this study, 317 patients who underwent dipstick method, P / K ratio and total protein analysis in 24-hour urine were included in the study with a prediagnosis of preeclampsia at a university hospital gynecology and obstetrics clinic between January 2016 and December 2018. These three values of patients were compared with each other. Results: When the total proteinuria threshold in the 24-hour urine was 300 mg / day, the P-C ratio cut-off value was 0.34 mg protein / mg creatinine, the sensitivity was 68.9% and the specificity was 78.7%. A moderate, significant correlation was observed between total urinary P / K ratio and total proteinuria in 24-h urine (r= 0.629 p <0.001). Conclusion: It can be used as an alternative test in the 24-hour urine total protein test of P / C ratio in spot urine in emergencies where there is not enough time for 24 hour total urine analysis.","PeriodicalId":139503,"journal":{"name":"Genel Tip Dergisi","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126312088","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}

{"title":"Psödohipoparatiroidi Tip 2: Olgu Sunumu","authors":"Özlem Güleç Şen, Emre Kaçar, Tolga Altuğ Şen","doi":"10.15321/geneltipder.2021.312","DOIUrl":"https://doi.org/10.15321/geneltipder.2021.312","url":null,"abstract":"","PeriodicalId":139503,"journal":{"name":"Genel Tip Dergisi","volume":"65 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133232431","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}

{"title":"Cerrahi Hemşirelerin Basınç Yaralanması, Risk Faktörleri ve Önlenmeye İlişkin Bilgilerin İncelenmesi","authors":"Akile Aydoğmuş Ünlü, Işıl Işık Andsoy","doi":"10.15321/geneltipder.2021.307","DOIUrl":"https://doi.org/10.15321/geneltipder.2021.307","url":null,"abstract":"Amac: Calisma cerrahi hemsirelerinin basinc yaralanmsi, risk faktorleri ve onlemeye iliskin bilgilerinin degerlendirilmesi amaciyla tanimlayici olarak yapildi. Gerec ve Yontem: Calismanin evrenini Karabuk ilindeki universite, devlet ve ozel hastanelerin ameliyathane, cerrahi klinikler ve cerrahi yogun bakiminda calisan 400 hemsire olusturdu. Tam sayim ornekleme yontemi ile calismanin yapilacagi tarih araliginda izinli veya raporlu olmayan, katilima istekli ve onam veren 245 cerrahi hemsiresi calisma kapsamina alindi. Veriler, kisisel bilgi formu ve ‘Modifiye Pieper Basinc Yarasi Bilgi Testi’ ile toplandi. Verilerin degerlendirilmesinde frekans ve yuzde degerleri, ortalama, standart sapma Mann Whitney U testi, Kruskal Wallis Varyans analizinden yararlanildi. Bulgular: Calismada cerrahi hemsirelerin en yuksek oranda dogru yanit verdikleri konularin sirasiyla yara tanimi, evrelendirilmesi, onleme ve risk oldugu belirlendi. Yogun bakimda calisan hemsirelerin onleme ve risk, yara tanimina yonelik aldiklari puanlarin cerrahi kliniklerde calisan hemsirelere gore anlamli duzeyde yuksek (p=0.007), basinc yaralanmasi ile sik karsilasma, olcek kullanma, hizmetici egitim alma, basinc yaralanmasina yonelik makale okuma ve internetten arastirma yapma ile hemsirelerin dogru yanit puan ortalamalari arasinda istatistiksel olaak anlamli iliski oldugu goruldu (p<0.001). Sonuc: Bu sonuclar dogrultusunda; cerrahi klinikler ile ameliyathanelerde calisan hemsirelere basinc yarasi, onleme ve risk degerlendirmeye yonelik hizmet ici egitim planlama, bilimsel toplantiya katilma ve arastirma yapmaya tesvik etme onerilebilir.","PeriodicalId":139503,"journal":{"name":"Genel Tip Dergisi","volume":"163 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115684760","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}

{"title":"Künt Karın Travmasına Bağlı Solid Organ Yaralanmalarında Non operatif Tedavi-Dalak Yaralanmaları","authors":"M. Yıldırım, A. Teki̇n, M. İyisoy, M. Çakir, Cengiz Kadıyoran, Tevfik Küçükkartallar, Celalettin Vatansev, Faruk Aksoy, Metin Belviranli, Adil Kartal","doi":"10.15321/geneltipder.2021.294","DOIUrl":"https://doi.org/10.15321/geneltipder.2021.294","url":null,"abstract":"","PeriodicalId":139503,"journal":{"name":"Genel Tip Dergisi","volume":"81 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121688306","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}

{"title":"Amiloidozlu Olgularda Koroner Arter Kalsiyum Skoru Değerlendirilmesi","authors":"Ayşe Gül Alimli, Tağmaç Deren, Nihal Ozkayar, F. Dede, Lale Paşaoğlu","doi":"10.15321/geneltipder.2021.267","DOIUrl":"https://doi.org/10.15321/geneltipder.2021.267","url":null,"abstract":"","PeriodicalId":139503,"journal":{"name":"Genel Tip Dergisi","volume":"33 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117109175","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}