A. Lazoğlu, M. Keleş, E. Laloğlu, E. Yılmazel Uçar, S. Yılmaz
{"title":"Determining the Vasohibin-1 Levels of the Serum and Broncoalveolar Lavage Fluid in the Patients with Lung Cancer”","authors":"A. Lazoğlu, M. Keleş, E. Laloğlu, E. Yılmazel Uçar, S. Yılmaz","doi":"10.18521/ktd.1066032","DOIUrl":"https://doi.org/10.18521/ktd.1066032","url":null,"abstract":"","PeriodicalId":174708,"journal":{"name":"Konuralp Tıp Dergisi","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124295832","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":"The Wealth of Nations during the Pandemic: The Vaccine Equity","authors":"Ayfer Gedikli, Seyfettin Erdoğan, M. Shahbaz","doi":"10.18521/ktd.1106860","DOIUrl":"https://doi.org/10.18521/ktd.1106860","url":null,"abstract":"Aggressive global dissemination of the coronavirus indicated the urgency of the development of vaccines at an unprecedented rate and scale. The limited production and short supply of vaccines which were reserved mostly for the advanced economies were the greatest problems of 2021. For emerging economies, this timeline will stretch to late 2022 or early 2023. As a part of systematic immunization programs, the development, licensing, and implementation of the vaccines against the Covid-19 virus started to address health service inequalities among countries. While on one hand vaccination is regarded to be one of the most cost-effective interventions in public health during the pandemic, on the other hand, the introduction and sustainable supply of vaccines needed to be supported and ensured by decision-makers and governments. Due to the weak economic conditions of developing countries, they could not provide enough financial and health support to their citizens during this period. However, since the global GDP loss from not inoculating all countries is higher than the cost of manufacturing and distributing vaccines globally, there has been a growing demand to international cooperation to have global vaccination without omitting any countries. This paper focuses on the economic and social costs and benefits of vaccinations during the Covid-19 pandemic period in advanced, middle, and low-income countries. Accordingly, macroeconomic and social impacts of vaccination will be discussed and some policy suggestions will be put forth to get more benefits from the vaccination both for economic and health outcomes.","PeriodicalId":174708,"journal":{"name":"Konuralp Tıp Dergisi","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123711540","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":"Testing Health Expenditure Convergence In 21 OECD Countries By Using Nonlinear Unit Root Tests","authors":"Eşref Uğur Çeli̇k, Tolga Omay, S. Tuzlukaya","doi":"10.18521/ktd.1056926","DOIUrl":"https://doi.org/10.18521/ktd.1056926","url":null,"abstract":"Objective: The purpose of this study is to analyze the stochastic time series behaviour of health expenditure in the 21 OECD countries between 1975 and 2019 using a variety of state-of-the-art (cutting-edge) unit root tests. Methods : In this study, the linear ADF unit root test and eight relevant nonlinear unit root tests are used to empirically estimate whether the 21 OECD countries’ health expenditure data show convergence. Results: The empirical findings are in support the stationarity of health expenditure in 20 of the 21 OECD countries. Conclusions: Health convergence hypothesis is confirmed in most OECD countries, indicating that health expenditure shocks have solely temporary effects on country-level health expenditure. The empirical study provides significant policy implications. The empirical part of the study indicated that policy measures chosen by the policymakers cannot be made without considering possible nonlinearities in health expenditure data. More investment in the policy proposals stated in the conclusion section in the low regime years, as well as the continuation of current ones in the high regime periods, have been determined to offer appropriate conditions for health spending convergence. Furthermore, it has been determined that structural changes outside of the regime have resulted in a change in health expenditure convergence in countries such as Japan and South Korea. It is essential to invest in these countries while taking into account the periods of structural change.","PeriodicalId":174708,"journal":{"name":"Konuralp Tıp Dergisi","volume":"33 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115328067","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":"GastroClinicopathologic Characteristics of Gastrointestinal Stromal Tumors and Prognostic Importance of Ki-67 Labeling Index: May be a New Prognostic Marker","authors":"S. Fındık, G. Kanyilmaz","doi":"10.18521/ktd.1021049","DOIUrl":"https://doi.org/10.18521/ktd.1021049","url":null,"abstract":"","PeriodicalId":174708,"journal":{"name":"Konuralp Tıp Dergisi","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115273070","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":"THE INCREASE IN THE SOCIAL UTILITY OF THE GERIATRIC POPULATION GAINED FROM THE HUMAN HEALTH WORKERS DURING THE PANDEMIC","authors":"M. Çiftçi","doi":"10.18521/ktd.1059885","DOIUrl":"https://doi.org/10.18521/ktd.1059885","url":null,"abstract":"","PeriodicalId":174708,"journal":{"name":"Konuralp Tıp Dergisi","volume":"242 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123748337","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":"Interplay Between Vitiligo And Oxidative Stress: Evaluation Of The Mechanisms Of Autoımmune Diseases","authors":"Yunus Ozcan, Ebru Karagün, M. Alpay","doi":"10.18521/ktd.880577","DOIUrl":"https://doi.org/10.18521/ktd.880577","url":null,"abstract":"","PeriodicalId":174708,"journal":{"name":"Konuralp Tıp Dergisi","volume":"107 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131605738","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":"The Opinions of Family Medicine Residents about Education and Working Conditions in Turkey","authors":"Ümmü Doğan, N. Karaoğlu","doi":"10.18521/ktd.995412","DOIUrl":"https://doi.org/10.18521/ktd.995412","url":null,"abstract":"","PeriodicalId":174708,"journal":{"name":"Konuralp Tıp Dergisi","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123967570","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}
Elif Köse, Hüseyin Baylan, Hilal Karahan, H. Ekerbiçer
{"title":"The distribution and the related factors of forward head posture among medical students","authors":"Elif Köse, Hüseyin Baylan, Hilal Karahan, H. Ekerbiçer","doi":"10.18521/ktd.952182","DOIUrl":"https://doi.org/10.18521/ktd.952182","url":null,"abstract":"","PeriodicalId":174708,"journal":{"name":"Konuralp Tıp Dergisi","volume":"42 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121800100","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}
Abdullah Solmaz, Tuğba Meliha Fatma Ercan, T. Erat, F. Solmaz
{"title":"The Role of Some Parameters in Diagnosis in the Absence of PCR in the Children with COVID-19","authors":"Abdullah Solmaz, Tuğba Meliha Fatma Ercan, T. Erat, F. Solmaz","doi":"10.18521/ktd.1034760","DOIUrl":"https://doi.org/10.18521/ktd.1034760","url":null,"abstract":"Objective: Infectious diseases cause inflammation in the human body and produce numerical and functional changes in peripheral blood cells. Coronavirus disease-19 (COVID-19) is also an infectious disease diagnosed by the Polymerase Chain Reaction (PCR) test. However, PCR testing may not always be available. The aim of this study is to show the effect of numerical and functional changes in blood parameters on the diagnosis of COVID-19 in children. Methods: In this retrospective study, 296 patients and 286 healthy children were included. Nasopharyngeal swabs were collected. The swabs were analyzed by Real-time PCR. Independent-t/Mann-Whitney-U tests were applied;Receiver Operating Characteristic (ROC) curves and logistic regression modelling were evaluated. Results: Gender and age distributions of the groups were similar (p>0.05). There were significant differences between the two groups in terms of white blood cell (WBC) (p<0.001), neutrophil (p<0.001), thrombocyte (p<0.001), lymphocyte (p<0.001), mean platelet volume (MPV) (p=0.009), lactate dehydrogenase (LDH) (p=0.003), C-reactive protein (CRP) (p<0.001) and aspartate aminotransferase (AST) (p=0.002). It was found in ROC curve analyses, while LDH (p<0.001) and CRP (p<0.001) values were higher in patients, MPV (p=0.03), platelet (p=0.04), and neutrophil (p<0.001) values of them were lower. The best model in logistic regression was the model that included hemoglobin, neutrophil, lymphocyte, thrombocyte, LDH and CRP. Conclusions: Rapid diagnosis of COVID-19 are crucial for public health. PCR, required for definitive diagnosis, may not always be achieved, so easier and cheaper methods are needed. This study supports the diagnosis of COVID-19 in the children in the absence of PCR.","PeriodicalId":174708,"journal":{"name":"Konuralp Tıp Dergisi","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129332798","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}
Y. Doganer, Ümit Kaplan, Ü. Aydoğan, A. Yalçı, Mine Filiz, H. Turhan, Sevgi SÖKÜLMEZ YILDIRIM, U. Bozlar, İ. Y. Avcı, M. Taşar
{"title":"Initial Signs and Symptoms in Suspected Patients Admitted to Triage Outpatient Clinic of Coronavirus Disease 2019 (COVID-19): A Single-Center Experience","authors":"Y. Doganer, Ümit Kaplan, Ü. Aydoğan, A. Yalçı, Mine Filiz, H. Turhan, Sevgi SÖKÜLMEZ YILDIRIM, U. Bozlar, İ. Y. Avcı, M. Taşar","doi":"10.18521/ktd.1052381","DOIUrl":"https://doi.org/10.18521/ktd.1052381","url":null,"abstract":"Objective: Coronavirus disease (COVID-19) is a worldwide pandemic with a huge burden of illness, high economic costs, and mortality rates. This study sought to compare clinical signs and symptoms among adult COVID-19 patients admitted to triage outpatient clinics. Methods: In this observational retrospective study, clinical symptoms, biochemical parameters, and chest computed tomography (CT) of 1745 suspected patients admitted to COVID-19 triage outpatient clinic between 01 April 2020-01 September 2020 were analyzed. Results: A total of 650 (37.2%) of 1745 patients who were admitted to triage outpatient clinic were diagnosed as COVID-19 by PCR confirmation. Of the participants, 88.1% had at least one symptom, 11.9% were asymptomatic. Almost half of the patients (50.1%) had a history of exposure including contact with COVID-19 confirmed cases. COVID-19 (+) patients were more diabetic and hypertensive than negative cases. In patients who underwent chest CT imaging, 40.6% (310) had pneumonic infiltrations compatible with COVID-19 pneumonia. Hemoglobin, leukocyte, neutrophil, lymphocyte, and platelet counts were lower, but CRP levels were higher in patients with COVID-19. Multivariate logistic regression analysis revealed that older age (OR=1.020;p=0.018), contact with confirmed COVID-19 patient (OR=1.907, p=0.009), fever (OR=1,588, p=0,001), fatigue (OR=2.075, p=0.009), cough (OR= 2.301, p<0.001) were significantly associated with increased odds of PCR (+) status. Conclusions: Predictive factors associated with PCR (+) test results were older age, history of contact with confirmed COVID-19 patient, high fever, fatigue, cough in our study. Some symptoms could have a significant relationship with PCR positivity, which requires a more careful approach during the first admission to healthcare facilities.","PeriodicalId":174708,"journal":{"name":"Konuralp Tıp Dergisi","volume":"36 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129143914","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}