Konuralp Tip Dergisi最新文献

{"title":"Sol Yan ağrısının Açıklanamayan Nadir Bir Sebebi: Nutcracker Sendromu","authors":"Ayşe KABA, Esat KABA, Cüneyt ARDIÇ","doi":"10.18521/ktd.1106258","DOIUrl":"https://doi.org/10.18521/ktd.1106258","url":null,"abstract":"Nutcracker syndrome refers to the compression of the left renal vein, usually between the aorta and the superior mesenteric artery. Flank pain is the most common complaint and hematuria can be seen among the laboratory findings. This syndrome, which is more common in women with low body mass index, can be difficult to diagnose.
 A 41-year-old female patient with persistent left flank pain was admitted to our family medicine outpatient clinic. There was no finding that could explain the pain in the patient, who did not have any features in his history, despite many polyclinic applications. Computed tomography requested in our family medicine outpatient clinic revealed that the left renal vein was compressed between the aorta and the superior mesenteric artery, and the patient was diagnosed with nutcracker syndrome.
 Nutcracker syndrome is an exclusion diagnosis that should be considered in patients who present with atypical left flank pain that is difficult to diagnose.
 In the treatment, depending on the severity of the symptoms, a wide range of methods are applied, from conservative treatment to endovascular stenting and surgical treatment.","PeriodicalId":17884,"journal":{"name":"Konuralp Tip Dergisi","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136178682","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":"Comparison of Anterior Segment Parameters in Obese Children And Healthy Control Group","authors":"Mehmet Tahir ESKİ, Kuddusi TEBERİK, Taha SEZER, İlknur ARSLANOĞLU","doi":"10.18521/ktd.1194775","DOIUrl":"https://doi.org/10.18521/ktd.1194775","url":null,"abstract":"Objective:: To evaluate anterior segment parameters in obese children
 Material and methods: 55 obese and 30 control group children subjects participated. All participants and the control group were examined and anthropometric measurements were made. The measurements of fasting blood glucose(FBG), triglyceride(TG), total cholesterol (TC), high-density lipoprotein-cholesterol (HDL-C), low-density lipoprotein-cholesterol (LDL-C), and insulin values were performed. The homeostasis model assessment of insulin resistance (HOMA‑IR) was calculated. Each participant underwent a detailed ophthalmic examination and IOP, CCT, ACD and LT were measured.
 Results: The gender distribution of the groups was similar (p=0.893). The mean of CCT and LT were significantly higher in the obese group (572.9 ± 14.5 vs. 559.5 ± 10.1 µm, p=0.001; 3.6 ± 0.14 vs. 3.48 ± 0.25 mm, p=0.007) . No significant difference was found between the obese and control groups in terms of other parameters. BMI and WC had a significant negative correlation with LT control groups. The obese group showed a significant positive correlation between IOP and TG (r=0.276, p=0.042), and a significant negative correlation with HDL-C (r=-0.273, p=0.043). In the control group, there was a significant positive correlation between IOP and BMI (r=0.389, p=0.034), WC (r=0.497, p=0.005), HOMA-IR (r=0.384, p=0.036), Insulin (r=0.407, p=0.026), and a significant negative correlation with TC (r=-0.511, p=0.004). A significantly positive correlation between ACD and LDL-C (r=0.371, p=0.043) and a significantly negative correlation between HOMA-IR in the control group were detected (r=-0.682, p=0.000).
 Conclusion: The obese group had higher CCT and LT than the control groups.","PeriodicalId":17884,"journal":{"name":"Konuralp Tip Dergisi","volume":"105 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136178681","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":"Multidrug-resistant Gram-negative bacteria rate and risk factors in the neonatal intensive care unit: A single-center ten-year experience","authors":"H. Cakmak, Dilek Yekenkurul, Zehra Şengün, Selvi Yener, P. Duran, F. Davran, K. Kocabay","doi":"10.18521/ktd.1265336","DOIUrl":"https://doi.org/10.18521/ktd.1265336","url":null,"abstract":"Background: \u0000Multidrug resistance (MDR) in gram-negative neonatal infections is difficult to manage, and the risk factors differ among different studies. We aim to investigate the demographics, mortality, MDR status of gram-negative isolates, and risk factors for MDR gram-negative infections. \u0000Material-Methods: \u0000We conducted a retrospective single-center study about MDR gram-negative infections in neonates between January 2012-January 2022 at Duzce University Hospital in Turkey. This study evaluates neonates with MDR gram-negative infections' risk factors and clinical features. All analyses were performed using IBM SPSS V23. Univariate analyses and multivariate logistic regression models were studied to determine MDR's risk factors. \u0000Results: \u0000Of 107 gram-negative bacteria, 41 (38.3%) accounted for Enterobacter, 30 (28%) for Klebsiella pneumonia, and 22 (20.6%) for Escherichia coli. Additionally, 61 (56.5%) were MDR microorganisms. Among the susceptibility tests performed for selected isolates, 41 (77.4%) had resistance to Piperacillin, 57 (75%) showed resistance to amoxiclav, and 16 (72.7%) had cefoxitin resistance. In addition, carbapenemase resistance was found in 24 (43.6%) and meropenem resistance in 13 (36.1%). Colistin, aztreonam, and tigecycline resistances were the least frequent. The following dependent risk factors increased the multidrug resistance risk in gram-negative infections; late-onset sepsis 3.547 fold (p=0.005), use of mechanical ventilation 3.143 fold (p=0.007), blood culture positivity 3.587-fold (p=0.013), bronchopulmonary dysplasia 6.702 fold, (p= 0.015) and total parenteral nutrition 5.591 fold (p=0.001), lower gestational age 1.122 (1/0.891) fold (p=0.026), and birth weight 1.001 (1/0.999) fold, (p=0.013). Similarly, anti-biotherapy duration was significantly higher in the MDR group than in the non-MDR group. \u0000Conclusions: The reported risk factors for MDR in gram-negative neonatal infections are all dependent risk factors. Hence clinicians must be alert to all potential risk factors.","PeriodicalId":17884,"journal":{"name":"Konuralp Tip Dergisi","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2023-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45249623","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":"Evde bakım hizmeti alan geriatrik hastalarda disfaji prevalansı ve ilişkili risk faktörleri","authors":"Nur ŞİMŞEK YURT, Esra BÖCEK AKER","doi":"10.18521/ktd.1230312","DOIUrl":"https://doi.org/10.18521/ktd.1230312","url":null,"abstract":"Objective: In our study, it was aimed to determine dysphagia prevalence in patients 65 years of age and older who were received home care and to assess factors associated with dysphagia. \u0000Methods: This cross-sectional, descriptive study was conducted in patients who were registered to Home Care Services of Samsun Training and Research Hospital between December 1, 2021, and March 1, 2022. In all patients, demographic data, level of dependence, nutrition methods, use of enteral nutrition supplement, body mass index (BMI), and comorbidity were assessed by Charlson Comorbidity Index (CCI) while dysphagia symptoms were assessed by Eating Assessment Tool (EAT-10) and nutritional status was assessed by Nutritional Risk Screening-2002 (NRS) using face-to-face interview method. \u0000Results: A total of 413 patients were included in our study, of which 62.5% (n=258) were female. Dysphagia symptoms were present in 44.6% (n=184). The dysphagia prevalence was significantly high in male patients (p=0.025), in patients aged ≥85 years (p=0.001), in those with high CCI score (p","PeriodicalId":17884,"journal":{"name":"Konuralp Tip Dergisi","volume":"1 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2023-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41464305","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":"Gıda Tiksinme Ölçeğinin Türkçe Uyarlamasının Geçerlik ve Güvenirliği","authors":"Ayşe Nur SONGÜR BOZDAĞ, Gülperi Demi̇r, F. P. Çakiroğlu","doi":"10.18521/ktd.1160362","DOIUrl":"https://doi.org/10.18521/ktd.1160362","url":null,"abstract":"Objective: The feeling of disgust for food plays an important role in many situations, especially in food choice and consumption. Since the feeling of disgust is effective in many events that affect individuals' daily-life, it is important to understand the role of this emotion in food-related behaviours. Recently, a 32-item instrument to Food Disgust Scale (FDS) developed and validated. This study aims to validate the FDS for the first time in Turkish population. \u0000Methods: This cross-sectional study included 240 healthy Turkish individuals between the ages of 19-65. The research was carried out on the internet between July 2020-February 2021 with the survey method. The scale was evaluated with a six-point Likert scale as in the original. Statistical analyses were made with the R-Project program and lavaan packages. A Turkish version of the FDS (FDS-TR) was tested with confirmatory factor analysis (CFA) in order to test the original item. \u0000Results: In this study, the Cronbach’s Alpha coefficient of the scale was determined as 0.914. The Cronbach’s Alpha reliability coefficients for FDS-TR subscales varied between 0.717-0.902. The fit indices provided by confirmatory factor analysis results were also within the acceptable range. \u0000Conclusion: This study results indicate that FDS-TR is highly reliable in healthy individuals and can be used safely in future studies. It is recommended that the scale be used to determine the effects of food disgust on many issues such as food waste, obesity, eating behaviour in our country.","PeriodicalId":17884,"journal":{"name":"Konuralp Tip Dergisi","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2023-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48461239","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":"Anadolu Kadınlarının Kadına Yönelik Şiddete İlişkin Görüş Tutum Ve Davranışları","authors":"Hülya Çakmur","doi":"10.18521/ktd.1088632","DOIUrl":"https://doi.org/10.18521/ktd.1088632","url":null,"abstract":"Objective: Violence against women is a global humanitarian problem. The present study evaluates the opinions, attitudes and behaviors of women living in the Kars province of Turkey toward violence against women, and analyses the socio-demographic factors that influence both physical violence, and the opinions, attitudes and behaviors of women toward such violence. \u0000Methods: This cross-sectional research was conducted with 183 women aged 17-83 years, involving a questionnaire prepared based on a summary report on domestic violence against women in Turkey. \u0000Results: Of the respondents, 30.4 percent had been exposed severe physical violence and 41.3% mild physical violence. It was seen that a low family income increased the risk of physical violence 3.152-fold. The risk of physical violence was 2.974 times greater in women with unemployed partners. A relatively low educational level in the partner meant a 2.981-fold increase in the risk of physical violence; and the risk of physical violence was 2.328 times greater in the younger age groups than in the older age groups. Women with a higher level of education and with more economic independence, those in employment, and those in the younger age groups mostly considered violence against women to be “never acceptable”. Women seeking legal aid when exposed to violence by their partners were in the well-educated and economically independent women groups, to a significant degree. \u0000Conclusion: Culture, education and economic status are the main risk factors for violence against women, however multidimensional research is necessary if we are to understand the root cause of such behaviors.","PeriodicalId":17884,"journal":{"name":"Konuralp Tip Dergisi","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2023-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41733079","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":"Akademisyenlerin Beslenme Bilgi Düzeylerinin ve Akdeniz Diyetine Uyumlarının Değerlendirilmesi","authors":"Özge Mengi Çelik, Sedef Duran, E. Şahi̇n","doi":"10.18521/ktd.1188861","DOIUrl":"https://doi.org/10.18521/ktd.1188861","url":null,"abstract":"Objective: In this study, it was aimed to evaluate the nutritional knowledge levels of academicians and their adherence to the Mediterranean diet. \u0000Methods: The research data were collected face to face with the help of a questionnaire created by the researchers. Demographic characteristics, anthropometric measurements, nutritional habits, nutritional knowledge levels and adherence to the Mediterranean diet were questioned with the questionnaire form. Nutritional knowledge levels of individuals were evaluated with the ‘Nutrition Knowledge Level Scale for Adults (NKLSA)’. Mediterranean diet pattern characteristics were identified with the ‘Mediterranean diet adherence score (MEDAS)’. \u0000Results: The mean age of the individuals was 40.2±9.20 years, 42.2% of individuals were overweight and 7.8% are obese. 8.4% of the individuals had bad, 24.7% moderate, 44.8% good, 22.1% very good basic nutrition knowledge levels. 7.1% of the individuals had bad, 26.6% moderate, 27.9% good, 38.3% very good knowledge levels about food preference. 68.2% of individuals were in compliance with the Mediterranean diet. A statistically significant difference was found between individuals who did and did not comply with the Mediterranean diet in terms of the total score of NKLSA, basic nutrition knowledge score and food preference knowledge score (p","PeriodicalId":17884,"journal":{"name":"Konuralp Tip Dergisi","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2023-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47551466","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":"Tipik Servikal Omurlar Makine Öğrenimi Algoritmaları Kullanılarak Birbirinden Ayırt Edilebilir mi? Radyoanatomik Yeni Belirteçler","authors":"Deniz Şenol, Yusuf Seçgi̇n, Şeyma Toy, Serkan Öner, Zülal Öner","doi":"10.18521/ktd.1177279","DOIUrl":"https://doi.org/10.18521/ktd.1177279","url":null,"abstract":"Objective: The aim of this study is to distinguish the typical cervical vertebrae that cannot be separated from one another with the naked eye by using machine algorithms (ML) with measurements made on computerized tomography (CT) images and to show the differences of these vertebrae. \u0000Method: This study was conducted by examining the 536 typical cervical vertebrae CT images of 134 (between the ages of 20 and 55) individuals. Measurements of cervical vertebrae were made on coronal, axial and sagittal section. 6 different combinations (Group 1: C3 – C4, Group 2: C3 – C5, Group 3: C3 – C6, Group 4: C4 – C5, Group 5: C4 – C6, Group 6: C5 – C6) were formed with parameters of each vertebrae and they were analyzed in ML algorithms. Accuracy (Acc), Matthews correlation coefficient (Mcc), Specificity (Spe), Sensitivity (Sen) values were obtained as a result of the analysis. \u0000Results: As a result of this study, the highest success was obtained with Linear Discriminant Analysis (LDA) and Logistic Regression (LR) algorithms. The highest Acc rate was found as 0.94 with LDA and LR algorithm in Groups 3 and Group 4, the highest Spe value was found as 0.95 with LDA and LR algorithm in Group 5, the highest Mcc value was found as 0.90 with LDA and LR algorithm in Group 5 and the highest Sen value was found as 0.94 with LDA and LR algorithm in Groups 3 and 5. \u0000Conclusion: As a conclusion, it was found that typical cervical vertebrae can be clearly distinguished from one another by using ML algorithms.","PeriodicalId":17884,"journal":{"name":"Konuralp Tip Dergisi","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2023-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49499030","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":"Mushroom Poisonings in Turkey: A Meta-Analysis Study","authors":"İ. Ünlüoğlu, Elif Fatma Özkan Pehlivanoğlu, H. Balcioglu, E. Çolak","doi":"10.18521/ktd.1150910","DOIUrl":"https://doi.org/10.18521/ktd.1150910","url":null,"abstract":"Objectives: The aim of this research is to examine the characteristics of mushroom poisoning (MP) in Turkey in the last 20 years and evaluate the clinical results of MP. \u0000Materials and methods: Google Scholar, PubMed, Science Direct and Scopus databases were scanned with the phrases \"mushroom poisoning, mushroom poisoning in Turkey, mushroom poisining, mushroom poisinings in Turkey\".17 studies including sample volume, gender distribution, age average, complaint to the health institution, transplantation and full recovery rates were included in the analysis. In statistical data, random effects model was used. \u0000Results: The average age in studies involving MP cases was 38.2 years (95Cl% 36.1-40.3). The average age determined as to whether the family members are adults, elderly or childhood is as expected. \u0000Conclusion: Although patients vary in age and gender distribution of MP Turkey, symptoms and findings in admission to the hospital, liver and kidney failure distributions, and transplantation complete remission rates vary significantly.","PeriodicalId":17884,"journal":{"name":"Konuralp Tip Dergisi","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2023-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42826153","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":"Hepatosellüler kanser nedeniyle tek merkezde yapılan karaciğer nakli sonuçları","authors":"S. Aslan, Şerafettin Yazar, A. Kargi, Eray Kurnaz, Dilek Şahi̇n, Kemal Peker, Ibrahim Astarcioğlu, K. Polat","doi":"10.18521/ktd.1201669","DOIUrl":"https://doi.org/10.18521/ktd.1201669","url":null,"abstract":"Objective: Hepatocellular cancer (HCC) is the most common malignancy of the hepatobiliary system. There are significant differences in the global spread of HCC. It is the major cause of death in patients with cirrhosis. Its molecular pathogenesis is highly complex and heterogeneous. Major risk factors for the development of HCC are chronic hepatitis B virus (HBV) infection, chronic hepatitis C virus (HCV) infection and alcohol-related liver cirrhosis. Hepatocellular cancer is rarely seen in the first 4 decades of life, except in communities where HBV infection is hyperendemic. \u0000Method: The study was conducted by retrospectively scanning the files of 204 patients diagnosed with HCC who applied to Organ Transplantation Center between 21.09.2014 and 13.04.2019. Patients were transplanted liver by being classified according to Milan criteria, San Francisco [University of California San Francisco (UCSF)] criteria, and Barcelona Clinic Liver Cancer (BCLC) criteria. \u0000Result: The median age of the patients was 58.03 (range 31 to 72). 170 of the patients were men and 34 of them were female. Liver transplantation was performed from cadaveric donors to 31 patients and from living donors to 173 patients. There is a significant relationship between the life span of the patients and their gender. Female patients have a longer life expectancy [t (202) = 2,963, p =, 003]. A significant relationship was found between life expectancy and surgical classification [F (3) = 3,008, (p =, 031)]. \u0000Conclusion: In patients diagnosed with HCC and undergoing liver transplantation; the gender being female and the classification method before transplantation affect life expectancy.","PeriodicalId":17884,"journal":{"name":"Konuralp Tip Dergisi","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2023-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44575738","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}