Gevher Rabia, Genc Perdecioğlu, Damla Yuruk, Pandemide Algologlar, Neden Az, Çalıştı
{"title":"Why Algologists Underworked in the Pandemic?","authors":"Gevher Rabia, Genc Perdecioğlu, Damla Yuruk, Pandemide Algologlar, Neden Az, Çalıştı","doi":"10.12996/gmj.2023.79","DOIUrl":"https://doi.org/10.12996/gmj.2023.79","url":null,"abstract":"Background: The aim of this study is to examine the effect of the COVID-19 pandemic on the number of applications to the Algology Outpatient Clinic and the interventional treatments applied. Methods: The clinical and demographic data of the patients who applied to the Algology Outpatient Clinic between 01.03.2019 and 01.03.2021 were scanned retrospectively. Patients were classified in terms of age, gender, cause of pain and interventional treatment. According to the data obtained, the patients were divided into two groups as before the pandemic (Group I) and during the pandemic (Group II). Results: A total of 14412 patient (9194 patients in Group I and 5218 patients in Group II) data were analyzed. In both Group II (63.3%) and Group I (69.4%) women's admission rate was higher. The mean age was 61.0 in Group II and 55.5 in Group I. Interventional treatment application rate was lower in Group II (13%) than Group I (52.4%). The most common interventional treatment was for myofascial pain in Group I (p=0.001) and for low back pain in Group II (p=0.001). In addition, the rate of interventional treatment for joint pain (p=0.035) in Group I, upper extremity pain (p=0.001) and headache (p=0.020) in Group II was higher. Conclusion: The COVID-19 pandemic caused a decrease in the number of patients who applied to the Algology Outpatient Clinic and the rate of interventional treatments applied. Pharmacological agents preferred more in the treatment. During the pandemic, the rate of interventional treatments for low back pain, headache and extremity pain increased.","PeriodicalId":42791,"journal":{"name":"Gazi Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47175328","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":"Hidden in Plain Sight: Uncovering an Accessory Piriformis Muscle as the Root Cause of Piriformis Syndrome","authors":"","doi":"10.12996/gmj.2023.91","DOIUrl":"https://doi.org/10.12996/gmj.2023.91","url":null,"abstract":"","PeriodicalId":42791,"journal":{"name":"Gazi Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135220454","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":"Carrier Rates of Phenylketonuria, Biotinidase Deficiency and Cystic Fibrosis in Turkey","authors":"","doi":"10.12996/gmj.2023.85","DOIUrl":"https://doi.org/10.12996/gmj.2023.85","url":null,"abstract":"","PeriodicalId":42791,"journal":{"name":"Gazi Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43524660","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}
MD Meryem Güvenir, Nedeni Bilinmeyen, Hipotiroidizme Bağlı, Ağız Kokusu, İki, Vaka Çalışması, Erden Aşardağ, Kaya Süer
{"title":"Halitosis due to Hypothyroidism of Unknown Cause: Two Case Reports","authors":"MD Meryem Güvenir, Nedeni Bilinmeyen, Hipotiroidizme Bağlı, Ağız Kokusu, İki, Vaka Çalışması, Erden Aşardağ, Kaya Süer","doi":"10.12996/gmj.2023.90","DOIUrl":"https://doi.org/10.12996/gmj.2023.90","url":null,"abstract":"Halitosis is a frequent complaint which is estimated to be around 50%-60% of the general population and that carries serious personal and social repercussions. It is estimated that 10%-13% of halitosis causes are extraoral etiology. It originates from the tongue dorsum in patients with a healthy periodontium and good oral hygiene. Most of the causes of halitosis are intraoral origin although many other extraoral systemic etiologies are known. Overt hypothyroidism as a cause of halitosis has never been described in medical literature before. We strongly suggest that hypothyroidism induced hyposalivation gives rise to bacterial overgrowth and eventually halitosis. Two cases with moderate halitosis and overt hypothyroidism who were treated only with thyroxine until achieving euthyroidism are presented in this article. They were both completely recovered from halitosis after 45-50 days and had no complaints after 8 months","PeriodicalId":42791,"journal":{"name":"Gazi Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42340788","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 Methods of Postural Assessment used for Breast Cancer: A Narrative Review","authors":"Nazire Nur Yildiz, Ilke Keser","doi":"10.12996/gmj.2023.92","DOIUrl":"https://doi.org/10.12996/gmj.2023.92","url":null,"abstract":"Asymmetry and postural changes can be triggered after breast cancer treatment, which is the most common type of cancer among women. The posture disorders, which can often be ignored can cause different pathologies of the musculoskeletal system. Moreover, these may adversely affect psychology and body image. Cancer patients are a most sensitive group though cancer treatments have many side effects such as chemotherapy, radiotherapy, and surgery. One of the most common side effects is postural changes which needs to be assessed carefully and detailly in all individuals. There are several studies on postural changes in breast cancer survivors in the literature; thus, various postural evaluations and different treatment methods have been used. However, there is no consensus on the gold standard evaluation method or a comparison study of the reliability of the methods in this patient group. The aim of this narrative review is to contribute to the literature while discussing which method could be preferred by summarizing the methods of postural assessment used for breast cancer. In accordance with this purpose, comprehensive searches were made using different keywords in different electronic databases such as PUBMED, Google Scholar","PeriodicalId":42791,"journal":{"name":"Gazi Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42738147","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}
MD Erkan Ozduran, V. Hancı, Özlem Öner, E. Özduran, Erol Gökel
{"title":"Youtube as a source of information about Percutan Tracheostomy","authors":"MD Erkan Ozduran, V. Hancı, Özlem Öner, E. Özduran, Erol Gökel","doi":"10.12996/gmj.2023.77","DOIUrl":"https://doi.org/10.12996/gmj.2023.77","url":null,"abstract":"Introduction: Percutaneous tracheostomy one of the most common interventional procedures in the intensive care unit. The aim of our study is to investigate “Youtube ® ” videos about percutaneous tracheostomy in the intensive care unit in terms of the information value and quality they provide. Material and Method: Video search was performed on the “YouTube.com” in November 2021 with the “percutaneous tracheostomy” search key. The first 100 videos about percutaneous tracheostomy in the intensive care unit were listed and the number of views, likes, dislikes, comments, uploaded source, source country and continent were determined, and content analyzes were made. The quality, reliability and accuracy of the videos were determined by the \"Global Quality Score\"(GQS), \"Journal of American Medical Association (JAMA) Quality Test\" and \"Modified DISCERN\" questionnaire, respectively. Results: According to GQS, 45 low, 31 medium and 24 high quality videos were detected. 72 of the videos contained insufficient, 25 partially sufficient and 3 completely sufficient data. Academic and doctor-sourced videos comprised the majority (70,83%) of the high-quality group. There was no significant relationship between video sources, GQS, JAMA score, Modified DISCERN score and the number of views, likes, dislikes and comments(p>0,05). A weak positive correlation was found between video duration and GQS(r=0,206), JAMA(r=0.263), modified DISCERN(r=0,388) scores(p<0,05). Conclusion: According to our results, it was determined that most of the youtube videos about percutaneous tracheostomy in the intensive care unit were of poor quality and had insufficient data. It has been determined that high-quality videos are of longer duration and are uploaded by academic and doctor sources.","PeriodicalId":42791,"journal":{"name":"Gazi Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44941992","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}
Tiroid Nodüllerinin, Tanısında Cerrah, Tarafından Gerçekleştirilen, Ultrason Kılavuzluğunda, İnce İğne, Aspirasyon Sitolojisinin, Kullanışlılığı Chang, Haur Lee, Christina Poh, Sim Loo, Yung Jeat Ng, Kah Yee, Siti Ho, Zubaidah Sharif
{"title":"Utility of Surgeon Performed Ultrasound Guided Fine Needle Aspiration Cytology for Diagnosis of Thyroid Nodules","authors":"Tiroid Nodüllerinin, Tanısında Cerrah, Tarafından Gerçekleştirilen, Ultrason Kılavuzluğunda, İnce İğne, Aspirasyon Sitolojisinin, Kullanışlılığı Chang, Haur Lee, Christina Poh, Sim Loo, Yung Jeat Ng, Kah Yee, Siti Ho, Zubaidah Sharif","doi":"10.12996/gmj.2023.83","DOIUrl":"https://doi.org/10.12996/gmj.2023.83","url":null,"abstract":"Background: The incidence of thyroid malignancy is increasing globally and this results in the growing number of patients facing increasing wait times for ultrasound (US) guided fine needle aspiration cytology (FNAC) for diagnosis. The objective of this study is to investigate the accuracy of surgeon performed US guided FNAC of thyroid nodules in the outpatient setting. Methods: This was a retrospective cross-sectional study on patients who underwent US guided FNAC followed by thyroidectomy between July 2019 and September 2022. US TI-RADS grade, FNAC Bethesda category and final histology were obtained from medical records and analysed. Result: There were 122 biopsy samples from 103 patients with a female gender preponderance of 89.3% and mean age of 46.5 years old. The majority of nodules biopsied were TI-RADS 4 and 5 (44.3% and 37.7%). Of the FNAC samples, 13.1% were non diagnostic, 27.9% benign, 14.7% atypia, 14.7% follicular neoplasm, 16.4% suspicious of malignancy and 13.1% were malignant. On final histology, adenomatoid nodules with nodular hyperplasia made up 82.5% of benign nodules and 94.9% of malignancies were papillary thyroid carcinomas (PTC). The overall sensitivity, specificity, positive predictive value, negative predictive value and accuracy were 88.9%, 82.4%, 84.2%, 87.5% and 85.7% with higher accuracy rate (90.1%) when used in TI-RADS 5 nodules. Conclusion: Surgeon performed US guided FNAC for thyroid nodules is feasible and can be done in the outpatient setting thereby reducing time taken to reach a diagnosis. Standardizing techniques and use of additional modalities such as elastography may improve yield and diagnostic rates.","PeriodicalId":42791,"journal":{"name":"Gazi Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46121907","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}
Gebelerin Aşı, Tereddütlerinin ve, Aşılanma Davranışlarının, Belirlenmesi Neslihan, Yilmaz Sezer, Derya Öztürk Özen, M. N. Aker
{"title":"Determination of the Vaccination Hesitations and Vaccination Behaviors of the Pregnant Women","authors":"Gebelerin Aşı, Tereddütlerinin ve, Aşılanma Davranışlarının, Belirlenmesi Neslihan, Yilmaz Sezer, Derya Öztürk Özen, M. N. Aker","doi":"10.12996/gmj.2023.88","DOIUrl":"https://doi.org/10.12996/gmj.2023.88","url":null,"abstract":"Objective: Vaccination during pregnancy is important for both maternal and fetal/newborn health. The aim of this study was to examine the vaccination behaviors and levels of vaccine hesitancy among pregnant women. Methods: This descriptive study involved 518 pregnant women. Data were collected between March and May 2022, utilizing demographic information form and the Vaccine Hesitancy Scale (VHS). Results: The mean VHS score was found to be 31.92±4.68. The rate of vaccine hesitancy among pregnant women was determined to be 31.5%. The mean score for lack of confidence was 25.63±4.10, while the mean score for perceived risks was 6.29±1.50. Pregnant women who received information about vaccination during pregnancy from healthcare professionals had higher mean scores on the VHS, as well as on the lack of confidence and perceived risks sub-dimensions, compared to those who did not receive such information (p<.05). Of the pregnant women, 86.3% had received/were planning to receive tetanus vaccine, at least 1 dose of COVID-19 vaccine had been received by 61.8% before pregnancy and by 11.8% during pregnancy, and 37.5% had received/were planning to receive hepatitis B vaccine.The vaccine hesitancy of pregnant women who had received the COVID-19 vaccine before pregnancy, as well as those who had received or were planning to receive the tetanus and hepatitis B vaccines during pregnancy, was lower compared to those who had not received these vaccines(p<.05). Conclusions: As the vaccine hesitancy of pregnant women increased, their vaccination decreased. Healthcare providers catering to pregnant individuals should assess and address hesitancy, ensuring timely vaccinations.","PeriodicalId":42791,"journal":{"name":"Gazi Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45288856","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}
A. Gönenç, Ali Eraydın, Tuba Taşkan, T. Turan, Reyhan Ersoy
{"title":"Plasma Growth Arrest Specific-6 and Axl Levels in Patients with Hyperthyroidism / Hypothyroidism","authors":"A. Gönenç, Ali Eraydın, Tuba Taşkan, T. Turan, Reyhan Ersoy","doi":"10.12996/gmj.2023.81","DOIUrl":"https://doi.org/10.12996/gmj.2023.81","url":null,"abstract":"Objective: Growth Arrest Specific-6 is the ligand of the Tyro, Axl, and Mer (TAM) receptors subfamily of the receptor tyrosine kinase family. Gas6/Axl signaling pathway is highly regulated in several pathological conditions. The role of Gas6/Axl signaling in hypothyroidism and hyperthyroidism has not been explored previously. In this study, we aim to investigate possible changes in plasma Gas6 and Axl levels in patients with hyperthyroidism and hypothyroidism. Methods: In the study, 33 patients who were diagnosed with hypothyroidism, 35 patients who were diagnosed with hyperthyroidism and 36 healthy volunteers were included as the control group. Gas6, Axl, IL-6, TNF-α, and AOPP levels in plasma were measured with ELISA kits, MDA and TAC levels were measured with colorimetric kits. Results: The plasma Axl level of the hyperthyroid patient group was significantly higher than control group (p<0.05). MDA levels were significantly higher in both hyperthyroid and hypothyroid patient groups compared to the controls (p<0.01, p<0.01, respectively). Plasma TAC level were found to be significantly lower, while AOPP were higher than controls in hyperthyroid group (p<0.05, p<0.05 respectively). In all groups, Gas6 and Axl have positive correlations, both among themselves and with IL-6 and TNF-α levels. Conclusion: Our results support the hypothesis that the Gas6/Axl signaling pathway may be involved in the pathogenesis of these diseases. In addition, it can be thought that lipid peroxidation increases and antioxidant defense is impaired in both hyperthyroidism and hypothyroidism.","PeriodicalId":42791,"journal":{"name":"Gazi Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44473867","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":"Ventilator-Associated Pneumonia (VAP), Microbiological Profile and Antibiotic Resistance Pattern: A Systematic Review","authors":"","doi":"10.12996/gmj.2023.94","DOIUrl":"https://doi.org/10.12996/gmj.2023.94","url":null,"abstract":"","PeriodicalId":42791,"journal":{"name":"Gazi Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45536322","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}