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- Suleyman, Halis(167)
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Yayınlar
- MakaleAçık Erişim2019Kolorektal Kanser Nedeniyle Ameliyat Edilen Hastaların Değerlendirilmesi
Keskin Çimen, Ferda; Çimen, Orhan; Kurnaz, Eray; Eden, Arif Onur
Kolorektal kanserler gastrointestinal sistemde en sık görülen malign lezyonlardır. Kanserden ölümlerin en sıküçüncü sebebi durumundadır. Erken evrelerde tanı almaları durumunda mortalite ve morbiditesi daha düşüktür,cerrahi olarak kür sağlanma şansı daha fazla olmaktadır. Erzincan Binali Yıldırım Üniversitesi Mengücek GaziEğitim Araştırma Hastanesi’nde 2013-2018 yılları arasında kolorektal kanser nedeniyle ameliyat edilen 86 hastaçalışmaya dahil edildi. Hastaların en sık başvuru semptomları rektal kanama, anemi, kilo kaybı, karın ağrısı vedışkılama alışkanlığında değişikliklerdi. Kolorektal kanserlerde en önemli prognostik faktör tanı anındaki tümörevresidir. Geç teşhis morbidite ve mortalitede artışa neden olmaktadır. Ortaya çıkan semptomların hastatarafından önemsenmesi, hekim tarafından gerekli tetkiklerin vaktinde yapılması ve bu konuda toplumsalbilincin arttırılması sayesinde tümörün erken tanısının sağlanabileceği kanaatindeyiz.
- MakaleAçık Erişim2019Fast Punicalagin Content Analysis of Various Brands of Pomegranate(Punica granatum L.) Juices by UPLC-MS
Solakyildirim, Kemal
Punica granatum L., commonly known as pomegranate, has a good source of bioactive polyphenolic compounds that has been widely used as a traditional Chinese herbal medicine owing to their important biological properties including cardiovascular disease, arthritis, diabetes, and cancer. Commercial pomegranate juice is generally obtained via pressing whole pomegranate and its peels. Then, the most abundant ingredient, punicalagin, can be extracted into the juice. Ho-wever, punicalagin levels may vary in commercial pomegranate juice and it can range from 0.017 to 2 g/L. In this study, we analyzed punicalagin content from six different brands of pomegranate juices by using UPLC-MS method. First, punicalagin standards were prepared from 50 μM to 5 μM in buffer A (0.1% formic acid in water) and standard calibration curve was created. After that, three mass tune parameters including ionization voltage, desolvation temperature and source tempera-ture of ESI source were optimized to obtain better peak shapes and correct quantification of the α- and β- isomer peaks of punicalagin. After analysis of six different brands of pomegranate juices, it was seen that punicalagin levels from different juice samples varied from 0.007 to 0.3 g/L.
- MakaleAçık Erişim2019Yorgunluk ve Uykusuzluğun Sürücü Davranışları Üzerine Etkisi
Gökdağ, Mahir; Baş, Fatih İrfan
Trafik kazalarında insan faktörü, en önemli unsur olarak karşımıza çıkmaktadır. Araç kullananların, yolcuların ve yayaların ölüm ve yaralanmalarındaki kusur payının %99’a ulaştığı istatiksel olarak ortaya konulmaktadır. Bu durum trafik kazalarındaki sürücü, yaya ve yolcu olarak insan davranışlarının incelenmesini zorunlu kılmaktadır. Bu çalışmada, yorgunluk ve uykusuzluğun sürücülerin davranışları üzerinde oluşturduğu etki araştırılmıştır. Araç kullanma ve dinlenme sürelerinin yasal düzenlemeler ile belirlenmiş olması bile araç sürücülerinin yeterince hassasiyet göstermesini sağlayamamaktadır. Bu durum ise sürücülerin, mola veya varış noktalarına kadar araçlarını kullanmalarına, dolayısıyla uyku ve yorgunluk nedenli kazaya karışma ihtimallerini artırmaktadır. Trafik kazalarının ölümcül sonuçları göz önünde bulundurularak, önlenebilmesi ve azaltılabilmesi için öneriler getirilmiştir.
- MakaleAçık Erişim2019SEM, XRD ve EDX yöntemleriyle insan aort kapaklarında kalsiyum mineralizasyon analizi
Yesilbag, Yasar Ozkan; Ates, Azman
Kalsifik aort darlığı, kalsiyum mineral birikimi ile yavaş ilerleyen bir hastalıktır. Literatürde aort kapağındaki yapısal kusurları araştırmak için çeşitli çalışmalar bildirilmiştir. Bununla birlikte, bugüne kadar, aort kapağının dokusundaki kireçlenme oluşumunun morfolojik yapısı hakkında çok az şey bilinmektedir. Bu çalışmada, aort kapağında morfoloji ve kalsifikasyon yapısal analizi yapılmıştır. Aort kapak dokusunda biriken kalsifikasyon yapılarının morfolojisini belirlemek için taramalı elektron mikroskopisi (SEM) kullanılmıştır. SEM tarafından gözlemlenen morfolojik yapıları karakterize etmek için Enerji Dağılımlı Xışını Analizi (EDX) ve X-ışını Difraktometresi (XRD) kullanılmıştır. Sonuçlar, eser elementlerin kalsifikasyon oluşum sırasında çekirdeklenmede rol oynayabileceği ortaya koyulmuştur.
- MakaleAçık Erişim2019Investigation of Occupational Burnout, Occupational Satisfaction and Life Satisfaction of Employees
Çetinkaya, Bünyamin; Gulacti, Fikret; Çiftcı, Zeynep
This research aims to investigate how teachers, academics and other employees are affected in a variety of situations in the diversity of their professional satisfaction, burnout and life satisfaction lives. The study group consisted of 128 people working in MEB 's affiliated schools, academicians working in Vocational High Schools and private institutions affiliated with the state in Erzincan Province Refahiye district. A descriptive study was conducted in the research-relational survey model of 64 people and 64 people from other institutions. Personal Information Form, Maslach Burnout Inventory, Occupational Satisfaction Scale and Life Satisfaction Scale. By conducting analyzes according to normality tests. The data were analyzed with Mann Whitney U Test, Kruskal Wallis H Test and Anova. According to the research results, occupational burnout levels; characteristics of leaders, value forms of their superiors, differences, differences, occupations, age, marital status, professional seniority, differentiation of perceived socio-economic levels. The professional satisfaction variable can be addressed; The gender, occupation, age, personality and the superiority of the participants were differentiated according to the variables of appreciation, and at the perceived socio-economic level, differentiation rates were obtained according to the variables of vocational seniority and marital status. While there is a significant difference in terms of gender, perceived socio-economic level, and appreciation variables, there is a significant difference in terms of age, occupation, personality, marital status and international seniority levels.
- MakaleAçık Erişim2019Nadir Bir Akut Hepatit Nedeni: Çiğ Yumurta Kaynaklı Salmonella Sepsisi
Siraneci, Rengin; Yildirim, Tarik; Karatekin, Şeyma; Sarban, Ezgi; Kurt, Ilknur; Dolu, Kazim Okan
Bu olgu sunumunda, hastanemiz çocuk enfeksiyon kliniğinde akut hepatit tanısıyla takip edilen ve kan kültüründe Salmonella spp. üreyen 8 aylık kız hastadan bahsedildi. Akut hepatit tablosu ile başvuran ve viral serolojisi normal olan bir hastada ek gıda alımı sorgulandığında, çiğ yumurta yeme öyküsünün olması vurgulanmak istendi. Gelişmekte olan ülkelerde hala önemli birer hastalık etkeni ve dolayısıyla halk sağlığı problemi olan Salmonella türlerinin bulaş yolları ve yol açtıkları klinik tablolar incelendi.
- MakaleAçık Erişim2019Acetaminophen (Paracetamol) ve Gemfibrozil’in Farklı Buğday Varyetelerinin Mineral Alımı ve H2O2 İçeriği Üzerine Etkileri
Osma, Etem; Güloğlu, Nuray; Türkoğlu, Eda; Elveren, Müjgan
Bu çalışma ile Tıbbi İlaç ve Kişisel Bakım Ürünleri (PPCPs)’nin Ahmetağa, Cemre ve Michelangelo buğday varyeteleriüzerindeki etkisi araştırılmıştır. Araştırmada günlük hayatta sıklıkla tüketilen acetaminophen ve gemfibrozil olmaküzere iki farklı tıbbi ilaç etken maddesi kullanılmıştır. Çalışma için ekim yapılacak toprağa, 50, 100 ve 250 mg olacakşekilde acetaminophen ve gemfibrozil karıştırılmıştır. İlaç etken maddesi ile karıştırılmış 650 g toprağın üzerine her birvaryeteden 7 g buğday tohumu ekilmiş, bunun üzeri ise 100 g toprak ile kaplanmıştır. Tarla kapasitesine uygun olarakbuğdaylar belirli aralıklarla sulanarak, 15 gün yetiştirildikten sonra hasat edilmiştir. Hasat edilen örneklere ekstraksiyonişlemi yapıldıktan sonra, örneklerde H2O2 içeriği belirlenmiştir. Ayrıca, buğday örnekleri ön işlemlerden geçirildiktensonra mineral element konsantrasyonları ICP-OES’te analiz edilmiştir. Kontrol örnekleri ile test örnekleri arasındakiilişki %95 güven aralığında, istatistiksel olarak ANOVA testi ile değerlendirilmiş, anlamlı farklılıklar tespit edilmiştir.Çalışmada, acetaminophen ve gemfibrozil uygulanan örneklerde konsantrasyon artışına bağlı olarak kontrol grubu ilekıyaslandığında buğdayların mineral element alımında azalma gözlenirken, H2O2 içeriğinde artış olduğu belirlenmiştir.
- MakaleAçık Erişim2019The Anxiety and Metacognitive Awareness Levels of Secondary School Students towards Mathematics and the Effect of Related Variables on Their Mathematics Achievements
Baş, Fatih; Mert, Mehmet
In the research, it was aimed to determine the level of anxiety and metacognitive awareness of secondary school students about mathematics lesson, whether these levels change according to gender and class level and examine explaining status of these levels in mathematical achievements. The research, designed on the basis of the cross-sectional screening method, was carried with 1553 secondary school students. Two-step clustering analysis, independent t-test, one-way variance analysis and linear regression analysis were used to analyse the data. The participants were grouped into three according to their mathematics achievement and into two according to their metacognitive awareness and mathematics anxiety. The metacognitive awareness of the students with high achievement was found to be higher and the mathematics anxiety was lower than the students in moderate and low achievement group. It was found that the metacognitive awareness and mathematics anxiety scores explain the mathematics achievement significantly. It was also determined that as the metacognitive awareness scores increased, mathematics achievement increased significantly; on the other hand, as the mathematics anxiety scores increased, the mathematics achievement was meaningfully reduced. In addition, it was found that the metacognitive awareness had less effect on mathematics achievement compared with the mathematics anxiety.
- MakaleAçık Erişim2019Computed tomography features of traumatic pulmonary pseudocysts
Karavaş, Erdal; Taydas, Onur; Gümüş, Burak
Objectives: To discuss the radiological characteristics of traumatic pulmonary pseudocyst (TPP) detected bythorax computed tomography.Methods: Retrospective screening was made of 107 patients applied with thorax computed tomography dueto blunt thoracic trauma between 2014 and 2017 at our hospital.Results: TPP was detected in 6 (5.6%) patients. The patients comprised 5 males and 1 female with a mean ageof 28 years (range, 15-49 years). Blunt thorax trauma was caused by traffic accidents in 4 patients and a fallfrom height in 2 patients. Eleven (64.7%) of the lesions were located in the lower lobes. The most commonfinding associated with TPP was ground glass opacities, which were present in all of the patients and representedthe parenchymal contusion.Conclusion: Thorax computed tomography is an effective and reliable method for early and definitive diagnosisof the rare development of TPP after blunt thoracic trauma.
- MakaleAçık Erişim2019Family history in developmental dysplasia of the hip: should we follow-up?
Aydin, Sonay; Fatihoglu, Erdem
Objectives: Developmental dysplasia of the hip (DDH) is an important problem. Ultrasonography (US) is aproper method before 6 months of age. For older children, plain radiographs can be useful. Six risk factors areemphasized: breech presentation, female sex, a positive family history, being first-born, left hip affected, andmode of delivery. In some centers, clinicians prefer to perform a control US examination or pelvic radiographsafter 6 months of age for the children having a positive family history. We aimed to evaluate the necessity ofcontrol US/direct radiography examinations.Methods: A total of 205 children with a positive family history for DDH are included. US examinations areperformed according to Graf’s method. We have evaluated direct radiographs by using Hilgenreiner, Perkin,and Shenton lines, acetabular angle.Results: Initial US examinations are performed at a median age of 8.3 weeks. Seventy-four patients (36%)had a repeat ultrasound scan at a median age of 7 months; none of them demonstrated abnormal findings. Onehundred and thirty-one patients (63.9%) had control radiographs at a median age of 8.2 months. Shenton lineis considered as normal, and the upper femoral epiphysis is located in inferomedial quadrant according toHilgenreiner and Perkin lines.Conclusions: A positive family history for DDH may be a less important reason for performing control US orradiographic examination. Patients with a normal screening US result and having risk factors can be dischargedfrom follow up safely, so that unnecessary examinations and family anxiety will be reduced.
- MakaleAçık Erişim2019Examination of Exercise Addiction and Mental Strength Levels of Students of Sport Sciences Faculty
Demir, Gönül Tekkurşun; Türkeli, Anıl
This study aims to examine the exercise addiction and mental strength levels of students at the Sports Sciences Faculty, according to various variables. In this study designed according to quantitative research model, relational survey method was used. There were 248 participants in the study. "Personal Information Form", "Exercise Addiction Scale" (EAS) and "Mental Strength in Sport Inventory" (MSSI) were applied to the participants. T-test, One Way ANOVA, Post Hoc test statistics tests and Pearson Correlation test were used for data analysis. According to research findings, it was found that participants’ general exercise addiction levels were in the risk group and their mental strength levels were above the middle level. In the research, a high positively significant difference was found between the sub-dimensions of "too much focus and emotion change", "postponement of individual-social needs and conflict", "tolerance development" and "passion”, and "trust" subdimension; a moderate negatively significant difference was found between the sub-dimensions of "too much focus and emotion change", "postponement of individual-social needs and conflict", "tolerance development" and "passion”, "continuity" sub-dimension; a moderate negatively significant difference was found between the sub-dimensions of "too much focus and emotion change", "postponement of individual-social needs and conflict", "tolerance development" and "passion”, and "control" sub-dimension. Consequently, a significant relationship was found between exercise addiction and mental strength levels. The level of exercise dependence and mental resilience levels of the students of the sports sciences faculty did not differ significantly according to their age, department and monthly income; According to women, when the first class participants postpone their individual needs for exercise and they cannot wait more to do exercise, the risk of exercise addiction is higher with the 1st class participants giving themselves to exercise when they feel bad compared to 2nd grade and they recovered physically faster. It was concluded that the participants’ mental strength level differed according to gender and class, but there was no significant difference in terms of doing regular sports.
- MakaleAçık Erişim2019HBV Seroconversion After Using Rituximab
Öztürk, İlyas; Gündoğdu, Mehmet; Sapmaz, Hakan; Bilen, Yusuf
Aim: It is known that there is an increase in reactivation of Hepatitis\rB virus (HBV) in immunosuppressive conditions especially after using\rRituximab. In this study we aimed to evaluate the HBV seroconversion\rin patients who have been treated with different regimens containing\rRituximab. We examined the relationship between the diagnosis of\rthe patients, the given treatments to patients and HBV reactivation.\rMaterial and Method: In this study, 157 patients having Rituximab\rtreatment were evaluated retrospectively in the aspect of HBV seroconversion,\rin Ataturk University Medicine Faculty Hematology\rClinic, between 1 January 2010-31 December 2014.\rResults: Of the patients, 96 (61.1%) were male and 61 (38.9%)\rwere female. The mean age was 59.75 (21-91) years. When alanine\raminotransferase (ALT), Hepatitis B virus surface antigen (HBsAg)\rand Hepatitis B virus-deoxyribonucleic acid (HBV-DNA) levels before\rtreatment and at least one year follow up period after treatment\rwere evaluated; 13 (8.2%) patients had HBV infection reactivation,\r84 (53.5%) patients had no HBV infection reactivation, and\ralso 60 (38.3%) patients weren’t evaluated after treatment. In the\ranalysis of the treatments that patients took, patients diagnosis\rand HBV infection reactivation at least one year follow up period\rafter the treatment, there wasn’t seen statistical difference.\rConclusion: As a result of this study, it was concluded that it\rwould be appropriate to raise the awareness of physicians about\rthe follow-up of HBV infection in patients who are planned or receiving\rRituximab treatment and to provide standardization in the\rfollow-up of these patients.
- MakaleAçık Erişim2019Yıldırım Çarpması Sonrasında Gelişen Göz Problemleri: Olgu Sunumu
Ucak, Turgay; Turk, Adem; İçel, Erel; Taşlı, Nurdan Gamze; Karakurt, Yucel; Ağcayazı, Sümeyye Burcu
Yıldırım çarpması sonrası sol ayak yanığı gelişen 28 yaşında kadın\rhasta aynı gün ani göz semptomları gelişmesi üzerine tarafımıza\rkonsülte edildi. Olgunun tashihli görme seviyeleri sağda ve\rsolda LogMAR ile 0.00 ve 0.69 idi. Göz içi basıncı (GİB) değerleri\rsağda 7, solda 4 mmHg idi. Biyomikroskopik muayenesinde sağ\rgöz normal görünümde, sol gözde konjonktival hiperemi, korneal\rpunktat epitelyopati mevcuttu. Dilate fundus muayenesinde sağ\rgöz normaldi. Sol gözde optik disk normal ancak makula bir miktar\rpigmente görünümdeydi. Hastanın üç gün sonraki kontrolünde\rgörme seviyeleri sağda LogMAR ile 0.00; solda 0.04, fundus incelemesinde\rise sağ göz makula normaldi ve sol gözde makulopati\rmevcuttu. Hastanın sol gözünde 3 ay sonra iridosiklit atağı gelişti ve 5 ay sonraki kontrolde sol gözde katarakt gelişimi saptandığı\rgörüldü. 12. ay kontrolünde görme seviyeleri bilateral 0.00, göziçi\rbasınçları normaldi. Sol göz katarakt seviyesinde ilerleme saptanmadı.\rBilateral OKT görüntüleri normaldi
- Derleme MakaleAçık Erişim2019Scheuermann’s Kyphosis
Cetinkaya, Mehmet; Ozoner, Baris; Dhokia, Rakesh
The disease was first described by Scheuermann as the dorsal kyphosis of juveniles in 1920. Scheuermann's disease is\rthe most common cause of thoracic hyperkyphosis in adolescence. There are two sub-types: thoracic and thoracolumbar /\rlumbar. Histologically, when the irregularities in the vertebral end plates are examined, collagen fibrils are seen to decrease\ror vanish. As a result, end-plate continuity deteriorates and Schmorl nodules appear when the disc material protrudes\rinto the corpus. Deformations cause wedging in the vertebral corpus, resulting in narrow angled kyphotic deformity. In the\rlarge series, the prevalence is up to 8%, and the genetic transition and mechanical stress come into prominence in the\repidemiology of the disease. Pain can be accompanied by deformity in symptomatic state. Classical radiological features\rinclude irregular vertebral endplates and kyphosis more than 45 degrees with 5 degrees of wedging in 3 or more vertebrae. In\rsome cases, minimal scoliosis may accompany to kyphosis. Periodic radiologic follow-up is recommended for patients below\r50 degrees of kyphosis. Bracing is appropriate in uncompleted skeletal maturation with kyphosis up to 75 degrees. In cases\rabove 75 degrees, it is appropriate to perform surgical treatment when bracing is unsuccessful in adolescence and presence\rof exceeding pain despite the conventional methods and obvious deformity in adults.
- MakaleAçık Erişim2019Bruselloz Hastalarında Asimetrik Dimetilarjinin (ADMA) Düzeylerinin Araştırılması
Terzioğlu, Merve Aydın; Karakeçili, Faruk; Arslan, Yusuf Kemal; Sezgin, Muhammed; Gülhan, Barış; Çıkman, Aytekin
Amaç: Asimetrik dimetilarginin (ADMA), nitrik oksit sentazın (NOS) ana endojen inhibitörüdür. NOS, konak savunmasında vevasküler yapının sürdürülmesinde önemli rol oynamaktadır. Yüksek ADMA düzeylerinin endoteldis fonksiyonu ile ilişkili olduğu veçeşitli hastalıklarda rol aldığı gösterilmiştir. Brucellaspp.’nin neden olduğu zoonoz bir hastalık olan bruselloz, vaskülopati olarakkendini gösterebilmektedir. Ancak, bruselloz ile ADMA arasındaki ilişki ile ilgili yeterli veri bulunmamaktadır. Çalışmamızın amacıbruselloz hastalarında ve kontrol grubunda ADMA düzeyinin araştırılmasıdır.Yöntemler: Çalışmamıza 40 akut bruselloz hastası ve 40 sağlıklı gönüllü alındı. Bruselloz hastalarında ve sağlıklı gönüllülerdeserum ADMA düzeyleri İnsan ADMA ELISA kiti ile üretici firma önerileri doğrultusunda araştırıldı. Katılımcıların fiziki muayeneleriyapılarak, cinsiyet, yaş ve ikamet adreslerini içeren demografik karakteristikleri ve laboratuvar test sonuçları kayıt altına alındı.Verilerin değerlendirilmesinde IBM SPSS 20 istatistik paket programı kullanıldı. İstatistiksel anlamlılık düzeyi (p<0.05) ve (p<0.01)olarak kabul edildi.Bulgular: Çalışmaya alınan 40 akut brusellozlu hastanın 18'i (% 45) erkek, 22'si (% 55) kadındı ve yaş ortalaması 49.22 ± 17.33 idi.Kontrol grubundaki 40 sağlıklı gönüllünün 18'i (% 45) erkek, 22'si (% 55) kadındı ve yaş ortalaması 39.02 ± 7.88 idi. Serum ADMAdüzeyleri bruselloz ve kontrol grubunda sırasıyla; 262.6±139.59 ng/ml ve 196.52±85.25 ng/ml olarak saptandı. Brusellozgrubunda, kontrol grubu ile karşılaştırıldığında istatistiksel olarak anlamlı bir farklılık tespit edildi (p=0.013).Sonuç: Çalışmamızda bruselloz grubundaki hastalarda serum ADMA düzeyleri, kontrol grubuna göre anlamlı olarak yüksekbulundu. ADMA düzeylerindeki bu yüksekliğin, brusellozun vaskülitteki rolü konusunda yeni yorumlar yapılmasına olanaksağlanacağı ve yeni tedavi yöntemlerinin gündeme gelebileceği kanaatindeyiz.
- MakaleAçık Erişim2019Risk factors for axillary lymph node metastasis in breast cancer
Küçüktulu, Uzer; Eken, Hüseyin; Kurnaz, Eray; Çelebi, Bilgin
Aim: As well as in Turkey as in the rest of the World, breast cancer is an increasing health problem. Although the axillary lymphnode dissection is seen as an integral part in the breast cancer treatment, for it provides staging and local control, it also leads tocomplications and morbidity.Material and Methods: We retrospectively reviewed the file of 286 patients which operated with breast cancer by January 2006 toJanuary 2017. We researched and tried to find factors that influence the axillary lymph nodes.Results: At 166 patients’ axillary lymph nodes has been found (58%). Literature shows factors that have a positive effect on axillarylymph node; age of patients, tumor location, and tumor histopathology and tumor size. We evaluated the above stated parameterswith statistical systems.Conclusion: Tumor size which is larger than 2 cm and invasive ductal carcinoma histopathology are risk factors on the axillary lymphnode metastases.
- MakaleAçık Erişim2019Association of neutrophil / lymphocyte ratio, platelet / lymphocyte ratio and brachial retinal vein occlusion
Bozkurt, Erdinç; Alagöz, Gürsoy; Yaylacı, Selçuk; Genç, Ahmed Bilal; Atum, Mahmut; Yuvacı, İsa; Uçak, Turgay
Aim: In this study, we aimed to measure neutrophil-to-lymphocyte ratio (NLR) and platelet-to-lymphocyte ratio (PLR) levels in brachialretinal vein occlusion (BRVO) patients and to determine whether there it could be used as a marker for BRVO. Brachial retinal veinocclusion is a serious disease that causes vision loss and is associated with inflammation.Material and Methods:This retrospective study included 77 patients with BRVO and 69 healthy controls. BRVO was diagnosed withophthalmic examination. Blood samples were obtained from venous blood and serum neutrophil, lymphocyte, and platelet data of allpatients were recorded also, NLR-PLR values were calculated.Results:Significant difference were not found between the BRVO group and control group with the level of white blood cells (WBC) andplatelets (p>0.05). Neutrophil count was significantly increased in BRVOs compared to the controls (4.79±1.89 vs 4.02±1.47, p=0.007).Lymphocyte count was significantly decreased in BRVOs compared to the controls. (2.17±0.76 vs 2.52±1.03, p=0.022) NLR wassignificantly increased in BRVOs compared to the controls. (2.60±2.05 vs 1.74±0.70, p=0.001) Also, PLR was significantly increased inBRVOs compared to the controls. (129.70±68.77 vs 107.96±40.65, p=0.023)Conclusion: In our study we found that NLR and PLR were significantly increased in BRVOs than in controls.
- MakaleAçık Erişim2019Natural course of non-surgical acute traumatic subdural hematomas: Retrospective analysis of 92 patients
Türkoz, Dursun; Çakır, Tayfun
Aim: In the present study, we aimed todiscuss the natural course of acute subdural hematoma (ASDH) patients who were notoperated according to the admisssion findings.Material and Methods: In this study patients who admittedwith a diagnosis of traumatic ASDH and underwent conservative treatmentaccording to the admission findings at the neurosurgery clinic of Adıyaman University between 2013 and April 2019 were identified.Patients who had a diagnosis of ASDH less than 10 mm, a midline shift of less than 5 mm and had a repeat computed tomography(CT) scan were included in this study.Two groups were formed with and without increase in the hematoma size according tothecontrol CT. Age, gender, anticoagulation status, comorbidities of the patients, type of trauma, size of the hematoma, GCS scoresand presence or absence of a “low-density band” on CT were evaluated.Results: We identified 92 patients who had coded as “traumatic ASDH” and managed nonoperatively according to the findingsof the initial CT.32.6% of patients had hematoma growth according to the control CT and68.4% had either decreased or the samesize.According to the statistical analysis results, anticoagulant drug use(p=0.001) and comorbidity status(p=0.03) were found tobe related with the increase of the hematoma size. Also there was no statistically significant difference (p=0.07) between the twogroups about the low density band but it was seen more differencein the non-increased group.Conclusion: Conservative treatment is one of the treatment methods of traumatic acute subdural hematomas. Patients who haveunder 10 mm hematoma size and 5mm midline shift can be followed up by non-surgical methods. But increased headache in thesepatients may be a sign that should be considered in terms of increased hematoma. Furthermore, the use of anti-coagulant drugs andthe presence of comorbidity make patients more risky.
- MakaleAçık Erişim2019Effect of transforaminal hypertonic saline on the treatment of lumbar herniated discs: A prospective, randomized, controlled study
Dolgun, Müge; Ozoner, Baris
Aim: The aim of the study is to evaluate the effect of adding hypertonic saline to conventional transforaminal epidural steroidinjections (TFESIs) in the management of patients with lumbar disc herniation (LDH) with radicular pain.Material and Methods: The study included 57 patients with L4–L5 LDH treated with TFESI. The patients were divided into two groups:the hypertonic (n = 29) and conventional groups (n = 28). The conventional group was administered with triamcinolone, bupivacaine,and isotonic saline. Subsequently, the hypertonic group was administered with triamcinolone, bupivacaine, and 10% hypertonicsaline. The patients were followed up using the numeric rating scale (NRS) and Oswestry disability index (ODI). Substantial andmoderate responder ratios were achieved using NRS. Outcome measurements were performed at baseline, one, three, six, and ninemonths. Complications were recorded in both groups.Results: TFESI with or without adjuvant hypertonic saline was found to be effective by achieving a significant reduction in NRSand ODI scores during the overall follow-up period. Reduction of NRS scores at six- and nine-month follow-up and ODI scores atnine-month follow-up in the hypertonic group were significantly higher than those in the conventional group. Moreover, substantialresponse in the hypertonic group was significantly higher than that in the conventional group. Both groups had no complications.Conclusion: The administration of adjuvant 10% hypertonic saline to transforaminal injections enhances the treatment efficacy byincreasing pain reduction and improving the quality of life in the late follow-up period.
- MakaleAçık Erişim2019Gait abnormalities following slipped capital femoral epiphysis
Üçpunar, Hanifi; Beng, Kubilay
Aim: The aim of this study was to compare the gait function following slipped capital femoral epiphysis (SCFE) with the healthycontrols.Material and Methods: We included 31 of 76 SCFE patients who were treated with in situ pinning between 2005 and 2013. Weexcluded patients with radiographic or clinical evidence of a contralateral slip, less than 2-years follow-up, incomplete epiphysealclosure, musculoskeletal abnormalities that can affect gait, avascular necrosis or chondrolysis and needed revision surgery. Tomeasure the patients’ quality of life and physical function Harris hip score and the Pediatric Outcomes Data Collection Instruments(PODCI) scores were used. All patients and control group were underwent whole-body motion analysis.Results: The mean age of patients when gait analyses were performed was 16.5 ± 2.5 years, and mean body mass index (BMI) was27.78 ± 5.6 kg/m2. A control group was formed from volunteers whose mean age was 17.84 ± 1.47 years that ranged between 16and 20 years, with a mean BMI of 27.72 ± 2.61 kg/m2. Significant gait deviations were detected in SCFE patients such as (SCFEversus control group); Pelvis tilt range of motion (ROM) (3.5±1.5 - 2.3±0.5, p=<0.01), Hip flexion ROM (35.1±3.7 - 39.8±4.6, p<0.01),Pelvis obliquity ROM (5.5±2.3 - 9.5±2.8, p<0.01), Hip abduction ROM (10.8±2.9 - 12.9±3.4, p=0.02), Knee Abduction ROM (15.2±6.1- 10.7±6.9, p=0.01), Mean FPA (-11.1±7.7 - -5.2±6.5, p=0.01), Ankle rotation ROM (31.2±1.7 - 22.9±6.7, p=0.01), Mean thorax tilt(5.6±5.4 - 1.4±4.4, p<0.01), Spine tilt ROM (5.1±3.3 - 7.8±3.4, p=0.02).Conclusion: Significant gait deviations were identified in patients with unilateral-SCFE in comparison with age and BMI matchedhealthy controls. Three-dimensional gait analysis can be used as an objective method for evaluation of functional outcomes ofSCFE.
