Wos İndeksli Yayınlar Koleksiyonu
Permanent URI for this collectionhttps://hdl.handle.net/11727/4807
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Item Etiology of Increased Referrals for Evaluation of Early Puberty in a Tertiary Care Center in Turkey: True Precocious Puberty, Obesity, or Parental Anxiety and Lack of Knowledge?(2021) Cemeroglu, Ayse Pinar; Kaval, Damlanur; Ozcan, Ozan; 0000-0002-1653-7932; 0000-0002-9421-0855; 0000-0002-3430-5203; 33889682There has been a global increase in pediatric endocrinology referrals for the concerns of early puberty. The objective of this study was to determine the reasons behind this increase. A retrospective cross-sectional study was designed to analyze the clinical characteristics of patients seen for the concerns of early puberty in pediatric endocrinology clinic of a tertiary care center (Study A). Additionally, a prospective questionnaire study was designed to assess the knowledge and concerns of the mothers regarding the timing of puberty in girls (Study B). In study A, of the 305 girls, 42.9% were overweight/obese, 68.5% either had normal pubertal development for age or were prepubertal, 1 had non-classic congenital adrenal hyperplasia, and 2 had central precocious puberty. Of the 36 boys, 56% were overweight/obese, 64% either had normal pubertal development for age or were prepubertal, and 1 had non-classic congenital adrenal hyperplasia. In study B, 95% of the participants thought the girls have been developing earlier, over 10% considered the first sign of puberty to be normal after the age 14 years and 12.4% considered menarche to be normal after age 14 years. The common sources of anxiety for the participants regarding the earlier timing of puberty were psychosocial issues and short final height. In conclusion, many parents had wrong beliefs/information about the normal timing of puberty and were concerned about precocious puberty in girls. Education of parents about the normal timing of puberty may help avoiding unnecessary referrals, parental anxiety, and financial burden to the society.Item Confirming the diagnosis of temporomandibular joint disorder by magnetic resonance imaging(2020) Yilmaz, Busra; Somay, EfsunPurpose: The aim of this study was to define the temporomandibular joint complaints of patients with different genders and educational levels and to investigate the accuracy of these complaints with the diagnosis of temporomandibular joint disorder (TJD) with magnetic resonance imaging (MRII). Material and Methods: Temporomandibular joint MRI and clinical examination findings and panoramic radiographs of 99 patients over 18 years of age who applied to the dental clinic between 2011-2018 with the complaint of jaw pain and limited mouth opening are evaluated. The cases which TJD was determined as a result of MRI, are accepted as MRI (+). The ones with the complaints of TJD, but the joint was within normal limits in the MRI, MRI is recorded as (-). Results: There is significant correlation between MRI results and gender but no correlation between MRI results and tooth loss. It is found education level did not have significant effect on the described joint complaints and MRI (+) findings. Conclusion: Women describe temporomandibular joint problems better than men. Even if the level of education is high, patients may not be able to convey their complaints correctly to the physician. Clinical findings should be supported by MRI results in order to diagnose this disease.Item Peripheral Block Education and Level of Competency: A Survey of Turkish Anesthesiologists(2020) Selvi, Onur; Tulgar, Serkan; Senturk, Ozgur; Tas, Zafer; Kose, Halil Cihan; Topcu, Deniz Ilhan; Ozer, ZelihaBACKGROUND/AIMS Presently, in Turkey, there is no work being conducted on the period of regional anesthesia education, and there are no statistics available on the frequency with the administration of basic extremity blocks. The present survey was conducted on anesthesia doctors throughout Turkey to explore the personal knowledge and competency of the participants. Simultaneously, this survey aimed to evaluate the information sources for regional anesthesia training in Turkey. MATERIAL and METHODS The present study surveyed 377 anesthesia doctors in March 2017 through a questionnaire formulated on the Delphi platform. The voluntary participants were recruited from professional organizations, hospital portals, and Turkey's anesthesia departments. Descriptive analyses were conducted for statistical evaluation. RESULTS Of the total participants, 3.2% were professors, 3.2% were associate professor doctors, 7.4% were assistant professors, 64.5% were specialist doctors, and 21.8% were residents. In the segment concerning skill and information level self-evaluation for blocks, the most commonly performed act was infraclavicular block (26.8%). With regard to their "information source," 40% of the participants chose "from my colleagues" for upper extremity blocks. The specialist training was the least popular information source for ultrasound-guided interscalene block, while the digital visual information sources were often consulted for the same. CONCLUSION Various sources have been identified as the source of information as much as the specialty training, more so in some blocks. A significant majority of the participants avoided block applications. In the future, it would be useful to collect data on a more comprehensive national scale to overcome the limitations of the present issue.Item Sexuality and sexual dysfunction in spinal cord-injured men in Turkey(2015) Akman, Ramazan Yavuz; Celik, Evrim Coskun; Karatas, Metin; 26422842Background/aim: To provide a comprehensive evaluation of sexual function and dysfunction in spinal cord-injured men based on self-reports of patients. Materials and methods: Forty-seven spinal cord-injured men who completed the spinal shock and rehabilitation period were included. Patients were asked to complete a questionnaire developed to assess social status, sexual activities, abilities, and sexuality education after injury. Neurologic levels of patients were classified according to American Spinal Cord Injury Association protocol. Erectile function was evaluated by International Index of Erectile Function-5 (IIEF-5) questionnaire. Results: Patients were aged between 20 and 62 years (mean: 35.2). Twenty-eight patients had T10 and above, 15 between T11 and L2, and 4 cauda conus injury. While 61.7% of the patients declared sexual activity, 93.6% declared some degree of erection. Mean IIEF-5 score was 5.3 and 87.3% of the patients had moderate to severe erectile dysfunction. Conclusion: Continuation of sexual activity after injury is very important and has a great impact on quality of life and interpersonal relationships for spinal cord-injured men. More attention must be given to sexuality after spinal cord injury. A very high rate of sexual dysfunction in spinal cord-injured patients was found and the importance of sexual education was emphasized in this study.