Wos Açık Erişimli Yayınlar
Permanent URI for this collectionhttps://hdl.handle.net/11727/10754
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Item A Rare Case of Ectopia Cordis with Double Outlet Right Ventricle(2019) Silahlı, Musa; Gokmen, Zeynel; Gokdemir, Mahmut; 0000-0003-0944-7178Ectopiacordis is a rare anomaly. It is described that hearth is placed as partially or totally outside of thoracic cavity. Sometimes this can be accompanied liver and other organs such as intestine. Congenital heart defects are also likely to accompany to this situation. So, we present an ectopiacordis with double outlet right ventricule case who has lived for 121 days in neonatal intensive care unit.Item Assesment of Spatial QRS-T Angle in Patients with Cardiac Syndrome X(2019) Muderrisoglu, Mustafa; Muderrisoglu, Haldun; 0000-0002-9635-6313; AAG-8233-2020Objective: Cardiac syndrome x (CSX) is defined as typical exertional angina, one or more abnormal cardiac stress test(s), and normal coronary arteries after exclusion of spontaneous or inducible epicardial coronary spasm. The aim of this study was to investigate cardiovascular adverse events risks in patients with CSX. For this purpose, spatial QRS-T angle that is predictor of these risks was evaluated in patients with CSX and control subjects. Methods: In a retrospective study, a total of 179 subjects (95 patients with CSX, 84 control) were examined. Control subjects had a normal coronary computed tomography. Spatial QRS-T angle value was calculated and compared in patients with CSX and control group, p values <0.05 were considered as statistically significant. Results: There was a statistically significant difference between the groups in terms of spatial QRS-T angle values [control group spatial QRS-T angle value median 35 (12.5 - 60), CSX group spatial QRS-T angle value median 51 (27 - 115), p<0.001]. Conclusion: According to our results, spatial QRS-T angle value was elevated in patients with CSX than in normal population. Furthermore, these results may indirectly suggest that the risk of adverse cardiac events may be increased in patients with CSX.Item The role of PET-CT in the evaluation of the response of the vertebra metastases in stereotactic radiosurgery(2019) Ozdemir, Yurday; Torun, Nese; Topkan, Erkan; 0000-0001-8120-7123; AAG-5629-2021; AAG-2213-2021Purpose: The aim of this study was to evaluate the role of positron emission tomography in assessing the response of stereotactic radiosurgery (SRS) for vertebral metastases(VM). Materials and Methods: Patients who received 16 Gy or 18 Gy SRS with no history of vertebral compression fracture, proven histologies except small-cell lung carcinoma and hematologic malignancies which are known as radio sensitive tumors, available pre- and post SRS PET images were included. All vertebral segments were categorized according to spinal instability neoplastic score in terms of stability and PET Response Criteria in Solid Tumors (PERCIST) criteria was utilized for treatment response. Results: Seventy-five patients with 119 VS (101 single, 9 double VS) received SRS. Breast cancer (66.7%) was the commonest pathology. Most patients (70.6%) had SINS 06.The local control was achieved in 87.4% VS with a 1-year local relapse -free survival rate of 92.5%. The median PET-CT time for the first SRS response assessment was 3-months (range:1-3.5 months) and there were only 4 (3.3%)local relapses in contrast to the positive responses in the remainders (30.3% complete, 43.7% partial responses and 22.7% stabil disease). While there were 11 local relapses in the last PET-CT response, no patient experienced any relapse complete response was achieved in the first PET-CT.Complete response in the first PET-CT was correlated with positive response in the last PET CT also. Conclusion: First PET-CT response after SRS seems to be valuable in anticipation of both the final vertebral response status and planning of alternative interventions for non-responders.Item Turkish Thoracic Society Consensus Report: Interpretation of Spirometry(2019) Ulubay, Gaye; Dilektasli, Asli Gorek; Borekci, Sermin; Yildiz, Oznur; Kiyan, Esen; Gemicioglu, Bilun; Saryal, Sevgi; 0000-0003-2478-9985; 30664428; AAB-5064-2021Currently, the criteria for applying and evaluating spirometer measurements have been defined by American and European Respiratory Societies. Several pulmonary function test laboratories in Turkey as well as in the world use these standards. However, different interpretation results are observed in different pulmonary function test laboratories. This report is prepared to provide a basis for a standardized asssessment in our pulmonary function test in our country.Item Use of psychodrama method in trainings about child abuse and neglect(2019) Dagli, Figen Sahin; Taskiran, Candan; Krespi, Margorit Rita; Gokler, BaharObjective: Child abuse and neglect should be a main topic in trainings of students who have a possibility to encounter a neglected and abused child in their future professional lives. Use of psychodrama in training such an important and sensitive subject is a novel approach. In this study, it is aimed to evaluate the effects of psychodrama method for the training about child abuse and neglect given to university students. Method: In this training, a group of 11 students attended the 16 week course, once a week for 2,5 hours. The effects of this training were evaluated by quantitative and qualitative methods. Results: For quantitative analysis pre and post training knowledge tests revealed scores of 33 and 39 respectively. The difference was statistically significant (p<0.05). Awareness test scores for pre and post training evaluation were 85 and 89 respectively. Although there was an increase after training this increase was not statistically significant (p=0.65). Focus group interview which was performed for qualitative analysis revealed that the training increased the participants' awareness and empathy, made them more sensitive for the news about children and child abuse, taught them not to judge people, encouraged them for their future career and made them understand the importance of multidisciplinary approach. Discussion: These perceived benefits indicate that psychodrama method may be used to teach the topic of child abuse and neglect.Item An optimization for milling operation of Kevlar fiber-epoxy composite material using factorial design and goal programming methods(2019) Ic, Yusuf Tansel; Elaldi, Faruk; Kececi, Baris; Uzun, Gozde Onder; Limoncuoglu, Nur; Aksoy, Irem; 0000-0003-0592-6868; 0000-0002-2730-5993; AAI-1081-2020; AAG-5060-2019; F-1639-2011; AAC-4793-2019Kevlar fiber-epoxy composite material is extensively used in manufacturing areas because of the advantages of composite material's characteristics. It is usually processed by traditional machining methods but the drawbacks for determination of optimum cutting parameters might cause some material deformations during machining process. In this study, the cutting parameters are concurrently optimized by using the integrated 2k factorial design and goal programming methods for minimum delamination and minimum surface roughness of Kevlar fiber-epoxy composite and the best machining parameters have been obtained for the material. The results were compared with the results of the multi-criteria decision-based Taguchi methods.Item Clinical Features of Patients with Allergic Rhinitis and Evaluation of Adenoid Hypertrophy as a Comorbidity(2019) Sancakli, Ozlem; Belverenli, H.Objective: The nasal cavity is anatomically and functionally communicates with eyes, paranasal sinuses, nasopharynx, middle ear and lower airways. Therefore, comorbid diseases such as asthma, chronic sinusitis, adenoid hypertrophy allergic conjunctivitis are common in patients with allergic rhinitis. In our study, we aimed to evaluate the frequency of comorbid diseases, clinical features of patients who referred to our outpatient clinic with allergic rhinitis. Method: The study included children aged between 3-17 years who were diagnosed with moderate to severe allergic rhinitis between September 2015 and March 2016 in our pediatric allergy outpatient clinic. Patient files were retrospectively reviewed; comorbid diseases, family history, eosinophil percentage, total IgE level and allergy test results and the number of drugs used were recorded. In the first month of the treatment, visual analog scale was used to score the symptoms. P< 0.05 was considered significant in the statistical analysis. Results: A total of 106 patients (33 female, 73 male) with respective median ages of 7.25 and 5.13 years [range: 3.0-17.0, years] were included in the study. In 84.9% of our patients, skin test was positive, and in 69.8% of the patients the symptoms persisted for more than 2 years. The most common comorbid diseases were asthma (52.8%) and adenoid hypertrophy (30.2%). In our study, the incidence of adenoid hypertrophy was higher and total IgE levels were lower in the skin test-negative group (p=0.019, p=0.027). Conclusion: In our study, the most common comorbid diseases in patients with allergic rhinitis were asthma and adenoid hypertrophy, and in the skin test-negative group adenoid hypertrophy was more frequent.Item Interior Design Approach As Part of Passive Fire Safety Measures - Evaluation of the Re-Used Historical Bandabuliya Building Evacuation System(2019) Bilge, BetulThe risks that emerge during an emergency and disasters as well as the damages caused by such risks adversely affect human lives, the buildings they live in and the interiors of such buildings. Emergency and disaster management system is a holistic process. Within this process, the Interior Architects' command in the flow of management system is significant in terms of being acquainted with when to step in and at what point of the system flow to play a part. The risks that are revealed as a result of management activities and the requirements produced afterwards designate the necessity for taking and implementing measures beforehand. At this point, how important the indoor arrangements and planning are in terms of loss of lives and safety during and after an incident rises distinctively to the surface, apart from the structural arrangements intended for prevention and mitigation. The system built should demonstrate not attenuating but strengthening and supporting approaches in terms of a secure design. A safe architecture that has been established in line with legal requirements and regulations is an integral part of a system that cannot be abstracted from interior space. In the study, Interior Space Design Approaches as Part of "Passive Safety Measures"which area part of the emergency management system have been characterised. The system setup discussed pursuant to fire threat has identified the fundamental approach criteria in terms of a secure indoor evacuation. The purposed design system relation has been assessed on the historical Famagusta- Bandabuliya Building that has been refunctioned.Item 2019 Turkish Hypertension Consensus Report(2019) Aydogdu, Sinan; Guler, Kerim; Bayram, Fahri; Altun, Bulent; Derici, Ulver; Abaci, Adnan; Tukek, Tufan; Sabuncu, Tevfik; Arici, Mustafa; Erdem, Yunus; Ozin, Bulent; Sahin, Ibrahim; Erturk, Sehsuvar; Bittigen, Atilla; Tokgozoglu, Lale; 31483311The Turkish Hypertension Consensus Report was prepared for the first time in 2015 to adapt the European and American international guidelines to our clinical practice and to create a practical report that could be a basic reference for all physicians dealing with hypertensive patients. This report, which was prepared by a committee with representation from 5 leading hypertension associations, has been accepted and is widely used. New clinical studies in hypertension literature and updated international guidelines since 2015 have demanded an update of the Turkish Hypertension Consensus Report as well. In this updated 2019 report, blood pressure levels were classified as Normal, Elevated, Stage 1, and Stage 2 hypertension. A new section was added for secondary hypertension. It was specified that drug treatment may be initiated with any 1 or a combination of 4 groups of drugs (diuretics, calcium channel blockers, angiotensin-converting enzyme [ACE] inhibitors, and angiotensin receptor blockers [ARBs]), except a combination of an ACE inhibitor and an ARB. It was emphasized that beta-blockers may be a first choice for hypertension treatment in diseases such as atrial fibrillation, heart failure, and coronary artery disease. The initial recommendation for hypertension treatment is a combination therapy in patients with a blood pressure level >= 150/90 mmHg. Target blood pressure values were redefined according to age and the presence of comorbidities. The hypertension treatment algorithm was renewed; it is proposed that drug therapy can also be initiated with a risk-based approach for the group with an elevated blood pressure (systolic blood pressure: 120-139 mmHg, diastolic blood pressure: 80-89 mmHg). The threshold clinic systolic blood pressure level was reduced from 160 mmHg to >= 150 mmHg for the initiation of drug therapy in individuals 80 years of age or more. The section on the treatment of special groups has now been expanded to include pregnancy and lactation. As in the previous report, in this update, practical recommendations for the most common cases seen in the clinic were the goal, rather than a comprehensive report that addresses all aspects of hypertension. This report has evidence-based recommendations for most patients; however, it should be kept in mind that there may be differences from 1 patient to another and that physicians should take an individualized approach according to a good clinical evaluation.Item The Ways to How Patients with Chronic Hepatitis C Find Out Their Disease and Risk Factors(2019) Turan Ozden, HaleIntroduction: Transmission routes and seroprevalence of hepatitis C virus (HCV) may vary between countries and geographic regions. In this study, we planned to investigate patients with chronic hepatitis C admitted to our hospital in order to identify associated risk factors of HCV transmission in our region. Materials and Methods: Eighty-two patients who were admitted to the Infectious Diseases and Clinical Microbiology Outpatient Clink of our hospital between January 2011-December 2014 and who were diagnosed with chronic hepatitis C and/or liver cirrhosis were included into the study. Results: Forty-six (56.1%) of the patients were female and 36 (43.9%) were male patients. Mean age was 60.8 +/- 10.0 (26-81) year. Most common risk factors were surgical intervention (58.5%) and dental treatment (31.7%). Vast majority of the patients found out about their illnesses during routine examinations (81.7%). Conclusion: Early detection of the HCV infection is important in the follow-up and treatment of the disease. This study also emphasized the importance of routine screening in the detection of anti-HCV positivity.