Sürdürülebilir Kalkınma Amaçları
Yazarlar
- Aksoy, Firdevs(1)
- Akturk, Yeliz(1)
- Ardiç, Senol(1)
- Coskun, Aydin(1)
- Durmus, Hulya Gencbay(1)
- Durmus, Irfan(1)
- Ediz, Cicek(1)
- Erdas, Mehmed B.(1)
- Goekcay, Figen(1)
- Gunaydin, Mucahit(1)
- Gunduz, Abdulkadir(1)
- Günay, Serkan(1)
- Güzel, Kadir(1)
- Karakaya, Hanife(1)
- Kavak, Rasime Pelin(1)
- Köse, Ahmet(1)
- Meral, Gurbuz(1)
- Mohammadnezhad, Masoud(1)
- Ozdemir, Meltem(1)
- Ozer, Vildan(1)
- Pasli, Sinan(1)
- Uysal, Serhat(1)
- Uzun, Sevda(1)
- Özdemir, Huseyin Nezih(1)
Yayınlar
- MakaleAçık Erişim2026Bicuspid Aortic Valve in Adult Patients: Accompanying Cardiovascular Pathology and Variations
Akturk, Yeliz; Durmus, Irfan; Kavak, Rasime Pelin; Ozdemir, Meltem
Introduction: This study aimed to investigate the prevalence of aortic valve calcification, aortic dilatation, and coronary artery disease (CAD) in patients with bicuspid aortic valve (BAV) identified incidentally through coronary computed tomography angiography (CCTA) and to compare epicardial adipose tissue (EAT) thickness between BAV and tricuspid aortic valve (TAV) patients. Materials and Methods: Thirty-five BAV patients aged 42-67 and 75 TAV patients aged 31-66 were included in the study. Aortic diameters were measured at the sinus of Valsalva, sinotubular junction, and ascending and descending aorta. Agatston calcium scores and CAD-Reporting and Data System were used to assess coronary artery calcification and atherosclerosis severity. EAT thickness was measured volumetrically, and its relationship with clinical and imaging parameters was evaluated. Results: In patients with BAV, the aortic diameters at the Valsalva sinus, sinotubular junction, and ascending aorta were larger compared to patients with TAV. The difference was statistically significant (P < 0.001). Aortic valve calcification was present in 45.7% of BAV patients, with an average Agatston score of 349.06 +/- 413.22, while no calcification was detected in TAV patients. Although no significant difference in EAT thickness or CAD prevalence was observed between BAV and TAV groups, EAT thickness was positively correlated with aortic dilatation, coronary artery calcification, and aortic valve calcification. Conclusions: BAV patients exhibit distinct vascular and valvular characteristics, with aortic dilatation and aortic valve calcification being prominent. EAT may serve as a marker for these complications. Further prospective studies are needed to elucidate the pathophysiology of BAV and optimize early intervention strategies.
- MakaleAçık Erişim2024Comparative analysis of Glasgow Coma Scale, quick Sepsis-related Organ Failure Assessment, base excess, and lactate for mortality prediction in critically ill emergency department patients
Meral, Gurbuz; Ardiç, Senol; Günay, Serkan; Güzel, Kadir; Köse, Ahmet; Durmus, Hulya Gencbay; Uysal, Serhat; Coskun, Aydin
OBJECTIVES: It is crucial to promptly identify high-mortality patients in emergency departments and initiate their treatment as soon as possible. Although many parameters have been studied to select patients with high mortality, no comprehensive evaluation exists in previous literature on these parameters in critically ill patients, regardless of patient groups. The aim of this study is to evaluate the Glasgow Coma Scale (GCS), quick Sepsis-related Organ Failure Assessment (qSOFA), blood gas base excess (BE), and blood gas lactate in predicting mortality in critically ill patients admitted to the emergency department. METHODS: This prospective observational cohort study included adult patients with Emergency Severity Index 1-2 (critically ill) admitted to the emergency department. All patients were evaluated by the physician within 10 min, and blood gas samples were taken. The data collection forms recorded the patients' GCS and qSOFA scores at the time of first evaluation by the physician. The qSOFA score assessment was performed in all patients with ESI levels 1 and 2, regardless of whether infective pathology was suspected. Blood gas BE and lactate values were also from laboratory test results. Patients or their relatives were contacted by phone at the end of the 1st month to obtain information about the clinical condition (survival or mortality). RESULTS: A total of 868 patients were included, with 163 deaths observed within 30 days. GCS score, qSOFA score, and lactate value were significant in predicting mortality within 30 days. While the BE value was significant for predicting 30-day mortality for values equal to or below the lower limit of -1.5 (P < 0.001), it was not significant for values equal to or above the upper limit of +3 (P > 0.05). The most successful prediction model for predicting 30-day mortality was found to be qSOFA with a cutoff value of >= 1. CONCLUSION: In emergency departments, each of the GCS, qSOFA scores, BE, and lactate values can be used independently as a practical mortality prediction model in critically ill patients. Among these four models, qSOFA is the most successful practical mortality prediction model in critically ill patients.
- MakaleAçık Erişim2024Role of culture and religious beliefs on non-medical help-seeking behavior among patients with chronic mental illnesses (CMIs) in Türkiye
Ediz, Cicek; Uzun, Sevda; Mohammadnezhad, Masoud; Erdas, Mehmed B.
Background:Cultural beliefs significantly shape societal attitudes toward mental illness, and these social attitudes profoundly impact help-seeking behaviors. Therefore, it is important to focus on understanding and addressing these social behaviors.Aim:This study aimed to evaluate the effect of chronic mental illness interpretations based on culture and religious beliefs on non-medical help-seeking behaviors among patients in T & uuml;rkiye.Methods:The study was conducted from September to October 2023 using an inductive qualitative approach. In-depth face-to-face interviews were carried out with individuals diagnosed with chronic mental illness and their relatives, registered in a state-owned Community Mental Health Center (CMHC) in T & uuml;rkiye. Using purposive sampling, 13 individuals who met the criteria were interviewed. Thematic analysis was used to identify themes.Results:Three main themes and eight sub-themes were identified, including the reasons for seeking non-medical help (psychological challenges, subjective norms, physical requirements), factors contributing to seeking non-medical help (predisposing factors, enabling factors, and myths), and reflections on the benefits of non-medical practices (perceived physical benefits, perceived psychological benefits).Conclusions:It was concluded that individuals with chronic mental illness and their relatives living in the Eastern Anatolia Region of T & uuml;rkiye engaged in non-medical help-seeking behaviors and mostly turned to traditional religious practices. Culture and religious beliefs emerged as primary factors leading patients to seek non-medical treatment approaches. Consequently, there is a perceived need to explore non-medical alternative methods across various mental health settings and with diverse samples in future research endeavors.
- Editöre MektupAçık Erişim2023Unusual vessel wall magnetic resonance imaging findings in a cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy patient
Özdemir, Huseyin Nezih; Karakaya, Hanife; Goekcay, Figen
- MakaleAçık Erişim2019Gastrointestinal and cutaneous anthrax: Case series
Ozer, Vildan; Gunaydin, Mucahit; Pasli, Sinan; Aksoy, Firdevs; Gunduz, Abdulkadir
Introduction: Anthrax is a zoonosis affecting herbivorous animals. Its agent is Bacillus anthracis and it is gram positive, aerobic or facultative anaerobic, immobile and has a capsule in the polypeptide structure. The incidence is gradually decreasing in the world and in our country. The disease is especially seen in areas where stock breeding is common. In this case series, 3 cases, one of them was mortal, took place after anthrax infected cow was eaten in February 2018 in Trabzon was shared. Case presentations: In the first case, as a result of the animal's meat was eaten, gastrointestinal anthrax and associated sepsis were seen. This patients blood culture was positive and she was died. Second case after contacting the patient who died, and third case after contacting the animal and eating its meat, diagnosed with cutaneous anthrax. Doxycycline treatment was started with cutaneous anthrax patients, these cases were recovered without any complications. Conclusion: We presented this article, to update our information about gastrointestinal anthrax and other anthrax types which are become a current issue again especially due to bioterrorism and also to keep it in mind in the differential diagnosis although it is rarely seen in our stock raising areas.
- DergiJOURNAL OF THE ANATOMICAL SOCIETY OF INDIA
- DergiNEUROLOGICAL SCIENCES AND NEUROPHYSIOLOGY
- DergiTURKISH JOURNAL OF EMERGENCY MEDICINE
- DergiINDIAN JOURNAL OF PSYCHIATRY