İndekslenen Platformlar PubMed
169702

Nucleated red blood cells as predictor of all-cause mortality in emergency department

Hüseyin Narcı | Cüneyt Ayrık | Mehmet Burak Yavuz Çimen

Bacground: Nucleated red blood cells (NRBCs) are immature erythrocytes that are not normally detected in the blood of healthy adults. The detection of these cells in peripheral blood is associated with increased mortality and poor prognosis. In this study, we aimed to investigate whether NRBCs predict for all causes of death in patients admitted to the emergency department (ED). Method: This study was conducted retrospectively between January 2019 and December 2019 in academic emergency department, faculty of medicine. We included all patients who died of non-traumatic causes and The control group consisted of patients discharged from the ED. NRBCs and other laboratory parameters were compared between the two groups. The primary outcome is all-cause mortality in the ED. Multivariate log...

169773

Determining risk factors of bleeding in patients on warfarin treatment

Evren Uygungül | Cuneyt Ayrik | Huseyin Narci | Semra Erdoğan | Ibrahim Toker | Filiz Demir | Ulas Karaaslan

Background. Warfarin is a commonly used oral anticoagulant agent. The most common adverse effects of warfarin are bleeding complications. Methods. We performed a 1-year retrospective chart review of emergency department patients using warfarin. A total of 65 patients with bleeding disorder (study group) and 63 patients without bleeding (control group) were included, making up a total of 128 subjects. Demographic data, frequency of international normalized ratio (INR) checks, and routine blood results were extracted. Logistic regression analysis was used to determine which factors were most closely associated with bleeding complications. Results. Median age was 62.0 ± 14.4 and 61.9 ± 14.5 for study group and control group, respectively. Educational status and frequency of INR checks were si...

169991

Evaluation of Dentist Preferences Among Children Aged 3–10 Years

Sahin, Meryem | Gonulal, Oyku Peker

Aim To determine children’s expectations regarding their dentist preferences, considering age and sex differences, and evaluate the results in terms of their communication with dentists. Study Design A cross-sectional study conducted at the Mersin University Pediatric Dentistry Clinic. Methods This study included 250 paediatric patients aged 3–10 years who presented to the Mersin University Pediatric Dentistry Clinic. Patients without comprehension or speech problems who were willing to participate were selected. The questionnaire consisted of 10 questions, with age-appropriate, easy-to-understand visuals created using the artificial intelligence-assisted Midjourney program. Results Children aged 3–10 years preferred a dentist of the same sex who was young, wore a white coat, g...

169243

Comparison of zygoma plates and infrazygomatic crest miniscrews used open bite treatment: A 3-dimensional finite element study

Arslan Çarpar, Kübra

Introduction: This study aimed to evaluate infrazygomatic crest (IZC) miniscrews, which represent a new approach to maxillary posterior tooth intrusion and extra-alveolar skeletal anchorage, using 3-dimensional f inite element stress analysis to predict the clinical usability instead of zygoma plates. Methods: Six different models were developed. The direction of the intrusion force was generated parallel to the maxillary first molar, and the posterior bite-block intrusion appliance was connected with 2 steel arches. A zygoma plate, stainless steel (SS)-IZC miniscrew, and a titanium alloy (TiA)-IZC miniscrew were used as anchorage units, and 200 g and 400 g of intrusion forces were applied. The cortical bone, spongious bone, stress values, and displacements in the anchorage unit were exami...

167380

Investigation of EBA Digital Education Platform Used as the Medium of Distance Education in Turkey During COVID-19 Pandemic Process in Terms of Critical Thinking Skills

Gökalp, Serkan; Üredi, Lütfi

This paper focuses on investigating whether the contents of 6th grade math lesson in the digital education platform (EBA) used in distance education in Turkey during the COVID-19 pandemic period are appropriate to the critical thinking standards. The contents of the math lesson, which are in the digital education platform (EBA) in 2020-2021 academic years, constitute the population of the study. The course contents, which belong to “Data Collection” and “Data Analysis” subtopics of 6 th grade math lesson used in Turkey’s digital education platform (EBA) in 2020-2021 academic years, constitute the sample of the study. In the study, document analysis method is used. Based on the analysis conducted, it is concluded that the learning contents, which belong to “Data Collection and Evaluation” a...

169698

The prognostic value of immature granulocyte in patients with acute pancreatitis

Serkan Karakulak | Hüseyin Narcı | Cüneyt Ayrık | Semra Erdoğan | Enver Üçbilek

Abstract Background: Acute pancreatitis is the inflammation of the pancreas. It can range from mild forms to life-threatening severe cases. There is not yet a marker that can detect severe cases in the early period. Early diagnosis and treatment of this disease has critical importance for prognosis. In this study, we aimed to investigate the percentage of immature granulocyte (IG %) in patients with acute pancreatitis in order to predict the severity of the disease and in-hospital mortality. Method: This study was carried out retrospectively in academic emergency department (ED), faculty of medicine between 01.01.2017 and 30.06.2019. The patients were divided into three groups as mild, moderate and severe. In addition, the patients were divided into two groups: those discharged from th...

169992

The effect of virtual reality glasses on pain and patient satisfaction in arteriovenous fistula cannulation procedure
The Effect of Virtual Reality on AV Fistula Cannulation

ŞEN, Hatice | LAFCI BAKAR, Diğdem

Abstract Aims To determine the effect of virtual reality glasses intervention on pain, vital signs, and patient satisfaction of hemodialysis patients undergoing AVF catheter puncture. Design Randomized controlled study. Methods The study was conducted in 60 patients receiving dialysis treatment in the HD unit of a public hospital in Turkey. The data were collected via the “Patient Identification Form”, “Visual Analog Scale/VAS” and “Hemodynamics Variables Inspection Form”. The patients in the experiment group watched videos through the virtual reality glasses for totally 5 minutes in average, 2 minutes before the AVF cannulation process and 3 minutes during the process. No intervention was applied to the patients in the control group other than the normal nursing interventions in the...

Makale2024Applied Nursing Research 3 | 0 Erişime Açık
169883

The value of serum mean platelet volume in testicular torsion

Narci H

Objective To compare the serum mean platelet volume (MPV) in patients with testicular torsion and healthy control subjects. Methods This retrospective study compared clinical and demographic data from patients who underwent surgery for testicular torsion and healthy controls. Testicular torsion was diagnosed with a physical examination and Doppler ultrasonography. Age, leukocyte count, platelet count and MPV were recorded for all participants. Results A total of 50 patients with testicular torsion and 51 healthy control subjects were enrolled. There was no significant difference in age and platelet count between the two groups. Patients with testicular torsion had a significantly higher leukocyte count and MPV, compared with controls. According to receiver operating characteristic cur...

170531

Epidemiological and molecular characterization of Enterobius vermicularis cases in Mersin, Turkey: An analysis based on mitochondrial DNA cox1 gene sequences

Gülbudak Harun | Tezcan Ülger Seda | Bozok Taylan | Aslan Gönül

Enterobius vermicularis is among the most common intestinal helminths, especially in children. Mitochondrial cox1 gene analyses revealed three genotypes (A, B, C). We aimed to evaluate the epidemiological characteristics and cox1 genotypes of E. vermicularis cases diagnosed at Mersin University Hospital. Between January 2017 and December 2023, 1496 samples were examined using the cellophane tape method, and 75 positives were identified. Epidemiological data were retrospectively analyzed. DNA was isolated from 30 positive samples via the phenol–chloroform method, and nested PCR products of the cox1 gene were sequenced. Phylogenetic analyses were performed using GenBank sequences. In a sample of patients with gastrointestinal signs, the positivity rate for E. vermicularis was 5 % (75/1496)...

Makale2025One Health 3 | 0 Erişime Açık
170858

The role of immature granulocyte percentage in predicting acute chest syndrome and the severity of the vaso-occlusive crisis in sickle cell disease

Karahan,Feryal | Ünal,Selma | Bozlu, Gülçin

Background: Sickle cell disease (SCD) is an inflammatory disease that can result in both chronic and acute inflammation. Immature granulocytes (IG) are not-yet-mature white blood cells that can be easily detected in complete blood count (CBC) tests. In recent studies it has been suggested that IG may play a role in determining the prognosis of inflammatory diseases. The aim of our study was to investigate the role of IG percentage on predicting acute chest syndrome (ACS) and the severity of vaso-occlusive crisis (VOC) in patients with SCD. Methods: The study cohort consisted of 49 SCD patients admitted to the emergency department for VOC. If symptoms did not regress despite appropriate treatment including hydration and analgesia, they were hospitalized. Patients whose symptoms regressed...

170860

Sickle Cell Disease and Psychosocial Well-Being: Comparison of Patients With Preclinical and Clinical Avascular Necrosis of the Femoral Head

Tezol,Özlem | Karahan,Feryal | Unal,Selma

Aim: Sickle cell disease (SCD) has significant adverse psychosocial impacts in childhood. Patients with SCD may be affected by avascular necrosis (AVN) and the most commonly involved site is the femoral head. We aimed to conduct a comparative investigation of the psychosocial well-being of pediatric SCD patients with preclinical and clinical femoral head AVN. Materials and Methods: Patients with homozygous SCD and healthy peers aged 7-17 years were included in this cross-sectional study. Psychosocial well-being was assessed by the Strengths and Difficulties Questionnaire (SDQ), parent version. SDQ scores were compared between the groups. Results: A total of 74 mother–child couples were enrolled in this study. The SCD with clinical AVN (stages I-IV) group consisted of 17 patients, SCD with...

Makale2021Turk Arch Pediatr 2 | 0 Erişime Açık
166501

Comparison of Candida Polymerase Chain Reaction Method and Blood Culture in Patients with High Risk of Candidemia in Intensive Care Unit

Bozok, Tuğçe Şimşek | Bozok, Taylan

Candida species are responsible for 70-90% of invasive fungal infections in the intensive care unit. Early diagnosis and treatment is important in candidemia. Improper diagnosis and treatment increases mortality and morbidity significantly. Because of the late results of blood cultures and low sensitivity of the serological tests when used alone, molecular methods should be investigated in this field. In this study, the results of the Candida real-time polymerase chain reaction (Rt-PCR) test, which was studied from blood culture and whole blood, were compared in patients with high candidemia risk who were followed in the General Surgery Intensive Care and Anesthesiology and Reanimation Unit of Cukurova University Faculty of Medicine. It was aimed to investigate the practical utility of Can...

Makale2021Mikrobiyoloji Bülteni 44 | 0 Erişime Açık
170131

Evaluation of pediatric dentists knowledge and approaches to tooth discoloration

Aksu, Seçkin

In recent years, esthetic expectations have come to the fore in pediatric dentistry, as in every field of dentistry. Therefore, to better meet patients’ expectations, the steps taken to determine and improve the current level of knowledge of pediatric dentists on tooth discoloration gain importance. This study aims to measure the knowledge levels of pediatric dentists regarding tooth discoloration. A 33-questioned survey created online was emailed to pediatric dentists between March and December 2021. The first part included four multiple-choice and two open-ended questions regarding demographic characteristics. The second part was to measure the participants’ knowledge of tooth discoloration. The last part was to evaluate the clinical approaches of the participants. Participants who agree...

170881

Toxic Skin Reactions Should Be Differentiated from Allergic Reactions to Chemotherapeutic Drugs in Children: A Case Series and Review of the Literature

Kont Özhan,Aylin | Demirhan,Ali | Arikoglu,Tuğba | Karahan,Feryal | Gökalp Satıcı,Fadime Eda | Tokmeci,Nazan | İlhan Yalaki,Aysu | Akbey, Veysi | Yuyucu Karabulut,Yasemin | Ünal,Selma | Kuyucu,Semanur

Background: Chemotherapeutic drugs can lead to a wide spectrum of cutaneous findings, ranging from nonimmune toxic reactions to severe immune-mediated hypersensitivity reactions. The aim of this study was to evaluate the clinical, histopathological features, and prognosis of toxic skin reactions to chemotherapeutic drugs and to compare them with characteristics of immune-mediated reactions in children with malignancies. Methods: The medical records of all children with cancer who experienced skin reactions after chemotherapy administration and diagnosed as a toxic skin reaction between 2010 and 2022 were retrospectively analyzed. The diagnosis was re-evaluated and differentiated from other similar disorders by using clinical manifestations, photodocumentation, and histopathological finding...

Makale2024Dermatitis 3 | 0 Erişime Açık
169849

Enhanced diagnostic pipeline for maxillary sinus-maxillary molars relationships: a novel implementation of Detectron2 with faster R-CNN R50 FPN 3x on CBCT images

özemre,mehmet özgür | Bektaş, Jale | yanık,hüseyin | baysal,lütfiye

Background The anatomical relationship between the maxillary sinus and maxillary molars is critical for planning dental procedures such as tooth extraction, implant placement and periodontal surgery. Methods This study presents a novel artificial intelligence-based approach for the detection and classification of these anatomical relationships in cone beam computed tomography (CBCT) images. The model, developed using advanced image recognition technology, can automatically detect the relationship between the maxillary sinus and adjacent molars with high accuracy. Results The artificial intelligence algorithm used in our study provided faster and more consistent results compared to traditional manual evaluations, reaching 89% accuracy in the classification of anatomical structures....

166362

Patient perception of environmental and nursing factors contributing to sleep disturbances in a neurosurgical intensive care unit

Uğraş, Gülay Altun

Many factors may affect sleep in the neurosurgery intensive care unit (NSICU), including therapeutic and diagnostic procedures, medications, the underlying disease process, and noise generated in NSICU. This study was aimed to determine the factors and nursing interventions, which affect the patients' sleep in NSICU, and to ascertain future descriptive research studies in nursing. The sample consisted of 84 voluntary patients hospitalized at a university hospital. They were consecutively asked to fill out a questionnaire in face-to-face interviews, and on the same day they were transferred out of the NSICU to a neurosurgical ward. Sixty-six patients (78.6%) experienced sleep disturbances. In those patients, being kept immobile (63.6%) and being in a noisy environment (57.6%) were the facto...

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