WoS İndeksli Yayınlar KoleksiyonuWoS Indexed Publications Collectionhttps://hdl.handle.net/20.500.12933/22024-03-28T23:28:32Z2024-03-28T23:28:32ZClinical Significance of Terminal Syringomyelia and Accompanying Congenital Anomalies of Neurosurgical Interest in Adult and Pediatric Patients with Tethered Cord SyndromeRakip, UsameCanbek, İhsanYıldızhan, SerhatBoyacı, Mehmet GaziCengiz, AkınAslan, Ademhttps://hdl.handle.net/20.500.12933/18482024-03-19T08:01:50Z2022-01-01T00:00:00ZClinical Significance of Terminal Syringomyelia and Accompanying Congenital Anomalies of Neurosurgical Interest in Adult and Pediatric Patients with Tethered Cord Syndrome
Rakip, Usame; Canbek, İhsan; Yıldızhan, Serhat; Boyacı, Mehmet Gazi; Cengiz, Akın; Aslan, Adem
Magnetic resonance imaging (MRI) can be used to examine tethered cord syndrome
(TCS) and terminal syringomyelia (TS). Additionally, there is increasing evidence of an
association between congenital anomalies and TCS. We aimed to identify the clinical
and radiological characteristics of syringomyelia and other anomalies in pediatric and
adult patients with TCS. This study included 54 TCS patients (mean age, 17.37 15.83
years; 31 females) admitted to our department between 2010 and 2019. The patients
were divided into two age groups: pediatric (<18 years; 63%) and adult (>18 years).
Clinical findings, direct vertebrae radiographs, lower extremity radiographs, and
spinal/cranial MRI findings were used to evaluate all patients. Computed tomography
(CT) was performed to reveal the structure of the septum in patients with Diastematomyelia. Cranial ultrasonography or CT was performed if the fontanel was open or
closed, respectively, in pediatric hydrocephalus cases. Pelvic ultrasonography and
urodynamic tests were performed to evaluate other comorbid anomalies and urinary
system pathologies. A thick filum terminale (73.3%) and diastematomyelia (44.4%)
were found to cause spinal tension. The most common accompanying pathology was
syringomyelia (78%). The common symptoms were urinary incontinence and bowel
problems (71%), scoliosis (68%), and progressive lower extremity weakness (64.4%). It
is difficult to distinguish the exact cause of symptoms in patients with TCS and TS. Due
to the greater occurrence of other congenital spinal anomalies accompanying TCS,
both preoperative symptoms and clinical findings are more severe in the pediatric
group than in the adult group, and postoperative results may be more negative.
2022-01-01T00:00:00ZA terrifying problem: healthcare professionals’ homicidesAydoğan, Halit CanberkYıldırım, Mahmut ŞerifSoyyiğit, MuhammetAkçan, Ramazanhttps://hdl.handle.net/20.500.12933/14402022-10-27T07:54:56Z0012-01-01T00:00:00ZA terrifying problem: healthcare professionals’ homicides
Aydoğan, Halit Canberk; Yıldırım, Mahmut Şerif; Soyyiğit, Muhammet; Akçan, Ramazan
Background: As in all over the world, healthcare professionals in Turkey are increasingly affected by violence. The purpose of this study was to evaluate homicide, which is the most severe form of violence against health care professionals.
Methods: Information regarding characteristics of the incidents, victims, and perpetrators were gathered from the media reports subjecting murders of healthcare professionals between 2000 and 2019 were compiled and discussed with descriptive statistics.
Results: There were 60 homicides involving health professionals (35 male, 25 female) between 2000 and 2019. Homicides of health professionals were found to have increased significantly between 2015 and 2019. The most common crime scene was the victim's workplace, whereas the most common method of homicide was the use of firearms. In female healthcare professional homicides, the murderer was a former or existing partner in most cases.
Conclusions: The assessment of cultural factors, and the performance of various studies to prevent homicide of health professionals is crucial. Policies against individual weaponry and the prevention of armed persons entering healthcare facilities could be useful. In addition, regulations prohibiting targeting health professionals as a scapegoat for system failures will help address this problem.
0012-01-01T00:00:00ZCLINICAL COURSE OF ADOLESCENT ONSET ATYPICAL HEMOLYTIC UREMIC SYNDROME: A STUDY OF TURKISH AHUS REGISTRYÇeleğen, KübraGülhan, BoraFidan, KibriyaYüksel, SelçukYılmaz, NeslihanÇaltık Yılmaz, AysunDemircioğlu Kılıç, BeltingeGökçe, İbrahimKavaz Tufan, AslıKalyoncu, MukaddesNalçacıoğlu, HülyaÖzlü, Sare GülfemKurt Şükür, Eda DidemCanpolat, NurKarabay Bayazıt, AysunKoyun, MustafaTabel, YılmazTülpar, SebahatÇelakıl, MehtapBek, KenanZeybek, CengizDüzova, AliÖzçakar, Zeynep BirsinTopaloğlu, RezanSöylemezoğlu, OğuzÖzaltın, Fatihhttps://hdl.handle.net/20.500.12933/14312022-10-20T06:02:28Z2022-01-01T00:00:00ZCLINICAL COURSE OF ADOLESCENT ONSET ATYPICAL HEMOLYTIC UREMIC SYNDROME: A STUDY OF TURKISH AHUS REGISTRY
Çeleğen, Kübra; Gülhan, Bora; Fidan, Kibriya; Yüksel, Selçuk; Yılmaz, Neslihan; Çaltık Yılmaz, Aysun; Demircioğlu Kılıç, Beltinge; Gökçe, İbrahim; Kavaz Tufan, Aslı; Kalyoncu, Mukaddes; Nalçacıoğlu, Hülya; Özlü, Sare Gülfem; Kurt Şükür, Eda Didem; Canpolat, Nur; Karabay Bayazıt, Aysun; Koyun, Mustafa; Tabel, Yılmaz; Tülpar, Sebahat; Çelakıl, Mehtap; Bek, Kenan; Zeybek, Cengiz; Düzova, Ali; Özçakar, Zeynep Birsin; Topaloğlu, Rezan; Söylemezoğlu, Oğuz; Özaltın, Fatih
No Abstract Available
2022-01-01T00:00:00ZCHARACTERISTICS AND SURVIVAL RESULTS OF PERITONEAL DIALYSIS PATIENTS SUFFERING FROM COVID-19 IN TURKEY: A MULTICENTER NATIONAL STUDYGürsu, MeltemÖztürk, SavaşArıcı, MustafaŞahin, İdrisGökçay Bek, SibelYılmaz, MürvetKoyuncu, SümeyraKarahisar Şirali, SemahatUral, ZeynepDursun, BeldaYüksel, EnverUzun, SamiSipahi, SavaşAhbap, ElbisArtan, Ayşe SerraAltunören, OrçunTunca, OnurAyar, YavuzGök Oğuz, EbruYılmaz, ZülfükarKahvecioğlu, SerdarAşıcıoğlu, EbruOruç, AyşegülAltıparmak, Mehmet RızaAydın, ZekiHuddam, BülentDölarslan, Mürşide EsraAzak, AlperBakırdöğen, SerkanYalçın, Ahmet UğurKaradağ, SerhatUlu, Memnune SenaGüngör, ÖzkanArı Bakır, ElifOdabaş, Ali RızaSeyahi, NurhanYıldız, AlaattinAteş, Kenanhttps://hdl.handle.net/20.500.12933/14302022-10-10T09:16:34Z0013-01-01T00:00:00ZCHARACTERISTICS AND SURVIVAL RESULTS OF PERITONEAL DIALYSIS PATIENTS SUFFERING FROM COVID-19 IN TURKEY: A MULTICENTER NATIONAL STUDY
Gürsu, Meltem; Öztürk, Savaş; Arıcı, Mustafa; Şahin, İdris; Gökçay Bek, Sibel; Yılmaz, Mürvet; Koyuncu, Sümeyra; Karahisar Şirali, Semahat; Ural, Zeynep; Dursun, Belda; Yüksel, Enver; Uzun, Sami; Sipahi, Savaş; Ahbap, Elbis; Artan, Ayşe Serra; Altunören, Orçun; Tunca, Onur; Ayar, Yavuz; Gök Oğuz, Ebru; Yılmaz, Zülfükar; Kahvecioğlu, Serdar; Aşıcıoğlu, Ebru; Oruç, Ayşegül; Altıparmak, Mehmet Rıza; Aydın, Zeki; Huddam, Bülent; Dölarslan, Mürşide Esra; Azak, Alper; Bakırdöğen, Serkan; Yalçın, Ahmet Uğur; Karadağ, Serhat; Ulu, Memnune Sena; Güngör, Özkan; Arı Bakır, Elif; Odabaş, Ali Rıza; Seyahi, Nurhan; Yıldız, Alaattin; Ateş, Kenan
Introduction: We aimed to study the characteristics of peritoneal dialysis (PD) patients with Coronavirus disease-19
(COVID-19), determine the short-term mortality and other medical complications, and delineate the factors
associated with COVID-19 outcome.
Methods: In this multicenter national study, we included PD patients with confirmed COVID-19 from 27 centers. The
baseline demographic, clinical, laboratory, and radiological data and outcomes at the end of the first month were
recorded.
Results: We enrolled 142 COVID-19 patients (median age:52 years). 58.2% of patients had mild disease at diagnosis.
Lung involvement was detected in 60.8% of patients. 83 (58.4%) patients were hospitalized, 31 (21.8%) patients were
admitted to intensive care unit and 24 needed mechanical ventilation. 15 (10.5%) patients were switched to
hemodialysis and hemodiafiltration was performed for four (2.8%) patients. Persisting pulmonary symptoms (n=27),
lower respiratory system infection (n=12), rehospitalization for any reason (n=24), malnutrition (n=6), hypervolemia
(n=13), peritonitis (n=7), ultrafiltration failure (n=7) and in PD modality change (n=8) were reported in survivors. 26
patients (18.31%) died in the first month of diagnosis. The non-survivor group was older, comorbidities were more
prevalent. Fever, dyspnea, cough, serious-vital disease at presentation, bilateral pulmonary involvement, and pleural
effusion were more frequent among non-survivors. Age (OR:1.102; 95%CI: 1.032-1.117; p: 0.004), moderate-severe
clinical disease at presentation (OR:26.825; 95%CI: 4.578-157.172; p<0.001) and baseline CRP (OR:1.008; 95%CI;
1.000-1.016; p:0.040) were associated with first-month mortality in multivariate analysis.
Discussion/Conclusions: Early mortality rate and medical complications are quite high in PD patients with COVID-19.
Age, clinical severity of COVID-19, and baseline CRP level are the independent parameters associated with mortality.
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