Acta Medica Alanya Koleksiyonu
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Öğe Osteoporosis and Fragilty Fractures: An Overview.(2022) Aslan, AhmetOsteoporosis (OP); It is a metabolic bone disease characterized by decreased bone mineral density (BMD) and bone strength, increased bone fragility and fracture risk, and deterioration in the microarchitecture of bone tissue. The most important cause of morbidity and mortality in OP are fragility fractures such as osteoporotic hip fractures. Prevention and treatment of osteoporosis can prevent hip fractures and comorbidities. In this paper, the available information about Osteoporosis and Osteoporotic fractures is briefly reviewed.Öğe Trend topics in prestigious and popular medical journals: The effect of Covid-19.(2020) Öncel, Can Ramazan; Aslan, AhmetMedical journals keep a critical role for reflecting on how clinical trials have evolved while researchers manage to overcome many challenges. 2020 will be the year of coronavirus for medical publications. As of 2020, The Covid-19 has announced as a pandemic viral disease by the World Health Organization. As of october 2020, when you search for ‘’Coronavirus-Covid-19’’ in pubmed; more than 40,000 results have already found their place in literature. Now we will try to review how relevant are the prestigious and popular medical journals on this topic.Öğe Investigation of the Endothelial Response of the Super Elastic Braided Stent: An Experimental Evaluation(2020) Karahan, Oguz; Ocal, Naci; Anteplıoglu, Tugce; Hafız, Erhan; Khalıl, EmcedAim: This study aimed to experimentally investigate the vascular biocompatibility of the new super elastic braided stents and ultrasonographically follow up the mid-term outcomes on the blood flow of stent-implanted vessels. Method: After designation of the study steps, stents were implanted into the iliac arteries of two ewes. The preoperative and postoperative blood flow and local findings were noted. The ewes were inspected periodically for abnormal body changes, and the stent-implanted vessels were checked with Doppler ultrasonography. The subjects were sacrificed at six months, and the iliac arteries were examined histopathologically. Results: During follow up an occlusive pattern was not observed in the stentimplanted vessels. The histopathological analysis revealed that both two stent area had no significant neointimal hyperplasia, despite sufficient re-endothelisation at the stent surface. Occlusive or stenotic patterns were not detected in both macroscopic and microscopic findings. Conclusion: According to the mid-term findings, our results show that the new super elastic bare stents have good vascular biocompatibility with high patency rates.Öğe Evaluation of exposure and awareness of radiation in healthcare professionals exposed to ionizing radiation(2020) Uçar, Murat; Akkoç, Ali; Topçuoğlu, Murat; Öztürk, Sefa Alperen; Demir, MuratAim: To evaluate radiation exposure and awareness of radiation in healthcare professionals exposed to ionizing radiation. Material and Methods: The study was carried out at the Alanya Alaaddin Keykubat University Training and Research Hospital and the Süleyman Demirel University Hospital. Physicians, nurses, paramedics, anesthesia technicians, caregivers and cleaning staff exposed to radiation, participated in the study. An inquiry form was prepared to carry out the study, in which the demographic characteristics of the healthcare professionals, the characteristics related to the radiation they were exposed to, the effects that may occur due to this exposure were asked; the relationship between these was statistically analyzed according to the answers. Results: One hundred twenty-nine healthcare professionals, 81 men and 48 women, participated in the study. Most of the healthcare professionals exposed to radiation have been working for more than 10 years and at a distance of less than 3 meters to the radiation source. Thirty-two of the participants (24.8%) did not use any personal protective equipment. On the day of exposure to radiation, 91 persons (70.54%) were experiencing symptoms such as weakness, fatigue, and headache, unlike other days. It was determined that personal protective equipment use did not correlate to education levels and radiation training background. Conclusion: Most of the healthcare professionals exposed to radiation have not previously received any training on radiation and do not use personal protective equipment regularly. This situation causes these persons to complain of weakness, tiredness or headaches at the end of the day.Öğe The Effects of Tumor Localization on Small Cell Lung Cancer and its Association With Prognosis(2022) Bulut, Sertan; Çelik, DenizIntroduction: Lung cancer is classified as small-cell lung cancer (SCLC) and nonsmall cell lung cancer (NSCLC), both as pathological subtypes. SCLC is associated with a significantly short life expectancy, and it constitutes 10-15% of all lung cancers. Previous studies showed that lung cancer is mostly dominated by the upper lobe and is more common in the right lung than in the left. The principle aim of this study is to analyze the localization of the tumor in the right and left lung in aggressive and malignant SCLC patients by comparing it with determinants such as anatomical features, demographic features, laboratory features, including the association with peripheral-central localizations, especially overall survival. Methods: There were four hundred forty-six lung cancer patients diagnosed in a chest diseases clinic in a tertiary training and research hospital between 2014-03-31 and 2020-03-31. Of these, twenty percent (n=90) were diagnosed as SCLC. Among ninety patients, six were excluded from the study due to incomplete medical SCLC records, and finally, eighty-four patients with SCLC were included in the study. Results: We classified eighty-four patients into two groups as right and left lung localized SCLC and analyzed all the data. We found that the left lung tumor group had the more extensive-stage disease and had significantly high CRP levels (p=0.027, p=0.045, respectively). When we analyzed the data, such as demographic characteristics, diagnostic methods, overall survival, treatment characteristics, stage characteristics, anatomical features of the right and left tumor groups, we found that there were no significant differences. We used univariate and then multivariate analysis for survival. We found that being sixty-five years old and over (p=0.014), high CRP levels (p=0.016), having centrally localized tumors (p=0.01), having poor performance status (p<0.0001), and having no treatment for primary cancer (p=0.001) were associated with worse survival. Conclusion: Primary treatment of SCLC patients should start promptly. We found that the central location of the tumor as anatomical localization may be associated with worse survival and that the left lung tumor group had the more extensive-stage disease, with significantly high CRP levels. Being sixty-five years old and over, high CRP levels, having poor performance status and having no treatment for primary cancer, were all significantly associated with worse survival.Öğe Increased Cesarean-Section Birth Rates and Affecting Related Factors(2021) Deniz, AlparslanAim: The present study aims to evaluate the opinions of physicians on increased C-section delivery rates and their coping ways working at different institutions. Method: This descriptive, cross-sectional study included a total of 200 obstetricians and gynecologists with an experience of at least 20 years chosen through simple random sampling among registered in the Republic of Turkey, Ministry of Health da-tabase. In the questionnaire, their opinions about test exams and their opinions about solutions to decrease C-section rates were investigated.Results: The majority of the participants (89.0%) responded “Strongly Agree” to the following item: “Factors other than medical causes may affect the decision for C-sec-tion”. Similarly, the majority of the physicians responded “Strongly Agree” to the item on the increase in C-section rates along with malpractices and social pressure put by the patient and her relatives(89.0% and 89.5%, respectively). For the majority of the participants (84.0% and 85.0%, respectively), the main suggestions to overcome the increased C-section delivery rates was to lower; social pressure put against the physicians by the patient and her relatives, and removal of malpractice penalties re-latedfor possible adverse outcomes during normal delivery. In this study, the majority of the physicians responded “Strongly Disagree” to the items related to the imposing penalties and granting bonuses (56.0% and 56.5%, respectively). Similarly, 81.0% of the physicians responded “Strongly Disagree” to the item stating that healthcare planners correctly interfere with the main cause of increased C-section rates.Conclusions: The most important reasons for the high cesarean rates are seen as the fear of malpractice and social pressure of physicians working in both public and private sectors.Öğe Thoracic outlet syndrome: efficiency of surgery(2020) Aslaner, OktayAim: In this study, we aimed to evaluate the effectiveness of surgical treatment in patients diagnosed with thoracic outlet syndrome. Patients and Methods: This study was conducted by analyzing the age, sex, occupational distribution, anamnesis and physical examination findings, symptoms, preoperative examinations, operation findings, postoperative complications, postoperative hospital stay and operation results of thirty seven patients who were diagnosed with Thoracic Outlet Syndrome, and were operated on between 1991 and 2004. Results: Most of the patients were in the 15-35 age group (72.97%) and female (91.9%). Most of these cases were housewives (51.4%). The most common symptoms were pain (94.6%) and numbness (78.4%). The most commonly used test in physical examination was the Adson test, which provided an 86% positive rate. The most common pathology encountered in radiological tests was cervical rib anomaly (37.8%). It was found that EMG of upper extremity supported TOS with a rate of 48.6% and arterial doppler of upper extremity supported TOS with a rate of 13,5%. We applied first rib and cervical rib resection scalenectomy and cutting of fibromuscular bands as a surgery by transaxillary approach. A 78.4% complete recovery was observed in the early period after surgery and there was no mortality in any of the cases. Conclusion: In this study, the results were satisfactory in TOS patients on suitable cases and with good surgical technique. Surgical success rate can reach up to 97%.Öğe What is gray literature and how to search for it(2020) Çalış, Hasan; Aslan, AhmetThe term gray literature refers to printed and/or electronic research that has either been published or remains unpublished, in non-commercial form. Many systematic reviews and meta-analysis do not include gray literature sources and studies published in languages other than English. Their inclusion increases accuracy and can reduce systematic errors. It is very important to include gray literature in the screening of sources while conducting scientific studies, in order to obtain evidence-based results. The Acta Medica Alanya journal includes gray literature, in particular in its compilation and editorial writings, and supports citing articles from our country, including those written in Turkish, in its research articles.Öğe Correlation Between Suicidal Behavior and Depression, Anxiety, Stress Levels and Sociodemographic Characteristics in University Students(2025) Karakuş, Kadir; Uygur, Abdullah Burak; Celik, Selime; Al, Ahmet; Gölgeli, Umut; Öz, Ali EmreAim: Studies conducted on university students have reported high levels of depression, anxiety and stress as well as suicidal thoughts and suicide attempts. This study aimed to determine the correlation between suicidal behavior and depression, anxiety, stress levels and sociodemographic characteristics in university students. Method: Participants who agreed to participate in this online study were asked to fill in the sociodemographic data form and the Depression Anxiety Stress Scale-21 (DASS-21). Among the 530 participants, 517 (97.6%), having read information about the study, agreed to participate, while 13 (2.4%) declined. Results: In this study, 36% of the participating university students had a history of major suicidal ideation, 6.4% currently experienced major suicidal ideation and 14.7% had attempted suicide. Depression, anxiety and stress scores were found to be higher in university students who had attempted suicide or currently experienced major suicidal ideation compared to those who had/did not (p?0.001). With regard to sociodemographic factors; perceived and actual academic performance levels, socioeconomic status, current dieting status, sleep problems, smoking, daily time spent online, chronic diseases, and past or current psychiatric treatment were found to be common risk factors for both current major suicidal ideation and suicide attempt status (p?0.05). Conclusion: Having found high levels of depression, anxiety and stress among university students in this study, we consider that it is necessary to investigate the factors associated with suicidal ideation and suicide attempts, and that comprehensive psychosocial support units and programs should be developed to protect students' mental health and reduce risk of suicide.Öğe A Rectovaginal Fistula Treated by Ligation of Intersphincteric Fistula Tract Method(2018) Çalış, Hasan; Özlem, NuraydınRectovaginal fistulas are epithelial-lined communications between the rectum andvagina. A number of surgical options are available for patients with rectovaginal fistulas.In this manuscript, a case having rectovaginal fistula and treated by ligation ofintersphincteric fistula tract method was presented.Twenty-seven years old woman had low settled rectovaginal fistula. We decided tooperate like an anal fistula and we performed ligation of intersphincteric fistula tractmethod. The patient was followed postoperatively for 3 months and she had no complaint.As much as we know, this is a rare case in the literature who was performedligation of intersphincteric fistula tract method.Öğe Lipid lowering and additional pleiotropic effects of statins(2025) Çoner, Ali; Aslan, AhmetStatins are among the most commonly prescribed drugs worldwide today. They are primarily effective in primary and secondary prevention of cardiovascular diseases with their cholesterol-lowering properties. Recent studies have reported that statin derivatives have positive outcomes in different clinical conditions with different mechanisms, in addition to their lipid-lowering effects. In this paper, we aimed to discuss the pleiotropic effects of statins in addition to their protective effects in cardiovascular practice.Öğe Is diabetes mellitus associated with malnutrition in patients in intensive care unit? Diabetes and malnutrition(2020) Zerman, Avşar; Keşkek, Şakir ÖzgürAim: Types of diseases and treatment modalities can also lead to the exacerbation of malnutrition. The aim of this study was to investigate nutritional status of patients with diabetes mellitus in the intensive care unit of a tertiary hospital. Materials and methods: One hundred and ninety-two patients were enrolled and divided into two groups. The study group comprised of 77 patients with type 2 diabetes and the control group comprised of 115 patients without diabetes. The nutritional risk assessment was tested with NRS (Nutritional Risk Screening) 2002, Nutric score, MNA (Mini-Nutritional Assessment) and MUST (Malnutrition Universal Screening Tool). Results: The groups were comparable according to the NRS 2002 (3.37 ± 1.84 vs. 3.93 ± 1.72, p = 0.075), Nutric score (4.61 ± 1.85 vs. 4.56 ± 1.85, p = 0.869), MNA (8.0 ± 3.1 vs. 7.1 ± 3.2, p = 0.068) and MUST score (1.62 ± 1.46 vs. 1.81 ± 1.59, p = 0.456). Conclusion: In this study, the risk of malnutrition is comparable in both groups. This result may suggest that malnutrition is also related to co-morbidities in addition to diabetes.Öğe Structures of Cytoskeleton and Disease Interactions(2019) Melekoglu, Abdullah; Karahan, OguzResearchers reported different basics for different kind of diseases with advancedtechnology. Meanwhile, investigators are focused on to clarify the interactions ofbasic cellular mechanisms recently. Therefore, cytoskeletal researches are gain importance due to this tendency. The cytoskeletal structures are responsible for interconnects between cell nucleus, cytoplasm and also extracellular matrix, whereby itcreate a communication link between cellular molecules and signalization transport.The cytoskeleton is constructed from three kinds of protein filaments as: actin filaments, intermediate filaments, and microtubules. The nature of these structures isbriefly outlined and the literature review that is reporting relationship between cytoskeleton components and common disorders is presented in this paper.Öğe Research Dynamics and Future Directions in the Field of Musculoskeletal Conditions: A Bibliometric Perspective(2025) Koçak, Murat; Korkusuz, Feza; Aslan, AhmetMusculoskeletal conditions (MSKs) are among the leading causes of disability worldwide. This puts a lot of pressure on public health and social care systems. Bibliometric studies give researchers a pretty good overall understanding of this area, which is always evolving, and they offer some valuable insights for future investigations. The bibliometric perspective highlights the importance of collaboration. It also highlights the importance of targeted research. These are both important to improve the quality of life of MSK patients.Öğe Case Report: Tetris Ball In The Left Atrium(2025) Ayhan, Selçuk; Altun, UğurA free-floating ball thrombus in the left atrium is a rare and serious medical problem that can cause fatal systemic emboli or block the flow of blood into the left ventricle, which usually ends in sudden death.This report discusses a case of a significant left atrial thrombus that was found to be free-floating in an enlarged left atrium. A 73-year-old male, who had experienced a cerebrovascular infarction and hemorrhage five days earlier, along with a history of chronic atrial fibrillation, was referred to the cardiology department to investigate the embolic cause. A transthoracic echocardiogram identified a free-floating ball thrombus. Thrombolytic therapy was not recommended because there were areas of bleeding within the cerebrovascular infarction and the patient had a high risk profile The individual, with several comorbid conditions, a Glasgow Coma Scale score of 8, and right-sided hemiplegia, was classified as high-risk by the cardiovascular surgery team. In spite of the potential for bleeding complications, treatment with warfarin and unfractionated heparin was started. Subsequent evaluations indicated that the thrombus did not diminish in size. We lost our patient due to progressive heart failure and cardiogenic shock while anticoagulant treatment was continuing. As a result, in such cases, it is important to determine the treatment according to the patient's general condition, glaskow coma score, embolization and the risk of fatal bleeding.Öğe Pediatric Thoracic and Lumbar Spinal Fractures(2025) Özkal, Birol; Turgut, KursadAim: Vertebral body fractures in childhood are rarely observed and differ from those in adults due to incomplete ossification. There is no guideline for the management of pediatric thoracolumbar spinal fractures. The aim of this study is to examine the epidemiological data of our pediatric patients treated for thoracic and lumbar vertebral fractures and to contribute to the decision-making processes regarding the diagnosis and treatment of these patients. Methods: Patients under 16 years of age who were admitted to the emergency department of Alanya Education and Research Hospital with a history of spinal trauma and diagnosed with thoracic and lumbar vertebral fractures between 2016-2023 were included. Our study included patients whose demographic data, causes of trauma, diagnostic tests, and treatments were accessed using the hospital's clinical database. Results: Among 154 patients admitted to our hospital with a diagnosis of spinal trauma, 21 patients who met the inclusion criteria were included in the study. Thirteen patients had a single vertebral body fracture, five had fractures in two vertebral bodies, and three had pars fractures leading to traumatic spondylolisthesis. Four patients underwent surgery due to vertebral fractures. Conclusion: The pediatric spine's biomechanical structure and self-healing ability differ from adults. Pediatric spinal traumas are important pathologies that need to be studied due to their rarity, difficulty in diagnosis, lack of experience in treatment, and potential complications that may develop in the long term.Öğe Quartile scores of scientific journals: Meaning, importance and usage(2020) Asan, Ahmet; Aslan, AhmetThe Q scores of scientific journals are an analytical tool that determines the ranking of journals based on their own scientific group and impact factor. It shows the rankings of the journal within its own group and it is a useful guide for researchers in the selection of the journal, however it should be used with caution in academic career advancement. Quartile scores may vary according to the scientific categories. The Q scores of a journal briefly show the 25% quantile resulting from quartered the number of journals in the area where the journal is placed. The first quartile has the top 25% of the journals and gets the Q1 score and the last quartile gets Q4 score. And so, the second 25% slice takes Q2 score and the third 25% slice takes Q3 score.Öğe Investigation of Tobacco and Tobacco Product Use and Nicotine Dependence Level of Physicians(2025) Sarıkan, İsmail; Tüter, Sibel; Şengül, Merve TürkegünAim: The World Health Organization called tobacco use a \"tobacco epidemic\" and identified it as the number one preventable cause of death. This study aimed to investigate the tobacco product use and dependence levels of physicians who are role models for society. Methods: The study was conducted with physicians working at Alanya Research and Training Hospital using an online survey between March and September 2024. Sociodemographic data, tobacco product use status, nicotine dependence levels, and attitudes toward quitting smoking among physicians were questioned. Their dependence levels were measured with the Fagerstrom Test for Nicotine Dependence. Results: A total of 218 physicians participated in the study, 61.5% of whom were male, and 38.5% were female. While 63.30% of the participants were under the age of 40, 51.4% were married, and 48.6% were single. The rate of men using tobacco products (37.6%) was higher than that of women (13.3%). The difference between the rates of men (25.5%) and women (64.3%) who quit tobacco products was statistically significant. The relationship between marital status and tobacco product use was statistically significant (p=0.039). Nicotine dependence levels were higher in the participants over 50 years of age than in those under 30 years of age. Conclusion: The tobacco product use frequency of the physicians who participated in this study was similar to the frequency in the general population. Raising awareness among physicians about the harms of tobacco use before and after their graduation may contribute to reducing their frequency of tobacco product use.Öğe An under-diagnosed caused of myocardial infarction: Coronary embolism(2025) Öncel, Can Ramazan; Türk, Recep; Köseoğlu, CemalThe coronary embolism (CE) is a rare cause of acute coronary syndrome (ACS). The most common cardiovascular disease linked to coronary embolism is atrial fibrillation (AF). Despite the acknowledgment of the entity, it is regarded an under-diagnosed cause of ACS, and there is uncertainty over the short and long term prognosis of these patients. In this case report, we aimed to provide information about the diagnosis and treatment process of a patient who presented with acute inferior myocardial infarction caused by coronary embolism.Öğe Adolescent Idiopathic Scoliosis: Current Approaches and Treatment Options(2025) Özkal, Birol; Dirlik, Günbay NoyanAdolescent idiopathic scoliosis (AIS) is a spinal deformity that emerges during adolescence and may progress over time. Although its exact etiology remains unclear, it is thought to involve a complex interplay of genetic, neurological, and developmental factors. Early diagnosis and regular follow-up are crucial determinants of disease progression and treatment success. Treatment approaches are tailored based on the degree of curvature and skeletal maturity, ranging from observation to bracing and surgical intervention. Particularly in individuals undergoing growth, consistent and effective use of braces is critical to prevent curve progression. Surgical treatment is preferred in cases with severe curvatures to correct the deformity and halt its advancement. The many unknowns surrounding the pathogenesis of AIS underscore the importance of continued research in this field. Advances in diagnostic techniques and innovative treatment strategies may offer more effective and lasting solutions. Current literature emphasizes the significance of personalized treatment planning and a multidisciplinary approach. There remains a continuing need for future research in the fields of genetics and biomechanics. Although artificial intelligence has made significant progress, it is not yet sufficiently functional for routine clinical use and requires further development.
