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Öğe Combination Therapy of Major Autohemotherapy and Ozonated Bagging in a Case Diagnosed with Buerger's Disease (Thromboangiitis Obliterans)(2023) Unal, Safa; Kaya, Abdulkadir; Ayaslı, Alper Aziz Hudai; Tunca, BekirIt is well known that ozone therapy provides positive results as a complementary method in peripheral obstructive arterial diseases alongside medical treatment. This article presents a case diagnosed with Buerger's disease, where rapid improvement was observed after a combination of major autohemotherapy (AHT) and ozonated bagging.Öğe COVID-19 Course in Patients Receiving Pneumococcal Vaccine(Duzce Univ, Fac Medicine, 2021) Kaya, AbdulkadirObjective: The coronavirus pandemic emerged at the end of 2019 and still affects the whole world, causing severe deaths. The COVID-19 vaccine is highly anticipated, but the emphasis is also given to other vaccines. In this study, the data of 16 cases known having received a pneumococcal vaccine during the COVID-19 period were examined. Methods: Of the 200 COVID-19 cases aged over 65, data of 16 patients who have had pneumococcal vaccination were accessed using the hospital health registry and the national health system records (https://enabiz.gov.tr/). Prognostic factors and COVID-19-related findings of these patients were given in frequency tables. In addition, all raw data were presented in a detailed table. Results: Most of the cases were PCR positive (68.75%), and in 68.75% of the persons, the CT was compatible with COVID-19. Fourteen of the cases were treated by hospitalization. One patient was followed as an outpatient, and one case had already died when brought to the emergency room. Conclusions: Data on cases known to have received the pneumococcal vaccine, which became important during the COVID-19 outbreak, were presented. This work will motivate researchers to conduct large-scale studies.Öğe COVID-19 Hastalarının Kan Gruplarına Göre Hemogram Parametrelerinin Değerlendirilmesi(2022) Gamsızkan, Zerrin; Kaya, Abdulkadir; Tuncel, Mert Can; Işık, Abdullah; Davran, Fatih; Şahin, İdrisAmaç: COVID-19 hastalığı, tüm Dünyada birçok insanın hayatını tehdit ettiğiiçin hastaların laboratuar parametreleri her açıdan incelenmektedir. Kan grupları ve COVID-19 ilişkisi de birçok araştırmada tartışılmıştır. Çalışmamızın amacı, COVID-19 hastalarının kan gruplarına göre hemogram parametrelerini incelemektir. Gereç ve Yöntemler: Çalışmamız, retrospektif olarak tasarlanmış, tanımlayıcı-kesitsel bir çalışmadır. Çalışmada, 01.12.2020-01.02.2021 tarihleri arasında COVID-19 şüphesi ile acil pandemi polikliniğine başvuran hastalar kan grupları ve laboratuar tetkikleri ile değerlendirildi. Bulgular: Çalışmaya toplam 527 hasta dahil edildi. Çalışmaya dahil edilen hastaların %31,1’i (n=164) erkek,%68,9’u (n=363) ise kadındı. Çalışmaya dahil edilen hastaların %51,6’sı (n=272) COVID-19 negatif, %48,4’ü (n=255) ise COVID-19 pozitifti. Hastaların COVID-19 tanıları ile kan grupları arasında anlamlı bir farklılık izlenmedi (p=0,799). Hastaların COVID-19 olma durumu ile Rh faktörü arasında anlamlı bir farklılık izlenmedi (p=0,240). COVID-19 pozitif grupta, lenfosit ve CRP değerlerinde anlamlı farklılık izlenmezken (p>0,05); hemoglobin (p=0,028) ve WBC (p=0,014) değerlerinde anlamlı farklılıklar izlendi. Sonuç: Çalışma sonuçlarında ABO kan grubu ve Rh grubu açısından COVID-19 pozitif ve negatif hastalar açısından anlamlı bir fark olmadığı tespit edildi. Bununla birlikte, AB kan grubu olan PZR pozitif hastaların, WBC ve hemoglobin düzeylerinin diğer kan gruplarına göre anlamlı olarak düşüklük tespit edilmiştir. COVID pozitif hastaların kan grupları ile laboratuvar parametrelerinin ilişkisini açıklayabilmek için ileride yapılacak daha geniş kapsamlı araştırmalara ihtiyaç vardır.Öğe Cupping Therapy and Scientific Basics(2022) Kaya, Abdulkadir; Tasdemır, Lale; Çayır, YaseminCupping therapy is a traditional and complementary medicine practice that has a history of 5000 years and is used in many societies. One of the 15 complementary medicine methods accepted in the Regulation on Traditional and Complementary Medicine Practices published by the Ministry of Health in Turkey is cupping. In this article, cupping therapy application and studies on cupping therapy will be presented.Öğe Effects of the COVID-19 Pandemic on Smoking(Duzce Univ, Fac Medicine, 2021) Gamsızkan, Zerrin; Kaya, Abdulkadir; Sungur, Mehmet Ali; Tuncel, Mertcan; Özdemir, Funda; Baştan, Gizem Gül; Çınar, Alpin DeryaObjective: The aim of this study is to examine the changes in characteristics of smoking habits during the pandemic period. Methods: This study was conducted on the patients who admitted to Duzce University Medical Faculty Smoking Cessation Outpatient Clinic between June 2020 and January 2021 and a control group with similar age, gender, and educational background characteristics. Results: The study group with 165 patients who quit smoking during the pandemic period and the control group with 163 patients were included in the study. It was detected that patients who quit smoking during the pandemic period had attempted to quit smoking significantly less compared to those who continue smoking (p <0.04). The fagerstrom cigarette addiction scale scores of the patients who quit smoking during the pandemic period were found to be significantly lower than the patients who continued to smoke (p <0.001). A significant difference was found between patients who quit smoking during the pandemic period and patients who continued to smoke, in terms of psychological resilience scale total score and all subgroups (p <0.001). Conclusions: The results of our study show that the rate of efforts to quit smoking increased during the pandemic period, because smokers were affected by the negative relationship between COVID-19 and smoking, and more cessation behavior. We suggest that every patient who admitted to health institutions should be questioned in terms of smoking behavior and the psychological resilience of the patients should be evaluated.Öğe Fiziksel Tıp ve Rehabilitasyon Polikliniğine Başvuran Hastaların Geleneksel ve Tamamlayıcı Tıp Yöntemlerini Kullanma Durumları: Kesitsel Bir Araştırma(2023) Samancı, Rumeysa; Sultanoğlu, Tuba; Kaya, Abdulkadir; Ataoğlu, SarfinazAmaç: Fiziksel Tıp ve Rehabilitasyon polikliniğine başvuran hastaların geleneksel ve tamamlayıcı tıp (GETAT) uygulamalarını kullanma durumları sorgulamak ve ayrıca ağrı şikayeti veya romatolojik bir hastalığın bu uygulamaları kullanma durumunu etkileyip etkilemeyeceğini araştırmak amaçlandı. Gereç ve Yöntemler: Bu araştırma, Düzce Üniversitesi Tıp Fakültesi Araştırma ve Uygulama Hastanesi, Fiziksel Tıp ve Rehabilitasyon Polikliniğine 2020 yılı Kasım ayı ile 2021 yılı Nisan ayı arasında başvuran ve araştırmaya katılmayı kabul eden 119 hasta ile gerçekleştirildi. Araştırmada veri toplama aracı olarak; literatür taraması sonucunda araştırmacılar tarafından oluşturulan ve toplam 26 sorudan oluşan anket formu yüz yüze görüşme tekniği ile uygulandı. Bulgular: Katılımcıların %63,6’sı herhangi bir GETAT uygulamalarını duymuştu ve %17,8’i de bu uygulamalarından en az birini yaptırmıştı. GETAT uygulamalarını duyan katılımcılar arasında en çok duyulan GETAT uygulamaları akupuntur (%74,7), hiruidoterapi (%73,3) ve kupa terapi (%62,7) iken GETAT uygulamalarını yaptıran katılımcılar arasında en çok yaptırılan GETAT uygulamaları ise kupa terapi (%71,4), hiruidoterapi (%23,8), fitoterapi (%19) idi. Katılımcıların cinsiyet, ekonomik durum, çalışma durumu, eğitim durumu, medeni durum, ağrı şikayeti ve süresi, kronik hastalık, romatizmal hastalıklar ile GETAT yöntemlerini kullanma durumlarının ilişkisi incelendiğinde sadece kronik hastalık ve fibromiyalji ile GETAT yöntemlerini kullanma durumları arasında istatistiksel olarak anlamlı bir fark bulunmuştur (pÖğe The Increasing Importance of the e-Health System after the COVID-19 Outbreak with New Healthcare Expectations(2021) Gamsızkan, Zerrin; Kaya, Abdulkadir; Sungur, Mehmet AliAim: The health system is undergoing a rapid transformation with the constantly developing world. The Covid-19 pandemic that threatens humanity seems to change the health system as in every field. The study aimed to determine the use of the e-Health system before and after the pandemic and how health services have changed after the pandemic. Methods: The study was designed with a mixed method that includes analysis of qualitative and quantitative data. The quantitative data of the study were collected with the help of a questionnaire before the pandemic. Qualitative data acquisition and analysis were carried out after the pandemic. Results: According to the results of the study, the rate of participants who did not use the e-Health system before the pandemic was 73.5% (n=155). When asked about the reasons for not using the eHealth system; 43.2% of the participants (n=67) stated that they did not need it, 28.4% (n=44) were not aware of the system and 28.4% (n=44) stated that they did not know how to use the system. According to the qualitative data results, five main themes were obtained after the Covid -19 outbreak. The themes were; getting health information and guidance remotely during the pandemic is the best alternative, creating a sense of trust, compliance with the new situation, expectations from the health system in the new period, and expectations for guidance in accessing e-health information. Conclusion: The most important result of this study, the increase in the use of distance health and ehealth, seems to be the framework of the new health service. When the results are read in this context, it can be predicted that a large share of the investments in the field of health will be shifted to digital health systems.Öğe Investigation of incidental findings of temporomandibular joint disorders on brain magnetic resonance imaging in three-dimensional T2-weighted SPACE sequence performed for brain imaging(Baycinar Medical Publ-Baycinar Tibbi Yayincilik, 2024) Samancı, Rümeysa; Ogul, Hayri; Gökce, Ayşe; Kaya, Abdulkadir; Ataoglu, SafinazObjectives: The study aimed to determine the temporomandibular joint (TMJ) findings, to investigate the prevalence contribution of this sequence on cases in which cranial magnetic resonance examination was performed and three-dimensional (3D) T2-SPACE (T2-weighted sampling perfection with application-optimized contrasts using different flip-angle evolutions) sequence was used by retrospectively scanning the magnetic resonance imaging (MRI) archive of our hospital, and to reveal the advantages of the 3D-T2 SPACE sequence in patients with TMJ disorders. Patients and methods: The cross-sectional retrospective study was conducted with 499 patients (289 females, 210 males; mean age: 50.1 +/- 17.7 years; range, 8 to 92 years) who underwent brain MRI and had 3D-T2 SPACE between March 1, 2021 and March 1, 2022. Two radiologists analyzed the TMJs of the subjects included in the study in 3D-T2 SPACE sequences. Results: At least one incidental finding was detected in the TMJ in 37.1% (n=185) of the patients included in our study. In our study, the most common (13.6%) MRI findings were osteoarthritic changes and synovial cysts. Joint effusion (13.2%) and disc displacement (9%) were less frequent. When the relationship between the age of the patients and the presence of incidental findings, degeneration, effusion, disc displacement, and cyst was examined, the age of the patients with incidental findings (p=0.001) and osteoarthritic changes (p<0.001) was statistically significantly higher. Conclusion: Incidental findings, particularly osteoarthritic changes and synovial cysts, can be seen quite commonly in the TMJ in brain MRI using 3D T2-SPACE sequences in the general population. The 3D T2-SPACE sequence provides valuable information in the recognition of TMJ disorders.Öğe The predictive role of laboratory parameters in cardiovascular risk assessment in obese(Lippincott Williams & Wilkins, 2023) Kaya, Abdulkadir; Gamsizkan, Zerrin; Kaya, Nursel; Davran, FatihThe significance of cardiovascular diseases in mortality is indisputable. It is well-established that cardiovascular diseases are more prevalent among individuals with obesity. This study aimed to determine the predictive value of easily accessible hematological and biochemical parameters in assessing cardiovascular risk among obese patients. The study was designed as an observational retrospective. Department of Family Medicine, study was carried out between 25/06/2022 to 30/10/2022. The data of 439 obese patients were analyzed retrospectively. Using the online Heart Score system, the patients were classified into low, medium, high, and very high cardiovascular risk categories. The hemogram and certain biochemistry values of the patients at the time of admission were examined. Receiver operating characteristic (ROC) analyses were conducted to discriminate cardiovascular risk classes based on laboratory values. Markers with high diagnostic value, including a high area under the curve (AUC) value, sensitivity, and specificity, were presented. Significant differences were observed between the groups in terms of age, systolic blood pressure, diastolic blood pressure, total cholesterol, low-density lipoprotein, glucose, HbA1c, hemoglobin, platelet count, neutrophil (NEU) count, and platelet-lymphocyte ratio parameters (P < .05). The white blood cell count and NEU count of patients in the high-risk groups were found to have significantly higher AUC values compared to the moderate-risk group (AUC values of .737 and .779, respectively). The white blood cell and NEU parameters were found to have a positive predictive value in estimating the degree of cardiovascular risk. These parameters can potentially serve as biomarkers in identifying individuals at high risks for cardiovascular diseases.Öğe Significance of laboratory parameters in diagnosing acute appendicitis during pregnancy(Wiley, 2022) Peksöz, Rıfat; Dişçi, Esra; Kaya, Abdulkadir; Ağırman, Enes; Korkut, Ercan; Aksungur, Nurhak; Altundaş, NecipBackground Acute appendicitis (AA) is the most frequently seen surgical emergency in pregnant women and the most frequently encountered cause of non-obstetric acute abdomen. Due to the physiological and anatomical changes that occur during pregnancy and the limited use of radiological methods, it is difficult to diagnose AA during pregnancy. These conditions increase the risk of morbidity and mortality; therefore, it is crucial to identify ideal laboratory markers that can be utilized to diagnose disease. Methods One hundred and ten pregnancies that fulfilled the inclusion criteria for AA diagnosis were retrospectively analysed between 2010 and 2021. Markers with high diagnostic values were discussed. Results The patients were divided into three groups as follows; Group I: negative appendectomy (n = 19); Group IIa: uncomplicated appendicitis (n = 59); Group IIb: complicated appendicitis (n = 32). There was no statistically significant difference in mean age or gestational week (P > 0.05). Group IIb had a higher rate of complications and a longer length of hospital stay (P < 0.05). There were significant differences between the groups in terms of white blood cell (WBC), neutrophil, neutrophil-to-lymphocyte ratio (NLR), platelet-to-lymphocyte ratio (PLR), C-reactive protein, lymphocyte-to- C-reactive protein ratio, total, direct, and indirect bilirubin values (P < 0.05). While platelet and lactate dehydrogenase (LDH) values did not differ substantially between groups, both were found to have a high diagnostic value. Conclusion It was concluded that WBC, neutrophil, NLR, PLR, total, direct and indirect bilirubin levels could be utilized to diagnose AA. Moreover, levels of WBC, neutrophil, NLR, platelet, PLR, LDH, total, direct and indirect bilirubin can be utilized to diagnose complicated appendicitis.Öğe The Use of Predictive Laboratory Tests in Rapid Triage of COVID-19 Pandemic Outpatient Clinic Patients(Clin Lab Publ, 2022) Gamsızkan, Zerrin; Kaya, Abdulkadir; Davran, Fatih; Çalışkan, Emel; Ünlü, Elif Nisa; Ünal, SafaBackground: Patients who come to the emergency pandemic outpatient clinic with a pre-diagnosis of COVID-19 are still a burden on the health system. Rapid triage of patients is important to reduce transmission. The aim of this study is to evaluate the biochemistry and hemogram results of real-time reverse transcription-polymerase chain reaction (RT-PCR) positive and negative patients in the emergency pandemic outpatient clinic and to investigate predictive values of the initial tests that will help to make rapid diagnosis. Methods: Patients who applied to the emergency pandemic outpatient clinic with the suspicion of COVID-19 be-tween November 01, 2020 and January 01, 2021 were evaluated with RT-PCR and laboratory examinations. Results: A total of 551 patients were included in the study. The mean age of the patients was 50.31 +/- 18.47 (min. 18 - max. 94), and 47.2% (n = 260) of the patients included in the study were male and 52.8% (n = 291) were female. In the comparison of hemogram parameters, we found that mean platelet volume (MPV) was significantly higher (p = 0.023), whereas white blood cell (WBC), platelet counts (PLT), lymphocyte and neutrophil values were significantly lower in RT-PCR positive patients (p < 0.001). There were no significant differences between the PCR positive and negative patients in terms of other parameters. In the comparison of biochemical parameters, we found that lactate dehydrogenase LDH (p = 0.001), creatinine (p = 0.002), and AST (p < 0.001) values were significantly higher in PCR positive patients, while there were no significant differences in terms of other biochemical parameters (p > 0.05). Conclusions: Our study results show that the practical quick-look hemogram and MPV can be used as a specially evaluated parameter in the rapid management of the first application COVID-19 patients. In addition, biochemically high levels of LDH and creatinine can be used to guide the clinician in terms of early hydration of the patient with a pre-diagnosis of COVID-19 to alleviate acute kidney damage.Öğe Yaşlı Bireylerin Kronik Hastalık Sayıları ile Aile Hekimliğine Başvurularının İncelenmesi: Tek Birimlik Retrospektif Çalışma(2022) Kaya, Abdulkadir; Gamsızkan, ZerrinAmaç: Bu çalışmanın amacı, bir aile hekimliği birimine kayıtlı 65 yaş üstü bireylerin kronik hastalık sayıları ve aile hekimine kronik hastalık ilişkili başvuru sıklığını incelemektir. Yöntem: Çalışma retrospektif olarak tasarlanmış olup, 2013-2020 yılları arasında bir aile hekimliği birimine kayıtlı 65 yaş üstü hasta verileri taranmıştır. Çalışmada hastalar; yaş, cinsiyet, aile hekimliği birime tüm başvuruları, yıllık başvuru sayıları, kronik hastalık sayıları açısından incelenmiştir. Bulgular: Çalışmaya 456 hasta dâhil edildi. Hastaların %55,7’si (n=254) kadın, %44,3’ü (n=202) ise erkekti. Hastaların yaş ortalaması 73,24±6,47 olarak hesaplandı. Dört yüz yirmi hastada en az bir kronik hastalık tanısı varken, 36 hastada kronik hastalık tanısı yoktu. Hastaların bu aile hekimliği birimine ortalama 7,28±2,21 yıldır kayıtlı oldukları görüldü. Hastaların %85,7’si (n=391) son 1 yıl içinde en az bir kere başvurmuşken, %1,8’i (n=8) hiç başvuru yapmamıştı. Kronik hastalık sayısı ile yıllık ortalama başvuru sayısı arasında pozitif yönde anlamlı orta derecede korelasyon izlendi (p<0,001; r=0,422). Kronik hastalık sayısı ile toplam başvuru sayısı arasında pozitif yönde anlamlı kuvvetli korelasyon izlendi (p<0,001; r=0,687). Sonuç: Altmış beş yaş üstü bireyler, sahip oldukları kronik hastalıkları ile orantılı olarak sağlık hizmeti talebi ile aile hekimliği birimine sık ve düzensiz başvuru yapmaktadırlar. Aile hekimlerinin 65 yaş üstü bireylere kronik hastalıklarının düzenli takibi açısından rehberlik etmesi gerekmektedir