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Öğe Associations between night eating syndrome and metabolic parameters in pregnant women(Galenos Yayincilik, 2019) Deniz, Cigdem Damla; Ozler, Sibel; Sayin, Fatma Kubra; Eryilmaz, Mehmet AliObjective: In this study, we aimed to evaluate the incidence of night eating in pregnancy and the relationship between night eating scores and nutritional status, insulin resistance, and lipid profile in pregnant women. Materials and Methods: In this study, 148 pregnant women who presented to the Gynecology and Obstetrics Clinics at Konya Training and Research Hospital in Konya were divided into two groups according to their night eating scores. These two groups were compared in terms of their nutritional attitudes and metabolic parameters. Results: Comparisons of participants meeting night eating syndrome (NES) scores versus women without NES indicated that patients with NES exhibited fever hunger at breakfast time, more breakfast skipping (p<0.05) than those without NES. Also homeostatic model assessment insulin resistance, insulin, and high-density lipoprotein cholesterol parameters were significantly higher in pregnant women in the NES group (p<0.05). Also, correlations were found between higher night eating questionnaire total scores and higher HbA1c, insulin resistance, insulin, and more breakfast skipping. Conclusion: The results of this study suggest that night eating symptoms during pregnancy may increase and this is able to effect glucose metabolism.Öğe Effectiveness of Superb Microvascular Imaging for the differentiation of intraductal breast lesions(Soc Romana Ultrasonografe Medicina Biologie-Srumb, 2018) Bakdik, Suleyman; Arslan, Serdar; Oncu, Fatih; Durmaz, Mehmet Sedat; Altunkeser, Aysegul; Eryilmaz, Mehmet Ali; Unlu, YasarAims: The aim of this study was to compare the diagnostic performance of superb microvascular imaging (SMI) and power Doppler imaging (PDI) for the differentiation of intraductal breast lesions. Materials and methods: A total of 54 intraductal breast lesions (39 benign, 10 atypical, and 5 malignant) in 53 patients were examined using B-mode ultrasonography, PDI, and SMI. Vascularity grading, distribution of microvessels, and penetrating vessels were evaluated using each Doppler technique. The diagnostic performances of both methods were compared. Results: SMI was more efficient in detecting flow signals than PDI (p=0.004). The highest diagnostic accuracy rates were achieved with SMI using vascular grading. When hypervascularity was used as a cut-off value to differentiate malignant and atypical lesions from benign lesions, the sensitivity, specificity, positive predictive value, negative predictive value, and accuracy were 66.6%, 80.7%, 66.6%, 80.7%, and 75.6% for PDI, and 86.6%, 76.9%, 68.4%, 90.9%, and 80.4% for SMI, respectively. Conclusions: SMI is more sensitive than PDI for detecting subtle blood flow in intraductal breast lesions with statistical significance. This novel and promising vascular imaging technique may be helpful in B-mode ultrasonography to distinguish intraductal breast lesions.Öğe Evaluation of 25-Hydroxyvitamin D Levels in Central Anatolia, Turkey(Hindawi Ltd, 2018) Solak, Ibrahim; Cihan, Fatma Goksin; Mercan, Seher; Kethuda, Tugba; Eryilmaz, Mehmet AliBackground/Aim. The aim of this study is to evaluate serum 25-hydroxyvitamin D levels measured within one year at an Education and Research Hospital in Turkey to identify vitamin D insufficiency/deficiency (which is very commonly seen in the society) and to provide a current approach to treatment management. Materials and Methods. This retrospective descriptive study was carried out by examining the data relating to 35,667 individuals. Results. Of the individuals participating in the study, 94.47% had a serum 25-hydroxyvitamin D level less than 30 ng/ml, 76.25% had a serum 25-hydroxyvitamin D level less than 20 ng/ml, and 32.20% had a serum 25-hydroxyvitamin D level less than 10 ng/ml. The mean serum 25-hydroxyvitamin D level of all individuals included in the study was 15.2 +/- 8.8 ng/ml. The mean serum 25-hydroxyvitamin D level was 14.5 +/- 8.8 ng/ml among women and 18.1 +/- 8.4 ng/ml among men, respectively (p<0.001). Conclusion. Vitamin D deficiency/insufficiency is widespread in the world and in Turkey. The data obtained from this study suggest that without measuring serum 25-hydroxyvitamin D level will be cost-effective in every age group (except for those are at risk of toxicity) as in children aged 0-1 year old in Turkey and that making a decision in this direction will make a great contribution to the economy of the country.Öğe EVALUATION OF GERIATRIC PATIENTS ADMITTED TO THE EMERGENCY DEPARTMENT DUE TO A TRAFFIC ACCIDENT(Gunes Kitabevi Ltd Sti, 2017) Mesin, Mehmet Zahid; Cihan, Fatma Goksin; Pekgor, Selma; Kutlu, Ruhusen; Eryilmaz, Mehmet Ali; Koylu, RamazanIntroduction: The aim of this study was to evaluate patients aged 65 years and older who were admitted to hospital due to a traffic accident through the last year retrospectively. Materials and Methods: The study included 204 elderly patients admitted to the emergency department of Konya Training and Research Hospital due to a traffic accident between 1st November 2014 and 30th October 2015. The socio-demographic characteristics, accident stories, and treatments of these patients were examined. The data were analyzed by statistical tests. Results: Of the patients, 64.7% (n = 132) were male and 35.3% (n = 72) were female. The traffic accidents occurred most frequently in the spring and summer time (p < 0.001). During winter months, the accidents occurred between 06.00 and 11.59 hours at most, but in other seasons they occurred between 12.00 and 17.59 hours more frequently (p < 0.001). Of the admitted patients, 4.4% (n = 9) lost their lives and 6.9% (n = 14) were hospitalized at the intensive care unit. While 56.4% (n = 115) of the patients were discharged from the emergency department by recovery, 43.6% (n = 89) of the patients were referred to 17 different clinics. Injuries were sustained to one or more parts of the body in 93.1% (n = 190) of the patients. The patients with head trauma had the highest mortality (p. 0.001). Conclusion: New strategies are needed to prevent traffic accidents and to treat geriatric patients more effectively after a traffic accident.Öğe Functional status, depression, and quality of life in female patients with postmastectomy lymphedema(Springer Wien, 2024) Varman, Busra; Yilmaz, Halim; Eryilmaz, Mehmet Ali; Mustu, Yurdagul Bahran; Varman, AlperBackgroundThis study aimed to evaluate QOL in female patients who had developed lymphedema (LE) following unilateral breast cancer surgery and investigate its relationship to shoulder pain, sleep and depression.MethodsA total of 69 female patients who had undergone unilateral mastectomy because of breast cancer and had been diagnosed with LE and 69 healthy controls were included in the study. While the QOL of participants was evaluated by the Short Form-36 (SF-36), depression levels were determined by the Beck Depression Inventory (BDI) and quality of sleep was evaluated by the Pittsburgh Sleep Quality Index (PSQI). Shoulder pain on the operated side in the patient group was appraised by the visual analogue scale (VAS).ResultsThis study revealed that LE patients had increased levels of depression, sleep disorders, and arm pain, while a decrease was found in the level of upper extremity functions and QOL. Therefore QOL, depression, and sleep disorders should be investigated in detail alongside upper extremity problems in the diagnosis and follow-up of patients with postmastectomy LE.ConclusionPostmastectomy LE causes chronic pain and depression and impairs patients' functionality and QOL.Öğe Is the increase in the number of pilonidal sinus surgery normal?(Aves, 2010) Karahan, Omer; Eryilmaz, Mehmet Ali; Torun, Veli; Sevinc, Baris; Koksal, Hande; Aksoy, Faruk; Ay, SerdanPurpose: We have noticed the increase in pilonidal sinus operations (PSO) and performed this study to determine the extent of this change and if there is a difference between the number of pilonidal sinus surgery and outpatient and inpatient numbers. Material and Method: We scanned PSO, which was performed in three hospitals [medical faculty hospital (MFH), education and research hospital (ERH) and state hospital (SH)] in the same city, in the last 10 years between 1999 and 2008. We have determined the yearly distribution of cases, total number of operations performed, number of general surgery operations (GSO) at the same period and changes in staff of general surgery clinics. We reviewed the number of outpatients, inpatients and the middle group surgical procedures containing PSO as well, performed at the whole city and the country in the last 10 years. Results: The number of PSO was 234 and the number of GSO was 7.728 at MFHs in the first 5 years. These numbers were 259 and 10.384 in the second period, respectively. The increase was 11% for PSO and 72% for GSO. The increase in PSO was lower than GSO. In ERH there were 506 PSOs in the first 5 years and 760 PSOs in the second 5 years. The number of GSO had increased from 11.563 to 11.452 in the second 5 years. There was a 1% decrease in the number of GSOs, whereas the number of PSOs increased by 50% (p<0.001). The number of PSOs performed in SHs increased from 353 to 1.224, by 247%. Also, the number of GSO increased from 10.215 to 15.595, by 53%. The increase in the number of PSOs in two hospitals (ERH and SH) was statistically significant (p<0.001). The number of PSOs was 246 in 2005 and it became 1.341 in 2008, with an increase of 439% at the whole city. Considering Turkey, the number of PSOs performed was 12.415 in 2005 and it increased to 54.633 (340%) in 2008. Conclusion: There is a rapid increase in the number of PSOs performed at the state hospitals in Konya and all around Turkey. Absolute reasons for this increase should be investigated and preventive measures should be taken.Öğe Percutaneous treatment of hepatic cystic echinococcosis: the success of alcohol as a single endocavitary agent in PAIR, catheterization, and modified catheterization techniques(Springer-Verlag Italia Srl, 2018) Bakdik, Suleyman; Arslan, Serdar; Oncu, Fatih; Tolu, Ismet; Eryilmaz, Mehmet AliThis retrospective study aims at demonstrating the success rate, effectiveness, and advantages of alcohol as a scolicidal and sclerosing agent for the percutaneous treatment of liver hydatid cysts. A total of 554 liver hydatid cysts obtained from 347 patients admitted between January 2008 and February 2016 were retrospectively investigated. Of these, 435 (78.5%), 91 (16.4%), and 28 (5%) were classified as Gharbi type 1, 2, and 3, respectively. Type 1 and 2 cysts were treated using PAIR (puncture, aspiration, injection, respiration) and single puncture catheterization methods; type 3 lesions were treated using a modified catheterization technique. Alcohol was used as a scolicidal and sclerosing agent in all procedures. After excluding three lesions (0.5%) because of lack of parenchymal support during catheterization, 274 (49.7%), 250 (45.3%), and 27 (4.9%) of 551 lesions were treated with PAIR, single puncture catheterization, and modified catheterization techniques, respectively. Therefore, a 99.5% of technical success rate was obtained. Major complications in 2 patients (0.5%) and minor complications were observed in 36 patients (10.3%). Mean hospital stay was 1.55 +/- 2.3 days (range: 0-23 days). Patients were followed-up for mean 19.6 months (range: 6-83 months), during which recurrences were detected in 19 patients (5.4%). The use of alcohol as a scolicidal and sclerosing agent during the percutaneous treatment of liver hydatid cysts is associated with a high success rate and low rates of recurrence and complications, and should be considered an important alternative to surgical procedures.Öğe THE USE OF ACUTE-PHASE PROTEINS APACHE II AND SOFA TO PREDICT THE MORTALITY OF COVID-19 PATIENTS(Nobel Ilac, 2023) Deniz, Cigdem Damla; Visneci, Emin Fatih; Eryilmaz, Mehmet Ali; Tutar, Mahmut Sami; Iyisoy, Mehmet Sinan; Ugur, Ayse Ruveyda; Koc, MehmetObjective: Acute-phase proteins are a family of proteins synthesized by the liver. With this study, we aimed to investigate the effects of COVID-19 infection on acute phase reactants (AFR) and determine the usability of AFRs as prognostic factors in COVID-19 disease.Material and Method: Serum samples taken for routine analysis of the patients admitted to the Emergency Department and diagnosed with COVID-19, were used. AFR levels of 30 patients who resulted in mortality and 30 recovered patients were evaluated. C-reactive protein (CRP), ferritin (FER), ceruloplasmin (Cp), albumin (Alb), prealbumin (Prealb), transferrin (Trf), lactate, Acute Physiology and Chronic Health Evaluation (APACHE), and Sequential Organ Failure Assessment (SOFA) assessment was performed.Results: The hazard ratio and 95% confidence interval for FER, CRP, lactate, Alb, Cp, Prealb, Trf, Age, SOFA, and APACHE were 1.001 (1.000-1.001), 1.005 (1.001- 1.008), 1.141 (1.016-1.243), 1.016 (0.740-1.399), 1.016 (0.740-1.399), 1.056 (1.017-1.100), 0.978 (0.917-1.035), 1.000 (0.995-1.006), 1.032 (1.004- 1.064), 1.104 (0.971-1.247), and 1.012 (0.974-1.051), respectively, in univariable model. Only CRP, lactate, and FER found significant in multivariable model. In addition, patients in the nonsurvivors group had significantly higher FER, CRP, lactate, APACHE, age, and SOFA. Nonsurvivors also had lower Alb, Prealb, and serum Trf level compared to survivors.Conclusion: CRP, lactate, and FER, which we have shown to be significantly higher in severe COVID-19 patients, will be valuable parameters that will contribute to clinical improvement if they are used in the follow-up of patients due to their easy measurement and predictive values.Öğe Visceral Adiposity Index Levels in Patients with Hypothyroidism(Natl Med Assoc, 2018) Pekgor, Selma; Duran, Cevdet; Kutlu, Ruhusen; Solak, Ibrahim; Pekgor, Ahmet; Eryilmaz, Mehmet AliObjective: To assess visceral adiposity index (VAI) as a sign of cardio-vascular diseases (CVD) in hypothyroidism patients and to compare CVD risks in overt or subclinical hypothyroidism patients. Materials and methods: Sixty-eight hypothyroidism patients (29 with overt and 39 with subclinical hypothyroidism) and 33 age- and gender-matched control patients were included. VAI levels were calculated with the following formula: (waist circumference (WC)/[36.58+(1.89xbody mass index (BMI))])x[(triglyceride (TG) (mmol/L)/0.81)x(1.52xhigh-density lipoprotein cholesterol (HDL-cholesterol) (mmol/L))] and (WC/[39.68+(1.88xBMI)])x[(TG (mmol/L)/1.03)x(1.31xHDL-cholesterol (mmol/L))], respectively. Results: While body weight (p < 0.01), BMI (p < 0.01), TG and VAI levels (p < 0.01) were higher in hypothyroidism patients than controls, HDL-cholesterol levels were lower (p = 0.02). When patients were divided to groups as subclinical (n = 39) and overt hypothyroidism (n = 29) and compared with each other and controls (n = 33), body weight (p = 0.02 and p = 0.02, respectively), BMI (p = 0.01 and p < 0.01, respectively) and TG (p < 0.01 and p = 0.03, respectively) were higher in overt and subclinical hypothyroidism groups than controls. HDL-cholesterol was lower only in the group with overt hypothyroidism than controls (p = 0.01). Although found similar to each other in overt and subclinical hypothyroidism groups, VAI levels were observed to be higher in both groups than controls (p < 0.01 and p = 0.02, respectively). In correlation analysis, a positive correlation was determined between thyroid stimulating hormone (TSH), BMI and VAI levels (p = 0.03 and p < 0.01, respectively). Conclusions: Due to the association between increased VAI levels, and metabolic syndrome and CVDs, we consider that several measures should be promptly taken to decrease these risk factors, and further studies with a larger sample size should be performed.
